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: 2010 2011
The Academy for Educational Development's FANTA-2 project has been a technical assistance partner for PEPFAR Cote d'Ivoire since FY 2007, working in support of the Ministry of Health's National Nutrition Program (PNN), National HIV/AIDS Care and Treatment Program (PNPEC), and other stakeholders to strengthen nutrition and food activities benefiting people living with or affected by HIV/AIDS.
With FY 2009 funding, FANTA-2 placed a full-time Nutrition and HIV Program Manager in Côte d'Ivoire and is working to provide training on the use and implementation of the National Guidelines for the Nutritional Care and Support for PLHIV (developed and produced with FY 2008 funding), print nutrition counseling materials for PLHIV (developed under COP 2008), provide training on and technical support for the use of the nutrition counseling materials for PLHIV, adapt a French-language Nutrition and HIV Training Manual to the context of Côte d'Ivoire, and provide ongoing technical assistance to national stakeholders and PEPFAR Côte d'Ivoire on the implementation of a Food by Prescription strategy developed with FY 2008 funding. (In Côte d'Ivoire, Food by Prescription has been named "Prise en Charge Nutritionnelle Ambulatoire des PVVIH" (PECNAP) or "Ambulatory Nutritional Care of PLHIV.")
With FY 2010 funding, FANTA-2 will continue to provide technical assistance to the national programs and PEPFAR implementing partners on the integration of nutrition, food and HIV programming under PEPFAR in Côte d'Ivoire. FANTA-2 will:
Continue to support the full-time FANTA-2 Nutrition and HIV Program Manager in Côte d'Ivoire
Conduct five regional-level workshops for the planning and launch of a pilot phase of PECNAP.
Support the PNN and PNPEC to coordinate, train, and accompany health care service providers at PECNAP pilot sites by:
o Conducting a training of trainers (TOT) on nutritional care and support of PLHIV, including the management of specialized food products (both ready-to-use therapeutic food [RUTF] and fortified blended flour) in the context of PECNAP.
o Providing mentoring and coaching to MOH trainers in the delivery of on-site training on nutritional care and support in the context of PECNAP
o Providing coaching to service providers at pilot sites to support the start-up of nutritional care and support services in the context of PECNAP.
Conduct a training of trainers (TOT) on the use of the nutrition counseling materials for implementing partners that support community-based provision of care and support for PLHIV
Expand technical assistance to PEPFAR implementing partners for the implementation of PECNAP to other sites.
Provide technical support to the PNN in collaboration with PNPEC to:
o Conduct a program review to identify lessons learned to inform the scale-up of PECNAP
o Develop a model approach to establish, reinforce, and maintain linkages between PECNAP sites and community-based income generation and food security activities
o Conduct a feasibility study of RUTF production in Côte d'Ivoire
FANTA-2's activities will further the sustainability of nutritional care and support for PLHIV and OVC by enhancing the capacity of MOH to train service providers in PECNAP and to provide coaching to assure the quality of implementation, helping MOH to learn from program experience to assure quality implementation of the scale-up of PECNAP, helping MOH to develop a model to establish and maintain linkages between PECNAP sites and community-based income generation and food security activities, and providing actionable recommendations regarding the feasibility of RUTF production in Côte d'Ivoire. FANTA-2 will work with the University Research Co. to explore opportunities for incorporating quality assurance / quality improvement activities into nutrition services for PLHIV.
FANTA-2's activities will increase gender equity in HIV/AIDS activities and services by incorporating gender analysis in the area of nutritional care and support of PLHIV in all of its technical assistance activities. PECNAP activities will also contribute to the key issues of child survival and TB, through nutritional support for children and improved clinical outcomes and adherence of HIV/TB co-infected patients/
FANTA-2 will propose to use FY 2011 funding to assist the PNN in conducting an impact evaluation to help refine the package of PECNAP services to optimally and sustainably accomplish PECNAP's objectives.
With FY 2010 funding, FANTA-2 will contribute to adult care and support by providing technical assistance to the Ministry of Health and PEPFAR implementing partners to introduce Food by Prescription (called "Prise en Charge Nutritionnelle Ambulatoire des PVVIH" (PECNAP) or "Ambulatory Nutritional Care of PLHIV") in Cote d'Ivoire.
PECNAP will be provided in pilot sites to adults and children enrolled in ART services, pregnant and lactating mothers enrolled in PMTCT services and their children under the age of 24 months, and OVC. The PECNAP package of services will include nutrition assessment, nutrition education and counseling, hygiene promotion, linkages to community-based income generation and food security activities, and, if adequate wraparound support can be leveraged, provision of therapeutic and supplementary foods to clients who are clinically malnourished based on anthropometric assessment.
FANTA-2 will:
