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PEPFAR's Support on Orphans _ Vulnerable Children - PEPFAR support

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PEPFAR's Support on Orphans _ Vulnerable Children - PEPFAR support Powered By Docstoc
					 PEPFAR support for Children
Orphaned and Made Vulnerable by
HIV and AIDS Programs in South
                      Africa
      Presented by Anita Sampson, USAID/Southern Africa



                                                3 November 2010
            Outline
Goals & objectives

Funding History

Partners

OVC programming

Geographic Locations of OVC Programs

New directions & strategies for OVC support
                    PEPFAR Program Areas


Treatment                Care                          Prevention
                         •    Adult Care and Support   •   Sexual Prevention
•   ARV Drugs
                         •    Pediatric Care and       •   Behavior Change
•   Adult Services            Support
                         •    TB/HIV                       Communication
•   Pediatric Services
                         •    Counseling and Testing   •   PMTCT
•   Laboratory
    Infrastructure       • Orphans & Other             •   Blood Safety
                           Children made               •   Injection Safety
                           Vulnerable by               •   Male Circumcision
                           HIV/AIDS                    •   “Combined”
Other
•   Strategic Information
•   Health Systems
    Strengthening
•   Management and Staffing
            Six Key Strategies
1.   Strengthen and support the capacity of families to
     protect care for their children
2.   Mobilise and strengthen community-based
     responses for care, support, and protection of OVC
3.   Ensure that legislation, policy, strategies and
     programmes are in place to protect the most
     vulnerable children
4.   Ensure that OVC have access to essential services
5.   Increase awareness and advocate for the creation of a
     supportive environment for OVC issues
6.   Engage the to actively support OVC civil society and
     business community
   Objectives of the PEPFAR OVC Program

The emphasis of OVC programs is on:
• Support the Department of Social Development (DSD) to strengthen
  coordination of OVC programs & build monitoring & evaluation
  capacity for NAPOVC
☺ Strengthening coordination & building local capacity and local
  structures that support vulnerable children
☺ Strengthening communities & building the capacity of families to
  protect & care for vulnerable children
☺ Make the linkages to programs that work with adults to keep parents
  alive
☺ Supporting community based responses to lead child protection
  efforts & reach at risk children
☺ Creating a supportive social environment for OVC by building
  knowledge base (build on demonstrated success)
                 South Africa PEPFAR Funding


7.00


                                                                      Rand Amount (in
6.00
                                                                      billions)

5.00


4.00                                                                  Dollar Amount (in
                                                                      100 millions)

3.00


2.00                                                                  Dollar Amount for
                                                                      ARVs (in 100
1.00
                                                                      millions)


  -
       FY2004   FY2005   FY2006   FY2007   FY2008   FY2009   FY2010
                                   60

                                   50
F u n d in g in M illio n s ($ )




                                   40

                                   30

                                   20

                                   10

                                   0
                                        2005   2006   2007   2008   2009   2010
                        Orphans & Vulnerable Children Funding:
                                  FY2005 – FY2010
                                                                     Fiscal Year
                                                                     Funding


                      $63


                      $54


                      $45
Funding in Millions




                      $36


                      $27


                      $18


                       $9


                       $0
                            2005   2006   2007        2008   2009   2010
                                            Fiscal Years
          Original Implementing Partners
                 2005 -17 partners
•   CARE USA
•   CompreCare                    • Nelson Mandela Children's
•   Child Welfare South Africa      Fund
•   Family Health International   • The Salvation Army
•   Harvard School of Public      • Save the Children UK
    Health                        • South African Military Health
•   Hope Worldwide                  Services
•   John Hopkins University       • Starfish Greathearts
    Center for                      Foundation
    Communications                • US Peace Corps
•   Management Sciences for       • US Department of State
    Health                          (Community Grants)
•   National Association of
    Child Care Workers
•   Nurturing Orphans of AIDS
    for Humanity
Number of Partners 2005 - 2010


               40



               45


                                 2010
                                 2009
               45                2008
                                 2007
                                 2006
                                 2005
               43



               25

               17



  Number of Partners
         Partners and Locations



40 prime implementing partners (contractors
               and grantees)
                    and
           more than 1068 sites
                throughout
            the nine provinces
     Current Implementing Partners
•   Department of Social Development         •   National Department of Education
•   Africare                                 •   Olive Leaf Foundation
•   Anglican AIDS & Health Trust             •   PATH (Thogomelo Project)
•   CERI/Sinomlando                          •   Population Council
•   CARE South Africa                        •   Senzakwenzeke
•   'Childline South Africa                  •   Save the Children UK
•   'Childline Mpumalanga                    •   Southern Africa Catholic Bishops
                                                 Conference
•   Children in Distress (CINDI)
                                             •   Starfish Greathearts Foundation
•   Child Welfare South Africa
                                             •   Tshwane Leadership Foundation
•   CompreCare
                                             •   Ubuntu Education Fund
•   Hands at Work in Africa
                                             •   US Peace Corps
•   Heartbeat
                                             •   US Department of State (Community
•   Hospice Palliative Care Association          Grants)
•   Health & Development Africa              •   Woz’obona (Sekhukhune)
•   Ingwavuma Orphan Care                    •   World Vision South Africa
•   John Snow Inc. (Strategic Information)   •   Xstrata Coal SA (Re-Action)
•   Mpilonhle
•   National Association of Child Care
    Workers
•   Nurturing Orphans of AIDS for Humanity
                   Status 2009
• 40 prime partners, reaching >450,000
• 5 partners reaching >50,000 each
• Urban & rural focus, in all 9 provinces
  –   21 partners in KZN
  –   14 partners in Eastern Cape
  –   15 partners in Gauteng
  –   15 partners in Limpopo
  –   13 partners in Mpumalanga
  –   12 partners in North West
  –   9 partners in Northern Cape
  –   9 partners in Western Cape
  –   14 partners in Free State
   OVC Core Support Services

• Clinical nutrition and nutritional support
• Child protection interventions
• Assistance in accessing healthcare, incl. access to HIV-
  related care
• HIV Prevention Education
• Psychological and therapeutic social support
• Educational activities to increase access, enrollment and
  progression in schools & ECD
• Household Economic Strengthening
• Community mobilization
Achievements in Care, Counseling and Testing
  and support for Orphans and Vulnerable
             Children FY 2009
• Care
  – Direct support for 2.1 million
  – Assistance for 742, 766
• HIV Counseling and Testing
  – Direct support for 2.5 million
  – Assistance for 1 million
• Support for Orphans and Vulnerable Children
  – Direct 486,355
  – Assistance for 435,151
 OVC provided with PEPFAR Support
600,000

500,000

400,000

300,000

200,000

100,000

     0
          FY 05   FY 06   FY 07   FY 08   FY 09
                                                     0
                                                         50,000
                                                                  100,000
                                                                            150,000
                                                                                      200,000
                                                                                                250,000
                                                                                                          300,000
                                                                                                                    350,000
                                                                                                                              400,000
                                                                                                                                        450,000
                     Vo
                          ca
                                 t io
                                        na
               AR                              l
                     T
                         Su
                               pp
                                        or
                                             t
Ec                       Nu
     on                          t ri
                                        t io
          St                                   n
               re
                    ng
                         th
                              en
                                   in
                                        g
 Ge                           Sh
      ne                            el
                                          te
           ra                                    r
                lH
                     ea
 Ge                       l th
      ne                         ca
           ra                           re
                lE
                     du
                          ca
                                                                                                                                                                                 Results




      Ch                         ti o
           i ld                          n
                    Pr
                         ot
                              ec
                                   ti o
               Fo                         n
                                                                                                                                                  OVC Served by Category, 2009




                    od
                          Pa
                                 rc
            Ps                          e ls
                    yc
                         ho
                              so
          HI                       ci
               V                         al
                    Pr
                         ev
                              en
                                   t io
                                          n
                                                     Q4

120,000
             110,113


100,000


 80,000
                                                                      66,355
                                                                                    62,871
 60,000                                   56,261



 40,000                                                   32,445                                   29,981
                            27,234

 20,000


     0
              Child        Clinical      General       Healthcare Psychological   Prevention     Households
            protection    nutritional   healthcare    support for     care        Education    receiving HES
          interventions    support       referral    access to ART                              interventions
            10-Year PEPFAR Program Goals

Working in partnership with host nations around the
 world, PEPFAR will support:

   – Treatment for at least 3 million people
   – Prevention of 12 million new infections
   – Care for 12 million people including 5 million orphans and
                         people,
     vulnerable children
• 10% funding for Orphans and Vulnerable Children

• To meet these goals, PEPFAR will support training of at least
  140,000 new health care workers (including social
  workers, auxiliary social workers, Para-social workers and child
  and youth care workers)
       PEPFAR Continuation & Next Phase

• Moving from Emergency to Sustainability
   – Country ownership and leadership in PEPFAR funded
     OVC program activities
   – Transition progressively from primarily implementing
     programs to some partners providing technical
     assistance and capacity building
• Increased efforts to prevent HIV while continuing to
  support care and treatment
• Partnership Framework
   – USG/SAG 5-year plan for the response to HIV/AIDS
     in South Africa
      THANK YOU




http://southafrica.usembassy.gov/pepfar.html

				
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