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 relates to activities in PMTCT APHIA II Eastern (#8752) and OVC APHIA II Eastern (#9041).
2. ACTIVITY DESCRIPTION In FY 2006 PATH carried out a study to help PMTCT programs in Kenya define and promote safe infant feeding practices. Several districts were selected from the APHIA II Eastern PMTCT program in Eastern province. To generate the evidence base that infant feeding counselors need, this targeted evaluation in FY 2007 will build on PATH's FY 2006 ACTIVITY examining conditions surrounding infant health among HIV-positive mothers who practice early cessation of breastfeeding. This activity will consult with existing PMTCT partners in Kenya to discuss and adapt the outcome of the targeted evaluation and formative research to local circumstances, resulting in specific recommendations for safe and nutritious infant-feeding practices for the transition period. This study will explore and develop, together with mothers and other family members in various settings, simple ways in which they can better cope with the increased nutritional, hygiene, and care needs imposed on families when breastfeeding stops. It will test innovative ideas, including use of the new PATH postnatal AFASS algorithm, for improving mothers' ability to make decisions around stopping breastfeeding. Affordable ways of achieving an adequately nutritious diet, a "safe kitchen," and of coping with the additional infant care burden that breastfeeding cessation imposes on families will be explored and developed in different community environments in the APHIA II Eastern PMTCT program. PATH will provide assistance in the implementation of new practices, including training of 100 health workers, guiding the development of materials for counselors and mothers, monitoring and evaluation, and supervision. PATH will carry out the study in collaboration with the National AIDS and STD Control Program (NASCOP), the Division of Reproductive Health DRH and the National PMTCT Technical Working Group (TWG), which includes PMTCT implementing partners. This activity will help the PMTCT program in Kenya make recommendations for complementary feeding and define the programmatic inputs necessary to ensure that counselors and mothers understand and are able to implement these recommended practices. The information resulting from this study will be conveyed through publications and workshops to those involved in policymaking and training of infant feeding counselors in Kenya.
3. CONTRIBUTIONS TO OVERALL PROGRAM AREA This activity will contribute substantively to Kenya's Five-Year strategy to reduce mother-to-child infections and preserve the family unit. It will explore ways of improving hygiene in the preparation, storage, and feeding of foods to an infant. It will generate the evidence base that infant feeding counselors need and greatly augment child survival strategies.
4. LINKS TO OTHER ACTIVITIES This activity relates to activities in PMTCT APHIA II Eastern (#8752) and OVC APHIA II Eastern (#9041) whose sites in Eastern province will be selected for the implementation of this targeted evaluation.
This targeted evaluation in these PMTCT and OVC sites will support the development of recommendations contributing to clinic based and home-/community based care and support for HIV positive children. Caregivers will receive training in nutrition to enhance care for orphans and vulnerable children. However, little is known about how they can meet the enormous nutritional, hygiene, and care needs of the baby, as well as the burdens this imposes on the family.
5. POPULATIONS BEING TARGETED This activity targets HIV-positive women, infants, HIV/AIDS affected families, orphans and vulnerable children, and caregivers living in rural communities with strategies for safe infant feeding. Recommendations for infant feeding and the testing of innovative ideas will target host government workers in the Ministry of Health including NASCOP staff, Ministry of Health staff working as program managers in the DRH, private and public health care, doctors, nurses and other health care workers such as clinical officers and nutritionists.
6. KEY LEGISLATIVE ISSUES ADDRESSED
This activity will increase gender equity in programming by collaborating with women to develop strategies for HIV-positive women and caregivers; to cope with the additional infant care burden that breastfeeding cessation imposes on families. It will address stigma and discrimination by working with HIV-positive women and families affected by HIV/AIDS to identify improved mechanisms for infant feeding.
7. EMPHASIS AREAS This activity includes major emphasis on targeted evaluation and food/nutrition with minor emphasis on training as well as policy and guidelines. It will identify specific recommendations for safe and nutritious infant-feeding practices for the transition period contributing to the development of nutritional guidelines for safe infant feeding.
