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: 2007 2008
Linked to Activities 9314, 10126, 9326, 9318, 9269, 10100, 10109.
SUMMARY: FANTA will assist the MOH and other important stakeholders to develop and implement a comprehensive and coherent nutrition strategy to maintain and improve the health of persons living with HIV/AIDS (PLWHA) and their adherence to HIV treatment. FANTA will provide technical assistance to assess PLWHA needs; guidance on the overall planning, implementation and monitoring of the program; and assistance in adapting guidelines and training tools developed and tested in settings similar to Haiti. FANTA will draw on its extensive experience providing technical assistance for the implementation and evaluation of the Title II Food Program in Haiti.
BACKGROUND: Providing nutritional support to PLWHAs has been a challenge within the President's Emergency Plan for AIDS Relief (PEPFAR) program in Haiti. The deterioration of the PLWHA nutritional status caused by the HIV is aggravated by the poor socio-economic condition and low level of education of people in Haiti. In addition, PLWHAs placed on ARV need food to tolerate their medications and are at risk of developing metabolic complications from the medications. Some of these complications can be ameliorated with proper nutrition. The Global Fund has been providing food support to PLWHAs by allocating part of its funding to buy local food in Haiti. PEPFAR has been encouraging its partners to link their HIV programs to USAID's Title II Food program, and the World Food Program food distribution for PLWHAs. However, the quantity of food does not fulfill PLWHA needs. Also, there has been a lack of a comprehensive and integrated strategy which addresses other critical aspects of an effective nutrition program, particularly nutrition assessment/monitoring, nutrition counseling and education, and linkage with other program activities, such as micro-credit to address sustainability, etc.
Thru the end of September 2008, the United States Government (USG) expects to enroll 100,000 PLWHAs in palliative care through a continuum of care at the clinic, community and home level. The USG will increase the capacity at all these levels to maintain and improve the nutrition status of all PLWHAs enrolled in care. While the USG will continue to build on the Title II Food Program, Global Fund, and World Food Programs to provide nutritional support to PLWHAs, FANTA will assist the MOH and key stakeholders to build a coherent strategy with a plan to address all key aspects of a nutrition program, looking at models for sustainability.
ACTIVITIES AND EXPECTED RESULTS: Activity 1: FANTA will assist the MOH in conducting a rapid assessment of the current nutrition program for PLWHAs in the country. To do so, FANTA will adapt existing protocols and tools and work through stakeholders. Based on this assessment, FANTA will make recommendations for the elaboration of a comprehensive and integrated strategy. Resources will be used to pay consultant fees and to support logistical costs for this assessment and dissemination of results.
Activity 2: FANTA will assist the MOH to adapt existing guidelines and training materials from other countries. These tools will be integrated into the materials for clinical and community care training. Resources will be used to pay consultant fees, organize stakeholders meetings around these tools and to disseminate these tools. Education/job aide materials will be adapted for different categories of personnel to provide nutrition counseling at the different levels: clinic, community and home. FANTA will assist in the implementation of training of trainers using new national guidelines and tools. At least 12 trainers will be trained through different training institutions such as Haitian Group for the Study of Kaposi's sarcoma and Opportunistic Infections (GHESKIO), Partners in Health (PIH), Haitian Institute for Community Health (INHSAC).
Activity 3: FANTA will assist the MOH and the network of partners working at different levels to integrate nutritional assessment, counseling and support, including therapeutic and/or feeding support for clinically malnourished PLWHAs on a prescription basis, within their system of care. This support will include incorporating supervision and quality assurance/quality improvement (QA/QI) tools into the system of care and on integrating nutrition data into the health information system to monitor and assess nutritional status of PLWHAs.
Activity 4: FANTA will guide the development and assessment of one or two models for the integration of the nutrition program into other program activities such as micro-credit support to enhance sustainability. These models could be piloted in the one or two networks of care or integrated within other palliative care program activities. These networks will be determined later.
Targets for this activity include: National Guidelines and training tools integrated into training curriculum for clinical and community care, 12 trainers trained on nutrition assessment and counseling, 88 providers trained in nutrition assessment and counseling and all 85 palliative care sites integrated with nutrition monitoring, counseling and support.
