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.
Subdivisions of Program Areas, these track general higher level sub-classifications of expenditure.
Subdivisions of Major categories, these are the most detailed expenditure data.
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
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: 2007
ACTIVITY HAS BEEN REVISED SIGNIFICANTLY FROM FY 2008 COP
TITLE: Support for Orphans and Vulnerable Children (OVC) Affected by HIV/AIDS
NEED and COMPARATIVE ADVANTAGE: Since 2004, Catholic Relief Services (CRS) has implemented
PEPFAR grant programs for OVC affected by HIV/AIDS in Tanzania. CRS' technical approach reaches out
to HIV-affected families through durable indigenous institutions such as churches, parish coordinating
committees, and village Most Vulnerable Children's Committees (MVCCs), supported through resource
mobilization initiatives, program funding, financial and technical assistance. This approach has not only
demonstrated program effectiveness, but has also extended OVC wellbeing activities that contribute to the
sustainability of integrated human development of OVC in Tanzania.
ACCOMPLISHMENTS: With PEPFAR funding to CRS/Tanzania, substantial progress continues in the
support of national efforts to establish sustainable programs for OVC. CRS reinforces national coordination,
partnership, and Monitoring & Evaluation mechanisms for OVC care and support. Notable achievements
from 2004 to date include an increase in the number of OVC receiving care and support services from 3,750
to 35,000 by the end of September 2008. Of these, 16,500 OVC were reached in FY 2008, and a
cumulative 18,500 continue to be supported since 2004. Fifty-two percent of the 16,500 OVC supported in
FY 2008 have received at least three different types of services from seven core program areas. The
education-support initiative has reached 30,000 out of 35,000 OVC with scholastic materials, uniforms, and
payment of required school fees. Additionally, over 15,000 OVC have received life-skills education and 750
have acquired skills in vocational training and trade. Other educational supports include periodic tracking of
school attendance and performance of individual children.
In health support, 15,000 OVC have been fully insured through two health insurance schemes, one focusing
on agreements with a local health fund and another accessing the newly introduced Community Health
Fund, operated by the district councils. The project has also increased community leadership in OVC care
initiatives and collaboration with local, districts and the national Department of Social Welfare (DSW). At
the community level, communities are fully engaged in resource mobilization, advocacy to address issues of
stigma and discrimination, and food support to needy households and people living with HIV/AIDS.
Regarding coordination, program review, and planning, a total of four meetings and three trainings focusing
on strengthening of OVC systems were organized. District authorities participated in these meetings and
trainings, demonstrating community involvement in OVC care and support initiatives. The number of OVC
on antiretroviral therapy (ART) has increased from 82 in 2004 to approximately 1,400 by September 2008.
Finally, the national OVC data management system (DMS) is now functional at all CRS OVC program sites
and all key program staff, field officers, and community volunteers have been trained on the national M&E
framework including periodic reporting tools.
ACTIVITIES: The FY 2009 proposed activities are based on lessons learned and the periodic reassessment
of OVC project outcomes conducted during the implementation of the FY 2008 work plan. FY 2009
outcomes will ensure that: 1) OVC are actively engaged in their own care and have the opportunity to invest
in their future; 2) community members take a leadership role in the care of OVC in their catchment area; 3)
community-based service providers provide effective, high-quality core services to OVC and their
families/caregivers; 4) community-based service providers engage in good resource stewardship; 5) local
authorities and systems are strengthened to provide long-term programs, quality services, and resource
support needed to sustain their community partners; and 6) CRS and national HIV technical resource
institutions (such as district social welfare officers, council health management teams, local health facilities,
and diocesan leadership) provide the necessary technical and material support to parish coordinating
committees, MVCCs and the community home-based care (HBC) networks. These supports will strengthen
families, build critical capacities, provide integrated quality services, and support the capability of the
national M&E system to obtain quality and reliable data for decision-making at various levels including local,
district, and national to ensure maximum integrated human development of OVC through uninterrupted
delivery of quality services. These sustainable outcomes will ultimately foster strong partnerships and
develop project sustainability among local authorities, and within the community, diocese, and household
One major goal for FY 2009 is to enhance the quality and sustainability of services. Efforts will facilitate
local ownership and leadership for quality service programs, while transitioning CRS' role from overall
management of the portfolio to one that provides key technical assistance in programming, accounting,
administrative skills, and auditing practices. FY 2009 activities will focus on building the institutional
capacity of partners to plan, implement, evaluate, and manage OVC programs, as well as providing quality
services including community nutritional support.
