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
THE ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:
TITLE: Together We Can (TWC) Program
American Red Cross's Track 1 ABY program closes in June 2010. December 2008 marks the end of the
American Red Cross's (ARC) support of the TWC program in Kigoma, as the program moves to a higher
prevalence region. The project has seen considerable success. According to the THMIS (2007/08)
Kigoma's knowledge of HIV prevention methods is the second highest in the country for girls (62%), and the
third highest for boys (56%). Despite ARCs departure from Kigoma region, the Tanzanian Red Cross
Society (TRCS) continues to maintain a presence in Kigoma. Building on the strong volunteer capacity and
training developed through both the refugee relief operation and the TWC program, TWC will enjoy
continued exposure in the communities of Kigoma through the presence of trained peer educators (PEs),
coaches, and youth multipliers. In line with epidemiological trends and USG recommendations, ARC will
transfer its expertise, successes, and lessons-learned to four densely populated, high sero-prevalence
districts of Shinyanga region in FY09. To accommodate this shift to a more strategic area, TWC anticipates
a transition period between January and March of 2009. A PLACE-inspired methodology will be used to
rapidly gather information to facilitate strategic targeting and monitoring of higher risk youth and young adult
populations. In response to recent evidence, TWC is moving towards a peer education model which uses
community-based educators aged 17 or above. In addition, the TWC curriculum is in the process of an
adaptation that, building on new information regarding drivers of the epidemic in Tanzania, addresses risk
and protective factors such as transactional sex, sexual coercion, cross-generational sex, multiple
concurrent partnerships, individual risk planning, and gender equity. The curriculum will be finalized in time
for use in the new region.
Current strategies will be modified to increase youth-peer interaction through the curriculum's built-in series
of four take home assignments which include sharing key TWC messages, facts, and skills through the use
of: a decision making tool; a newly adapted pamphlet identifying risk factors for HIV infections; and referrals
and site-visits to local sexual and reproductive health services. Through an increased emphasis on out of
school youth and a targeted 50:50 in school to out of school breakdown in youth reached, ARC will develop
special training sessions incorporating facilitation and counseling skills to help PE's identify and work with
high-risk youth. ARC will enhance efforts to conduct follow-up interventions (FUI) through the roll-out of
guidelines to ensure FUI content matches the needs of local communities, based on district-specific
analysis from the pre/post-test database and qualitative feedback from youth. FY09 will see a minimum of
70% of all youth reached by the initial TWC curriculum also reached by one or more FUI.
Community Council and Town Hall Meetings will continue to address the needs of stakeholders and
community members, while encouraging an enabling environment for youth outreach. In addition, ARC will
scale up implementation of its three-day Adult Child Communication curriculum in partnership with Family
Health International (FHI) UJANA. These interventions all help to create supportive environments promoting
positive social and gender norms, and encourage healthy behavior choices and sustained behavior change.
Partnerships with Stradcom and T-Marc will continue to support mass media radio shows and marketing
campaigns in the new region, coordinated with listening and discussion groups for youth. Finally, leveraging
existing ARC funding, ARC is developing a broader integrated HIV program to utilize existing TRCS
capacity to develop home-based care (HBC) and support activities. Of the four TWC districts, two districts
will overlap with Pathfinder International's HBC activities. The remaining two districts will incorporate a
newly developed Red Cross HBC program, as well as free condom distribution through Red Cross
branches, linkages to counseling and testing, prevention programs for people living with HIV, and wrap
around programs including gardening, village community banking, and orphan and vulnerable children
programming. To date, TWC has reached over 425,000 youth with AB messages, and trained over 720
individuals. Volunteer retention rates exceed 95%.
*END ACTIVITY MODIFICATION*
At 3.2%, young men's zero-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). 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.
ACCOMPLISHMENTS: 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 retention rates.
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 PEs host multiple training sessions to convey
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
Activity Narrative: 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.
TWC targets represent the number of individual youth multipliers and youth participants reached. These
figures are documented through the TWC HMIS on various forms and represent "A+B+C". (A= Youth
completing the TWC curriculum, B= Youth reached through Peer-to-peer outreach, and C= youth reached
through mass communication events.) Recognizing that youth reached through curriculum based
interventions may be reached through multiple other methods, a 50% discount rate has been applied to the
number of youth reached via the peer-to-peer outreach ("B") and the number of youth reached via
community mobilization/edutainment events ("C") to avoid double counting. In addition, community
mobilization activities have been modified to comply with the new OGAC standards, and are now only
counted for USAID if the event has fewer than 500 participants, although larger community events and
mass media broadcasts are still occurring.
New/Continuing Activity: Continuing Activity
Continuing Activity: 13437
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
13437 3472.08 U.S. Agency for American Red 6496 1508.08 Track 1.0 $587,731
9060 3472.07 U.S. Agency for American Red 4518 1508.07 ARC Track 1.0 $278,365
3472 3472.06 U.S. Agency for American Red 2874 1508.06 $844,027
* Increasing gender equity in HIV/AIDS programs
* Reducing violence and coercion
Human Capacity Development
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities