(OVC_SERV) Number of beneficiaries served by PEPFAR OVC programs for children and families affected by HIV

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Number of beneficiaries served by PEPFAR OVC programs for children and families affected by HIV
What it measures

PEPFAR is mandated to care for children orphaned or made vulnerable by HIV. Mitigating the impact that HIV is having on children and the families that support them is integral to a comprehensive HIV response. It is important to note that the definition of “affected” children includes, but is not limited to, children infected with HIV. PEPFAR recognizes that individuals, families, and communities are affected by HIV in ways that may hinder the medical outcomes of HIV-positive persons as well as the emotional and physical development of children orphaned or made vulnerable by HIV/AIDS. A variety of services (per Technical Considerations 2015 and 2016) are supported through PEPFAR to mitigate these effects in order to improve health and well-being outcomes of adults and children. The goal of OVC programs is to build stability and resiliency in children and familiesexposed, living with or affected by HIV/AIDS through rigorous case management and provision and access to health and socio-economic interventions. This indicator, by disaggregating “active”, “graduated”, “transferred”, and “exited without graduation” measures how successful the OVC program is in building children and their families’ resiliency.

This reporting period’s Active = (Last reporting period’s Active + Newly enrolled in this reporting period) – (this reporting period’s Graduated + transferred+ this reporting period’s Exited)


Number of beneficiaries served by PEPFAR OVC programs for children and families affected by HIV.




To calculate data for annual results:

Active beneficiaries: Do not sum across Q2 and Q4 – use cumulative result reported at Q4 for active beneficiaries

Graduated beneficiaries: Add Q2 and Q4 graduated beneficiaries

Transferred beneficiaries: Add Q2 and Q4 transferred beneficiaries

Exited beneficiaries: Add Q2 and Q4 exited beneficiaries

In sum, the annual results for OVC_SERV age 0-17 =

Total beneficiaries served in FY = Active in Q4 + All exited in Q4 + All exited in Q2

(All exited in Q4 = Graduated in Q4 + Transferred in Q4 + Otherwise exited in Q4)

(All exited in Q2 = Graduated in Q2 + Transferred in Q2 + Otherwise exited in Q2)

The indicator is generated by counting the number of active beneficiaries who received at least one HKID funded service from facilities and/or community -based organizations (see definition of an ‘active beneficiary’ below) and by counting the number of beneficiaries who graduated from the PEPFAR OVC program successfully and by counting the number of beneficiaries who were “transferred” to existing host-country programs and by counting the number of beneficiaries who have “exited without graduation” from the PEPFAR OVC program. This reporting period’s Active = (Last reporting period’s Active + Newly enrolled in this reporting period) – (this reporting period’s Graduated + transferred+ this reporting period’s Exited). 

Method of measurement

The data sources are the PEPFAR OVC program registers and program data generated by implementing partners. Implementing partners’ registers need to record names of children and caregivers who meet the criteria for “active beneficiary” or “graduated” or “transferred” or “exited without graduation” to generate the number included in this indicator.

All agencies receiving HKID funding are required to report on this indicator.

How to review for data quality

 Reviewing PEPFAR OVC implementing partners’ results to ensure that there is no double counting and changes by Program Completion Status do not show high deviations from program targets and/or SNU prioritization (scale up, sustained, centrally supported, sustained commodities

Reporting Level

Site level: facility and community

Measurement frequency



Numerator: Number of beneficiaries served by PEPFAR OVC programs for children and families affected by HIV

Age/Sex (Required)

<1, 1-9, 10-14M, 10-14F, 15-17M, 15-17 F, 18-24 M, 18-24 F, 25+ M, 25+ F

Program Participation Status (Required)

Active, Graduation, Transferred, Exited without graduation

Description of Disaggregate

1) “Active beneficiary” is an individual, a child, or parent/caregiver who is scheduled to receive a PEPFAR OVC program services at least once every three months or has received a PEPFAR OVC program services in the last three months. New beneficiaries who only registered in the last quarter will be counted as active, even if they have not yet received services.

2) “Graduation” as defined as

  • Graduation: this happens when children and parent/caregivers enrolled in PEPFAR OVC programs are deemed stable and no longer in urgent need of externally supported services. Or
  • Aging out: This includes children who have reached the age of 18 and who have a transition plan for successful exiting from the PEPFAR OVC Program. This does not apply to children > 18 years old enrolled in secondary education. This does not include parents/caregivers.

3) “Transferred” happens when children and families have transitioned to other forms of support programs other than PEPFAR funded OVC programs. These could include countryled programs or other donor funded programs.

4) “Exited without graduation” This includes children who are lost-to-follow up, aged-out without a graduation plan from PEPFAR OVC program, re-located, or died.

Explanation of the numerator

The numerator is the sum of the following Program participation disaggregations:

1. Active beneficiaries

2. Graduated beneficiaries

3. Transferred beneficiaries

4. Exited without graduation in the reporting period, from the PEPFAR OVC Program

  • This indicator is a direct (output) measure of the number of individuals receiving PEPFAR OVC program services for children and families affected by HIV/AIDS.
  • This indicator tracks progress on the number of OVC graduating from PEPFAR OVC programs and also tracks “exited without graduation” (such as loss-to-follow up, aging out without transition plan, moved, or died).
  • Transferred to existing host-country programs, where the host-country program provides a sustainable response to OVC needs.
  • Graduation will vary based on local criteria for achieving stability in the household.
Further information

MER 1.0 to 2.0 Change

The following disaggregation for program participation status has been added to capture types of beneficiaries:

(1) active beneficiaries

(2) graduated beneficiaries

(3) transferred beneficiaries, and

(4) beneficiaries who have exited without graduation.

Age/sex disaggregates have been modified.

PEPFAR Support definition

Standard definition of DSD and TA-SDI used.

Provision of key staff or commodities for OVC beneficiaries receiving care and support services in the community include: For beneficiaries of OVC services, this can include funding of salaries (partial or full) for staff of the organization delivering the individual, small group or community level activity (e.g., psychosocial support, child protection services, education, etc.) or procurement of critical commodities essential for ongoing service delivery. Partial salary support may include stipends or incentives for volunteers, or paying for transportation of those staff to the point of service delivery.

For care and support services, ongoing support for OVC service delivery for improvement includes: the development of activity-related curricula, education materials, etc., supportive supervision of volunteers, support for setting quality standards and/or ethical guidelines, and monitoring visits to assess the quality of the activity, including a home visit, a visit to a school to verify a child’s attendance and progress in school or observation of a child’s participation in kids clubs.

DREAMS SNU Specific Guidance

Only DREAMS-funded partners should report on services by area:

Age/Sex/Service: 10-14M, 10-14F, 15-17M, 15-17F, 18-24M, 18-24F, 25+M, 25+F by selected service area: Education support, Parenting/Caregiver programs, Social Protection (including cash transfer), Economic Strengthening, Other service areas in line with PEPFAR 2012 guidance for OVC programming.

**Each service area to be disaggregated by age/sex

All partners providing OVC services in DREAMS SNUs should report, regardless of receipt of DREAMS funds.