PEPFAR's annual planning process is done either at the country (COP) or regional level (ROP).
PEPFAR's programs are implemented through implementing partners who apply for funding based on PEPFAR's published Requests for Applications.
Since 2010, PEPFAR COPs have grouped implementing partners according to an organizational type. We have retroactively applied these classifications to earlier years in the database as well.
Also called "Strategic Areas", these are general areas of HIV programming. Each program area has several corresponding budget codes.
Specific areas of HIV programming. Budget Codes are the lowest level of spending data available.
Expenditure Program Areas track general areas of PEPFAR expenditure.
Expenditure Sub-Program Areas track more specific PEPFAR expenditures.
Object classes provide highly specific ways that implementing partners are spending PEPFAR funds on programming.
Cross-cutting attributions are areas of PEPFAR programming that contribute across several program areas. They contain limited indicative information related to aspects such as human resources, health infrastructure, or key populations programming. However, they represent only a small proportion of the total funds that PEPFAR allocates through the COP process. Additionally, they have changed significantly over the years. As such, analysis and interpretation of these data should be approached carefully. Learn more
Beneficiary Expenditure data identify how PEPFAR programming is targeted at reaching different populations.
Sub-Beneficiary Expenditure data highlight more specific populations targeted for HIV prevention and treatment interventions.
PEPFAR sets targets using the Monitoring, Evaluation, and Reporting (MER) System - documentation for which can be found on PEPFAR's website at https://www.pepfar.gov/reports/guidance/. As with most data on this website, the targets here have been extracted from the COP documents. Targets are for the fiscal year following each COP year, such that selecting 2016 will access targets for FY2017. This feature is currently experimental and should be used for exploratory purposes only at present.
Years of mechanism: 2008
TITLE: Together We Can (TWC) Program
At 3.2%, young men's sero-prevalence in Kigoma is higher than the national average. The percentage of
rural women who demonstrate comprehensive knowledge about HIV/AIDS in Tanzania is only 38% (DHS
2004). The Tanzania Red Cross Society (TRCS), a local organization established in 1962, has active
offices in each of Kigoma's districts and an established network of over 140 community-based HIV
prevention volunteer peer educators uniquely suited to reach remote areas of the country. ARC provides
technical support to the TRCS and is a recognized leader in the field of youth peer education, using a
curriculum and methodology implemented by the red cross movement in over 20 countries worldwide.
Project messaging emphasizes life-skills in abstinence and fidelity, and includes condom information and
education for at-risk youth.
"Together We Care" (TWC) has reached over 300,000 youth with AB messages, and trained 599 individuals
(peer educators and field managers). Due to a systematic approach to refresher trainings and incentives,
volunteer retention rates exceed 95%. Increases in knowledge, accepting attitudes and self-efficacy
average over 82% (post- over pre-test scores in curriculum-based interventions). MEASURE evaluation
cited TWC as very strong in volunteer supervision systems, consistent skills-based messaging, and high
ACTIVITIES: The TWC project strengthens HIV related life skills for Tanzanian youth using multiple
venues. Groups of potential peer educators (PE's) are identified in the community based on age,
education (minimum of standard seven) and availability to work within the region from which they came.
Once selected, PEs are trained using participatory, skills-based, locally adapted interventions. Refresher
trainings and management meetings are held regularly. PEs also provide referral information to key
services provided in the region including VCT and STI treatment, thereby enhancing linkages to other
partner organizations and generating demand for these services. Referral manuals that list locally available
youth friendly services are kept up to date by the PEs.
Graduated PE's host multiple training sessions to impart the TWC curriculum to youth. Pairs of PE's
facilitate these sessions for small groups of approximately 20 beneficiaries per workshop. Each youth
participant in the workshop is responsible to communicate key prevention messages via peer-to-peer
outreach to ten of their peers as a ‘take-home assignment'. Youth are encouraged to talk informally about
issues that directly affect their life and health, drawing on knowledge learned in training sessions.
The final phase of the TWC project communicates prevention messaging through the organization of
‘edutainment' events and through the production and dissemination of behavior change materials
(educational brochures, referral manuals, and support materials). Activities address gender equity, norms
and behaviors, stigma and discrimination, critical decision making skills, negotiating abstinence, reduction of
sexual partners, fidelity, and condom use.
In line with recommendations from MEASURE evaluation's recent process evaluation, TWC is refining
follow-up strategies to increase the booster effect on youth who have already completed the TWC
curriculum. Workshop ‘graduates' will benefit from two follow-up interventions 3-6 and 9-12 months after
completion of the initial curriculum.
To enhance the community environment for the adoption of safer sexual practices, the TWC project holds
town hall meetings and hosts community councils at each key project site. Town hall meetings are
designed to inform, seek permission to conduct sexual education activities, and solicit direct involvement of
adult stakeholders. Councils are designed to encourage participation by adult stakeholders including
parents, teachers, and religious and secular community leaders from all sectors.
Project staff works with local community councils and organizations on day-to-day project implementation.
Projects to date include; planning TWC workshops in schools; consensus building on appropriate
messaging for younger youth; in-kind contributions to project activities; promoting TWC sessions via letters
to parents; and offering feedback after observing project activities.
LINKAGES: TWC collaborates with teachers, parents, local government task forces, FBO's, and CBO's to
ensure the direct involvement of adult community members in the fight against HIV/AIDS and the safer
reproductive lives of youth. TRCS works extensively with Emergency Plan and other donor funded NGO
partners and taskforces at the national, regional and community level through sharing of work-plans,
quarterly prevention partner meetings, and joint planning. This occurs through meetings and dialogue with
partners, and the sharing of curriculum and best practices. Common strategies and messages are
established and duplication of efforts is reduced, leading to a more efficient use of project resources. The
TWC project also shares best practices across countries where the program is in operation (Haiti and
Guyana) as well as through the red cross movement which is active in 185 countries. TWC is able to
provide referral information to the thousands of youth it reaches each month, thereby creating demand for
other Emergency Plan funded services such as STI treatment and VCT.
M&E: TWC uses data collection forms to track the number and nature of outreach and trainings as well as
town council meetings, media events, and refresher trainings, and utilizes a pre/post test tool to measure
knowledge gained through training sessions. Data is used for multi-level analysis to identify gaps in
understanding. When counting beneficiaries, a discount rate is applied to avoid double counting at large
scale events. Each type of activity has its own targets and is judged on its own objectives. This system
ensures that all outreach targets reported comply with the OGAC guidance. TWC will revise data collection
tools to harmonize with other PEPFAR AB and OP partners, and is currently active in prevention partner
meetings, volunteering M&E tools for review, and attending meetings to standardize tools. A written M&E
plan is currently in development, and will begin implementation no later than the receipt of FY 2008 funds.
Seven percent of the budget will be allocated to M&E.
SUSTAINAIBLITY: TWC's work through TRCS retains capacity in this local organization, which has been
working in Tanzanian communities since 1962. TRCS receives support from national chapters including the
Spanish, French, and Japanese Red Cross, and the Red Cross Federation. TRCS is currently seeking
funds from the Tanzanian government to expand chapter capacity throughout the country. The ARC will
continue to provide organizational development trainings and technical support for key areas (e.g.,
volunteer management and training, project planning, finance and compliance, monitoring and evaluation,
and curriculum adaptation). TWC also uses partnership building as a capacity-building tool, allowing the
TRCS to learn from and leverage each partner's expertise in HIV prevention, care, and treatment.