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: 2008
This is a Track 1.0 multi-country Abstinence Behavior Change for Youth (ABY) activity that links with other
US Government (USG) ABY partners, including International Youth Foundation/ Empowering Africa's
Young People Initiative, Health Communication Partnership (HCP) , and CHANGES2. This activity
supports both the Zambia National HIV/AIDS/STI/TB Strategic Framework (ZASF) and the PEPFAR goals
of abstinence and behavior change for youth as a means of preventing the transmission and spread of HIV.
The focus of the Y-Choices HIV/AIDS prevention program is to promote abstinence and being faithful
among in-school and out-of-school young people aged 10-24 mainly through peer education. The program
is implemented through sub-grantees including non-governmental organizations (NGOs), community-based
organizations (CBOs), and faith-based organizations (FBOs). FY 2008 funds will be used to provide ABY
sub-grants to 15 sub-grantees, 5 of which will be new organizations in new districts. Currently, Y-Choices
and its sub-partners are working in five rural provinces: Central, Luapula, North-Western, Southern, and
Western (in 12 districts). In FY 2008, Y-Choices will expand to 5 additional districts: Kabompo, Sesheke,
Zambezi, Kapiriposhi, and Nchelenge (covering 38 total districts).
Utilizing the networking approach to HIV/AIDS programming, ABY partners will collaborate with other
stakeholders in the field to ensure quality services for youth and to avoid duplication of similar activities.
Referrals will be encouraged to ensure that sexually active young people who require counseling and
testing (CT) and condom services are referred to partner organizations providing these services within the
Y-Choices Abstinence and Be faithful for Youth (ABY) activities are conducted mostly through schools and
community Anti-AIDS clubs at district/community level, and are guided by the schools' matrons and patrons
who are themselves trained as adult mentors. ABY sites are identified through a consultative process with
district local leadership and stakeholders such as District AIDS Task Forces, District Education Boards, and
District Health structures. In FY 2007, the program had 11 sub-grantees and by mid-year had reached
approximately 49,000 youth with AB messages and 26,125 youth with Abstinence-only messages. More
than 536 persons were trained to reach out to the youth along with their guardians/parents with AB
messages in 171 sites. In FY 2008, Y-Choices will implement ABY activities in 300 new sites. Each of the
15 sub-grantees will cover 10 schools and 10 surrounding communities. A total of 2,000 peer educators
and 1,000 adult mentors will also be trained in these sites. Roughly 100,000 youth will be reached with AB
messages and 60,000 youth with abstinence-only messages. Approximately 60% of the total youth reached
will be girls.
In FY 2008, the major thrust of the program is to support peer-to-peer education and child mentoring
outreach by peer educators and adult mentors. The peer educators will provide age appropriate AB
messages to fellow peers through outreach activities. The adult mentors, including parents and teachers,
will provide guidance to peer educators in their planning and implementation of peer education activities,
and promote parent/adult/child dialogue. Dialogue on sexuality issues will be encouraged, and messages
on abstinence and fidelity as key HIV preventive measures among youth. Both peer and adult educators
will be trained in effective AB messaging and community mobilization.
The sub-grantees carry out daily program management and provide technical support to community
activities through trained peer educators, adult mentors, and program staff, including monitoring and
evaluation officers. The sub-grantees often exchange experiences, strategies, materials, and approaches
to AB messaging. PACT also trains sub-grantees in program and grants management, reporting, and
monitoring and evaluation. In FY2007 some sub-grantees received funding from other agencies, such as
the United Nations Development Program (UNDP), the Zambia National AIDS Network (ZNAN) and the
National HIV/AIDS/STI/TB Council (NAC). This was attributed to the strengthened program and financial
management capacities, attained through the institutional capacity building provided by PACT Zambia.
To ensure program sustainability, Y-Choices will continue to build the capacities and skills of sub-partner
organizations in grants and program management, including: the development of workplans, proposal
narratives, organizational strategic plans, community mobilization and advocacy strategies, and financial
management. Sub-partners will also build their capacity for program implementation, monitoring and
evaluation, and AB message development and dissemination.
Sub-grantees will encourage traditional, religious, and civic leadership to participate in community
mobilization and program activities. Y-Choices' partner organizations will ensure linkages and synergy of
their ABY activities to existing government structures, such as the Provincial AIDS Task Forces, and the
Neighborhood Health Committees. Y-Choices will also continue its membership on the formed Prevention
of Sexual Transmission working group supported by the NAC. To enhance coordination, standardization,
and learning, Y-Choices will be in constant communication with other USAID-supported ABY partners,
through the USG AB partner working group.
Gender will be a focus for partners in the implementation of this activity. The messaging, program
evaluation, and reporting will incorporate gender issues, as HIV/AIDS affects boys and girls differently. The
communication strategy will ensure that these HIV related issues for boys and girls (such as multiple sexual
partners, sexual abuse and violence, male norms, and transactional sex) are adequately addressed. Peer
education and mentoring outreach will be complemented by AB messaging through folk media and radio
programming in provinces with community radio stations. Y-Choices will encourage its sub-grantees to
adapt any existing and approved AB radio programs developed by other partners, such as Population
Services International/Society for Family Health and Health Communication Partnership. Additionally, sub-
partners will develop specific programs to fill missing gaps. To standardize the AB messages reaching
youth and maintain positive behavior, Y-Choices sub-grantees will continue using approved and available
information, education, and communication materials that have been developed and approved by the NAC.
Pact Zambia's Y-Choices will conduct monthly field compliance visits to the sub-grantees for program and
financial backstopping. The program will also continue tracking results from each sub-grantee through the
reporting template submitted monthly. The template helps in tracking key program data as well as
challenges and success stories. Y-Choices plans to conduct the final program evaluation by July 2009.
All FY 2008 targets will be reached by September 30, 2009.