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.
1. LIST OF RELATED ACTIVITIES This activity is linked to HBHC (#6902).
2. ACTIVITY DESCRIPTION Kenya has strong human capacity in nutrition, with nutritionists posted to all provincial and district hospitals. Given the strong positive role nutrition can play in improving the care and quality of life of People Living with HIV/AIDS (PLWHA), The large number of nutritionists in Kenya offers an opportunity to significantly increase coverage and enhance the quality of care and support for PLWHA. However, many of these nutritionists lack substantial knowledge about nutrition and HIV/AIDS and about how to provide nutritional care to PLWHA as part of comprehensive services. Many health care systems also require strengthening in order to effectively provide PLWHA with comprehensive care that includes nutritional care and support. In FY 2005 and FY 2006 FANTA worked with the Kenya Ministry of Health's National AIDS and STD Control Program (NASCOP) to: develop and produce National Guidelines on Nutrition and HIV/AIDS, and counseling materials on nutrition and HIV/AIDS and disseminate them to over 30 health care facilities. FANTA also developed a national training manual on nutrition and HIV/AIDS for Comprehensive Care Centers (CCC) and trained over 60 health care providers from 36 health care facilities and NGOs and 6 training and policy institutions. FANTA also worked with the Kenya Medical Research Institute (KEMRI) to begin a targeted evaluation of the impacts of food supplementation on PLWHA. During FY 2007, FANTA will expand these activities to cover more hospitals and reach more PLWHA, strengthen NASCOP's national approach to nutritional care and support, improve integration of nutrition services in HIV/AIDS care and treatment facilities, bolster linkages between facility and community-based services, and strengthen the capacity of MCH health care personnel to provide comprehensive nutrition services to women and children in the context of HIV/AIDS. This activity has five components: (1) Expand training of CCC personnel on HIV/AIDS and nutrition to cover an additional 30 facilities, in addition to the 36 facilities covered in FY 2006. (2) Adapt the essential nutrition actions (ENA) tools and training manual to the Kenyan context of high HIV prevalence and conduct national-level training on ENA in the context of HIV/AIDS for nutritionists and other health staff (e.g. midwives, nurses, doctors) working in MCH clinics in 40 facilities. (3) Support NASCOP in establishing a multi-year strategy for integration of food and nutrition into HIV care and treatment and establishing monitoring and evaluation systems for food and nutrition components of the national HIV/AIDS response in 66 hospitals. (4) Strengthen nutrition counseling, targeted food assistance, patient flow, and information systems at CCCs participating in Food by Prescription to create 15 model CCC sites offering a comprehensive food and nutrition package. (5) Support NASCOP to strengthen linkages and referral systems between facility-based treatment services and community-based care and support services, and help incorporate nutrition components into PEPFAR-supported OVC programs in Kenya, including training of community-based service providers.
3. CONTRIBUTIONS TO OVERALL PROGRAM AREA During FY 2007 FANTA will train 60 service providers from 30 hospitals in nutrition and HIV/AIDS, who will in turn provide nutritional services to 7,000 PLWHA. Essential nutrition actions tools and training will be provided to 60 service providers in 40 MCH facilities. These activities will improve the quality and effectiveness of ART services provided to 2,000 ART clients and to other women and children living with HIV/AIDS who pass through MCH service points. The NASCOP strategy for integration of food and nutrition into HIV care and treatment will strengthen policy and national program implementation, and the monitoring and evaluation systems will be implemented in at least 66 facilities. The fifteen model CCC sites with comprehensive packages of food and nutritional care will serve 4,000 PLWHA. Facility-community linkages and integration of nutrition components into OVC programs will reach 3,000 PLWHA and OVC and involve training of 120 community- and home-based care providers through 20 community-based service points. Accounting for overlap among beneficiaries of the above activities, the total number of PLWHA and OVC reached with services supported by these activities is 11,000. These numbers are in addition to the facilities and PLWHA who will continue to be reached in FY 2007 with counseling materials developed in FY 2006 and service provider training provided in FY 2006.
4. LINKS TO OTHER ACTIVITIES This activity will be linked to the Nutrition and HIV/AIDS TBD (#6902).
5. POPULATIONS BEING TARGETED FANTA targets individuals infected by HIV/AIDS, OVC, care givers, community members, host government workers, public and private health workers, and implementing organizations, including community-based and faith-based organizations.
6. KEY LEGISLATIVE ISSUES ADDRESSED The key legislative issue addressed is strengthening the Wrap-Around approach for food. These activities strengthen linkages and integration between services that provide treatment and care to PLWHA and services that address their food and nutrition needs, contributing to improved response to treatment and better quality of life. The activities will improve the quality of services, increase the numbers of service delivery points, PLWHA and OVCs reached with nutrition services, and produce effective models for wrapping food and nutrition services around HIV/AIDS treatment and care services.
7. EMPHASIS AREAS This activity has a number of areas of emphasis. The major area of emphasis is Food/Nutrition because all of the activities strengthen food and nutrition components of HIV/AIDS treatment and care. Minor areas of emphasis are Training, Development of Network/Linkages/Referral systems. FANTA will support linkages and referral systems between facility-based and community-based services and support systems. Another minor emphasis area is Strategic Information. FANTA will support NASCOP in establishing monitoring and evaluation systems for food and nutrition components, which will be used in 66 facilities.