In FY 2009, there will be a greater emphasis on nutritional assessments. Community volunteers will use
mid-upper arm circumference tapes to determine the nutritional status of OVC. OVC identified with faltered
growth, or who are severely or moderately malnourished, will be referred to health clinics for HIV testing and
food supplementation, if available. For OVC identified with an immediate need, living in a food insecure
household, CRS will provide interim support, while linking the household to a livelihood activity.
LINKAGES: This activity will link to the Tanzanian National Costed Plan of Action (NCPA) for Most
Vulnerable Children and with the entire USG-funded OVC Implementing Partner Group (IPG) network.
CRS will continue to collaborate with the Ministry of Health and Social Welfare (MOHSW), the Prime
Minister's Office for Regional and Local Government, and the Institute for Social Work through a learning
and internship program for undergraduate students. Under this program, students in their third year of
studies participate in short-term assignments and deploy to different sites where CRS implements programs
benefiting OVC. CRS will continue to collaborate with the OVC IPG and the Quality Improvement Sub-
Taskforce in the development of standards in OVC care and to share best practices and lessons learned.
Furthermore, in FY 2009, health care initiatives will extend their focus to support vulnerable children whose
parents are living with HIV/AIDS. HIV-positive children will access ART services through linkages and
Activity Narrative: improved referral systems as well as through the provision of bus fare. Most importantly, this activity will be
linked to the work of the MVCCs at the local level.
CRS OVC programs will also be linked with the national Malaria voucher scheme for insecticide treated nets
and child survival initiatives at local health facilities.
M&E: Developing strong supervisory systems is essential to maintaining the quality of services achieved
through competency-based training, which also contributes to the implementation of the NCPA. In FY 2008,
CRS adapted and harmonized supervision tools to monitor quality of services at different program levels
systematically. Under the M&E framework and standards of quality programming, CRS trained over 23 key
program staff in six geographical sites in the Data Management System (DMS), information management
skills, reporting and computer skills, and problem solving solutions. At the central level, through the DSW,
the MOHSW has requested capacity building trainings to its District Social Welfare Officers, and supports
national efforts to roll out and disseminate the NCPA, national DMS and quality standards. In order to
sustain and strengthen the capacities of partners to monitor the program effectively, CRS will invest more
resources to strengthen the overall M&E and DMS. The grant will support more M&E activities, increase
technical assistance to key government stakeholders, supportive supervision, and training of staff.
Consultancies will be included in the M&E and DMS development in order to put clear monitoring and
evaluation mechanisms into place for all programs. Inadequate staff, a lack of data processing skills, and
deficient tracking systems are key impediments to effective M&E systems. CRS will address these issues
throughout the implementation of this work plan and cost extension period.
SUSTAINABLITY: In FY 2009, the CRS program team and diocesan partners will work together with local
communities, households, and district authorities to develop and market a culturally acceptable
sustainability strategy, which will promote key fundamental competencies and coping mechanisms. These
will be delivered through open dialogues among OVC, families, clans, parish-based OVC support
committees, self-help groups, and MVCCs. The FY 2009 CRS OVC programming strategy focuses on
interventions that safeguard the best interests of OVC and promote the CRS Integrated Human
Development strategy. To achieve this goal, CRS will provide comprehensive, and quality-based
interventions for OVC across the following seven core program areas; education and vocation training
support, food and nutrition, healthcare, psychosocial support, child protection, shelter and care, and income
generation. In addition to child-centered interventions, special focus will be on systems strengthening and
human capacity development. CRS has developed a vision to guide the implementation strategy: OVC are
resilient, healthy, and see purpose in their lives now and in the future and reside in self-sufficient, vibrant,
nurturing communities and households.
New/Continuing Activity: Continuing Activity
Continuing Activity: 13453
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
13453 6522.08 U.S. Agency for Catholic Relief 6505 5027.08 $1,350,000
7691 6522.07 U.S. Agency for Catholic Relief 5027 5027.07 $700,000
6522 6522.06 U.S. Agency for Catholic Relief 11905 11905.06 $200,000
* Increasing gender equity in HIV/AIDS programs
* Increasing women's access to income and productive resources
Health-related Wraparound Programs
* Child Survival Activities
* Malaria (PMI)
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $192,775
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Estimated amount of funding that is planned for Food and Nutrition: Policy, Tools $18,300
and Service Delivery
Food and Nutrition: Commodities
Estimated amount of funding that is planned for Economic Strengthening $44,500
Estimated amount of funding that is planned for Education $380,000