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 2009
The Production, Finance and Technology (PROFIT) Project, is a five year USAID economic growth
initiative, started in 2005 and implemented by a consortium of organizations with strong experience in
production, finance, and technology initiatives in Zambia. The Cooperative League of the USA (CLUSA)
and Emerging Markets Group (EMG) will work closely with a diverse group of Zambian organizations
representing both the public and private sectors including key Government of Zambia (GRZ) institutions,
Zambian NGOs, and small, medium, and large private sector firms to increase the production of selected
agricultural commodities and non-farm products for which Zambia has a comparative advantage in both
domestic and regional trade. As HIV/AIDS has had a tremendous impact on Zambia's agricultural
production, using a Wraparound Approach the USG will continue to leverage the existing platform and
human resources of the PROFIT Project to implement AB prevention activities. In FY 2005, PROFIT
initiated its HIV/AIDS prevention work with small scale farmers and reached 150,000 rural people with AB
messages, trained 499 peer educators and developed 500 community based HIV/AIDS prevention
programs. In FY 2006, PROFIT expanded its HIV/AIDS prevention work and reached out to a larger
number of farmers. In FY 2007, PROFIT did not conduct PEPFAR activity due to outstanding issues with
CHAMP, our previous contractor.
In FY 2008, PROFIT began working with a new subcontractor, Afya Mzuri. After conducting a baseline
survey that sought, in part, to engage peer educators previously trained by CHAMP, Afya Mzuri was only
able to identify a small fraction of those peer educators. As a result, PROFIT decided to take a different
approach to future PEPFAR activities. With the remaining PEPFAR funds, PROFIT has and will continue to
focus on three geographical areas: Mumbwa, Mkushi (Central Province) and Chama (Eastern Province).
Central Province was chosen primarily because all the peer educators previously trained by CHAMP were
found there and Chama was chosen because no HIV/AIDS activities have ever been done there. Five peer
educator trainings were held in FY08 and 127 peer educators were identified and trained. Previously
trained peer educators were given a refresher training. As a result of this training, it is expected that at least
5,000 people will be reached with HIV/AIDS messages.
The main thrust of PROFIT's HIV prevention strategy in FY 2009 will continue to be the promotion of
abstinence and being faithful. The presentation of these strategies will be comprehensive. Abstinence and
being faithful (AB) will be presented in its context of everyday life and its relationship to agricultural
production and marketing. Topics for discussion include the medical, social, cultural and religious aspects
of abstinence and being faithful. Discussions of personal choices related to employment, study travels,
personal conviction and commitment, medical advice, social and cultural norms, religious mores, and their
relationship to HIV/AIDS prevention will be held. To a small identified needy number of HIV/AIDS positive
persons, supplementary high protein foods will be supplied. The overall themes that will guide the
intervention are the recognition that abstinence and being faithful are not new behaviors, but are choices
that we all make for various reasons as life evolves.
The strategy to achieve the PEPFAR targets is based on five pillars: (1) Peer Educator Training; (2)
Motivation and monitoring of existing PROFIT peer educators; (3) Production of information, education,
communication (IEC) materials; (4) Mass Sensitisation; and (5) Monitoring and Evaluation.
Proposed programme for Mumbwa, Mkushi and Chama
•Baseline and follow-up knowledge, attitude and practice (KAP) surveys - the purpose of the KAP survey is
to assess levels of awareness about HIV-related issues, including attitudes to people living with HIV, use of
condoms, and reported sexual practices. The results of the survey enable the design of a programme
which is targeted at an appropriate level to meet the needs of the beneficiaries. In addition, if the survey is
repeated 18 months to two years after the implementation of activities, comparison of the results of the two
surveys enables an accurate assessment of its impact on the beneficiaries. Baseline and follow-up surveys
will be conducted in all three districts to provide clear data on the impact of the programme, as well as to
inform its design.
•Mapping and sensitization - each of the three districts will be segmented into zones, and targetted
sensitizations will be conducted for each of the zones. There are approximately 20 zones and each
sensitization would reach 200 people. The sensitizations would therefore reach a total of 4,000 people.
The purpose will be to inform community members about the programme, including its aims and objectives.
The sensitization will also include feedback on the results of the KAP surveys. This is a key step in terms of
ensuring the lead form managers working with PROFIT, local district officials, as well as traditional leaders
are aware of and in full support of the programme.
•Peer education training and refresher training - for each zone, existing and new peer educators will be
identified. This will involve working directly with PROFIT field staff, the lead firm managers, service
providers, agents, as well as existing peer educators. Approximately 76 peer educators were trained by the
previous implementing partner in Mkushi and Mumbwa in 2005/6. A three-day refresher training will be
conducted to update their knowledge and skills. A further 50 new peer educators will participate in a five-
day training programme in Chama. The peer educators will be trained in groups of 25, and for each group,
one Community Coordinator will be identified who will receive additional training in mobilizing groups of peer
educators and monitoring their activities. The training will cover the basic facts about HIV and AIDS, as well
as behavior change communication, community sensitisation, and adopting a household level approach to
community sensitization. Afya Mzuri technical staff will work closely with the peer educators in order to
develop action plans for the programme.
•Linkages with health service providers - as part of the KAP surveys, an assessment of health facilities
within each of the zones will also be undertaken to determine the HIV-related facilities available. The
technical staff will work closely with health service providers to establish an effective referral system for the
peer educators, as well as a system to enable follow-up on those people referred in terms of whether they
access services.
•Peer education programme implementation - the focus of the peer educators will be one-to-one and small
Activity Narrative: group discussions with community members through a household level approach. This will aim to achieve
quality impact in terms of disseminating information about HIV. Monthly monitoring reports will be collected
by the Community Coordinators and given to the PROFIT field staff for forwarding to Afya Mzuri. Given the
geographical spread of the zones, the Community Coordinators for each zone will have access to two
bicycles to enable easy follow-up, particularly in terms of collecting monitoring reports. These bicycles will
also be available on a rotational basis to the peer educators to facilitate disseminating information in harder
to reach communities. The peer educators will also each receive a t-shirt, cap and kit back so that they are
easily identifiable in the community, as well as a bag of mealie meal per month as an incentive. The peer
educators will work in pairs, and each pair of peer educators will be tasked with reaching 100 new people
per month.
•Quarterly technical support visits - in order to maintain the knowledge and skills of the peer educators,
Afya Mzuri will conduct quarterly technical support visits. It is anticipated that with this level of technical
support and incentives, each pair of peer educators will reach 100 people per month through one-to-one
and small group discussions. It is therefore estimated that 125,000 people will be reached by the peer
educators by September 30 2010.
New/Continuing Activity: Continuing Activity
Continuing Activity: 14380
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
14380 3547.08 U.S. Agency for Cooperative 6811 2314.08 PROFIT $100,000
International League of the
Development USA
8878 3547.07 U.S. Agency for Cooperative 4968 2314.07 PROFIT $100,000
3547 3547.06 U.S. Agency for Cooperative 2916 2314.06 PROFIT $100,000
Emphasis Areas
Workplace Programs
Human Capacity Development
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.02:
