INTRODUCTION 5 PEPFAR OVC PRINCIPLES AND APPROACH FOR PROGRAMMING 11 STRATEGIC PORTFOLIO DEVELOPMENT 18 EDUCATION 26 PSYCHOSOCIAL 32 HOUSEHOLD ECONOMIC STRENGTHENING 38 SOCIAL PROTECTION 44 HEALTH AND NUTRITION 48 CHILD PROTECTION AND GENDER-BASED VIOLENC

3

1. INTRODUCTION 5

1.1 Orpha s a d Vul erable Childre OVC Progra

i g a d PEPFAR’s AID“ Respo se 5

1.2 Purpose

6 1.3 Important Themes in this Guidance 6

1.4 Summary of Priority Activities

7 1.5 Background 8

1.6 Response

9

2. PEPFAR OVC PRINCIPLES AND APPROACH FOR PROGRAMMING 11

2.1 PEPFAR OVC Guiding Principles

11 2.2 PEPFAR OVC Program Approach 12

2.3 From Affected to Infected: Categories of Interventions to Reduce Vulnerability

15

3. STRATEGIC PORTFOLIO DEVELOPMENT 18

3.1 Gather and Analyze the Evidence: The Five Knows

18 3.2 Assembling a Portfolio 20

4. EDUCATION 26

4.1 Background

26 4.2 Evidence-Based Implementation Recommendations 26

4.3 Prioritization of Recommended Interventions

30

5. PSYCHOSOCIAL 32

5.1 Background

32 5.2 Evidence-Based Implementation Recommendations 34

5.3 Prioritization of Recommended Interventions

37

6. HOUSEHOLD ECONOMIC STRENGTHENING 38

6.1 Background

38 6.2 Evidence-Based Implementation Recommendations 38

6.3 Prioritization of Recommended Interventions

43

7. SOCIAL PROTECTION 44

7.1 Background

44 7.2 Evidence-based Implementation Recommendations 45

7.3 Prioritization of Recommended Interventions

47

8. HEALTH AND NUTRITION 48

8.1 Background

48 8.2 Evidence-based Implementation Recommendations 49

8.3 Prioritization of Recommended Interventions

52 4

9. CHILD PROTECTION AND GENDER-BASED VIOLENCE 53

9.1 Background

53 9.2 Evidence-Based Implementation Recommendations 54

9.3 Prioritization of Recommended Interventions

58

10. LEGAL PROTECTION 59

10.1 Background

59 10.2 Evidence-Based Implementation Recommendations 59

10.3 Prioritization of Recommended Interventions

61

11. BUILDING CAPACITY AND SYSTEMS STRENGTHENING FOR COUNTRY OWNERSHIP

62

11.1 Background

62 11.2 Evidence-Based Implementation Recommendations 63

11.3 Prioritization of Recommended Interventions

67 12. CRITICAL ISSUES IN MONITORING AND EVALUATING OVC PROGRAMS 68 12.1 Improving the Quality of OVC ME Systems 68 12.2 Improving Program Evaluations 69

12.3 Imroving Data Analysis and Usage

72 ANNEX A: Key Terms and Concepts 73 ANNEX B: Evidence Matrix 76 5

1. INTRODUCTION