BOX 7-8

Selected Examples of PEPFAR-Supported Prevention Activities Targeting Orphans and Other Vulnerable Children

In Kenya, a faith-based charity funded by PEPFAR trains young people to serve as volunteers in actively reaching out to their peers with targeted abstinence, be faithful, and other behavior change messages. The focus is on reducing the vulnerability of orphans and other vulnerable children to HIV infection through a community approach to prevention.

In Namibia, a faith-based organization’s HIV youth prevention program aims to reduce the rate of HIV prevalence among youths aged 14–25, with a special focus on orphans and other vulnerable children, through delay of sexual debut, abstinence until marriage, and messages discouraging risk behaviors among sexually active youth. Another faith-based organization is working with its local congregations to offer abstinence and be faithful messages through community dramas as a component of a holistic program that also includes home-based care and counseling/referrals.

In Uganda, a community-based organization promotes HIV prevention beyond abstinence and being faithful by imparting comprehensive information and skills to the most at-risk populations and making environments safer for women, youths, and people living with HIV. A portion of the programs funding is used to work directly with older orphans and other vulnerable children to promote positive behaviors, such as delay in sexual debut and avoidance of early marriage and exchange of sex for money and gifts.

SOURCE: OGAC, 2006g.

PEPFAR’s 2005 guidance for implementation of the ABC model (abstinence until marriage, being faithful, and using condoms), includes a number of programmatic directives related to young people that apply to orphans and other vulnerable children (OGAC, 2005e). Young people who have not had their sexual debut are to be encouraged to practice abstinence until they have established a lifetime monogamous relationship. For those youths who have initiated sexual activity, returning to abstinence is a primary message of PEPFAR’s prevention programs. The guidance includes the following restrictions (OGAC, 2006c,d):

  • PEPFAR funds may be used in schools to support programs that deliver age-appropriate AB information to young people aged 10 to 14.

  • PEPFAR funds may be used in schools to support programs that deliver age-appropriate ABC information for young people above age 14.

  • PEPFAR funds may be used to support integrated ABC programs

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