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: 2008 2009
PHE CONTINUING STUDY:
Project Title: Infant feeding support to PMTCT programs in Kenya
Name of Local Co- Investigator: NASCOP and APHIA II Project implementing partners
Project Description:
This project explores and develops in various settings, simple ways in which mothers can better cope with
the increased nutritional, hygiene, and care needs imposed on families when breastfeeding stops. The
evaluation has four main objectives: 1) Determine current practices in counseling on infant and young child
feeding and care in PMTCT clinics and 2) Determine current infant and young child feeding practices and 3)
Identify facilitating factors and barriers to mothers' use of optimal infant and young child feeding practices
and 4) Will develop recommendations on the types and amounts of food being fed to HIV-affected children
during the transition period and through 24 months.
Timeline:
FY 2008 = Year 3 of activity
Year started: 2006
Expected year of completion: 2008
Funding:
Funds received to date: USD 400,000
Funds expended to date: USD 50,652
Funds requested to complete the study:
FY 08: USD 200,000
Beyond FY08:
Describe funds leveraged/contributed from other sources:
No funds have been received from any other source.
Status of Study:
The protocol for the first part of the study has been approved by the PATH IRB and is in process of being
approved by the Kenyan IRB.
Lessons Learned:
There was considerable delay in obligating funds to PATH for this activity. Permission to spend COP 2006
funds was received in April 2007 and activities began promptly thereafter. Actual MAARD was not received
until August 2007. The initial mechanism for COP 2006 was the Health Tech IV project. The mechanism
was then switched to the Infant and Young Child Nutrition Project (IYCN) for COP 07. In COP 08 the
mechanism will be the IYCN Project. IRB approval in progress. Data collection has yet to begin.
Information Dissemination Plan:
As planned under the COP 2007, the information resulting from this study will be conveyed through
publications and workshops to those involved in policymaking and through training of infant feeding
counselors in Kenya.
Planned FY08 Activities:
The related component included in the PATH Infant and Young Child Feeding Kenya COP 2008 submission
would support any additional targeted evaluation/formative research needed to increase understanding of
infant and young child feeding in the context of HIV, particularly the types and amounts of food being fed to
HIV-affected children during the transition period and through 24 months. Since maintaining nutritional
status is an important component of the interventions to increase HIV-free survival, and rates of malnutrition
rapidly increase during the period of 6-18 months in all children, it is essential to understand the amounts
and types of food being fed to children of different ages during this period (e.g., 6-9 months, 10-12 months,
etc.), the energy density of the basic staple given to children and how food is being fed to children—what is
usually referred to as responsive feeding. In addition, identifying barriers to HIV-positive mothers and other
caregivers following optimal IYCFP would be an important element of this research.
Budget Justification for FY2008 Budget (USD):
This component is included in the budget of the PATH Infant and Young Child Nutrition (IYCN) Kenya COP
2008 submission.
Salaries/ fringe benefits: $68,000
Equipment: $ -
Supplies: $ -
Travel: $22,000
Participant Incentives: $ -
Laboratory Testing: $ -
Other: $110,000
Total: $200,000
