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
ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS FROM COP 2008:
+Prime partner will support the roll out of the Sex Worker Minimum package in collaboration with NASCOP
to PHMTs and DHMTs through cascade training.
+Technical support will be provided to partners providing CSW services to assure an optimal coverage of
Nairobi and the greater Nairobi environs, as well as with collaborating agencies of the transport corridor.
+Clients of CSWs will be targeted with specific interventions that focus on consistent condom use and
knowledge of HIV status.
+Gender-based violence and substance/alcohol abuse will be incorporated as an essential element of the
package.
COP 2008
1. LIST OF RELATED ACTIVITIES
N/A
2. ACTIVITY DESCRIPTION
The University of Manitoba will facilitate the development and implementation of a comprehensive sex
worker prevention package as well as implement a sex worker outreach program (SWOP) in the Central
business district of Nairobi and its environs. This package will be used by other USG partners nation-wide to
provide a network of comprehensive coverage for sex workers. The University of Manitoba will also provide
technical support to other partners implementing sex worker interventions through providing training,
practical attachment and supportive supervision in the set up and quality programming assurance in the
delivery of sex worker prevention packages. The University of Manitoba will also organize meetings and
forums to share information and best practices across a broad range of partners working in the field. The
program will reach 638,298 individuals (630,000 male clients and 8,298 sex workers) and train at least
1,897 counselors, health workers and sex worker peer educators. In addition, 574 condom outlets will be
established. In many settings, sex workers are frequently exposed to HIV and other sexually transmitted
infections (STIs) due to their high-risk sexual behaviors. Commercial sex workers (CSWs) are among the
groups with the highest prevalence of HIV due to their high-risk sex, and their limited access (due to stigma,
discrimination, and marginalization) to services for HIV prevention, treatment, and care. The high
prevalence of HIV in CSWs is a concern both for members of these subpopulations and for the general
population, as sexual mixing can facilitate transmission of HIV from high-prevalence to low-prevalence
groups. The SWOP project will develop and implement a comprehensive prevention package for women in
sex work settings, employing an intensified approach that will help reduce the number of HIV infections that
result from commercial and transactional sex as well as restrict the overall spread of HIV from this high risk
transmitter core group to the general population. This prevention intervention package is expected to reach
at least 630,000 male customers and their partners in Year I with OP interventions. Currently, the sex
worker population in the lower socio-economic section of the Nairobi central district (River Road) is highly
characterized by an insecure environment and sex worker harassment, low education on health and HIV
prevention, and unfriendly health provision services. These have resulted in limited access to counseling
and testing, with only 20% of sex workers tested for HIV. The prices of condoms escalate with demand,
rendering them often unaffordable. Service delivery points are also fairly scattered. Incorrect condom use
including use of Vaseline jelly and use of two or more condoms and self-treatment of STIS are also chronic
problems. SWOP will establish a drop-in center within convenient locations of the sex worker network and
provide a package of services. This will include normalizing and creating a demand for HIV counseling,
testing and routine STI screening among sex workers and promoting safer sexual behaviors thereby
preventing and minimizing HIV/AIDS and other sexually transmissible infections. The project will also
provide treatment and care services for sexually transmissible infections and provide linkage to its HIV/AIDS
Care and Treatment facility. Condom information, provision, demonstration and promotion as well as
Sexual and reproductive health services will be provided. Contraception, pregnancy testing and advice will
be provided for HIV-positive individuals. Interventions to reduce alcohol and other drugs abuse in STI
infections will be provided to sex workers and their partners through the peer educator networks.
Assessment and management of general health issues and referrals will be made to friendly sites. This
comprehensive prevention package is based on scientific evidence and from the University of Manitoba's
long programmatic experience in this area. The intervention may contribute to the overall evaluation the
standard set of tools that could assist Kenya to scale up for comprehensive coverage and perhaps some
standardization of programs, and may even be used later used by other countries. University of Manitoba
has an extensive history of work in Kenya with vulnerable populations including sex workers and a long
standing research collaboration with the University of Nairobi. This long-term association has nurtured and
created a very trusting environment for patients to visit. University of Manitoba also has a long-standing
relationship with a cohort of commercial sex workers and former commercial sex workers in the Majengo
area of Nairobi and lately, the central business district of Nairobi's River Road area. Extensive community-
based services have already been established that involve peers as educators and a setting that allows this
very vulnerable population to receive health services that they would otherwise be unable to access.
3. CONTRIBUTIONS TO OVERALL PROGRAM AREA
These activities will contribute to expansion of comprehensive prevention services for sex workers and their
clients, strengthened human resource capacity to deliver HIV prevention and STI treatment, and a
strengthened referral network for provision of HIV care. The program will reach 638,298 individuals
(630,000 male clients and 8,298 sex workers) and train at least 1,897 counselors, health workers and sex
worker peer educators. In addition, 574 condom outlets will be established.
4. LINKS TO OTHER ACTIVITIES
These activities link closely to ART services provided by University of Manitoba (#7094), PMTCT services at
PMH provided by University of Nairobi (#7097) and to services provided at Kenyatta Hospital, a network
center through University of Nairobi.
5. POPULATIONS BEING TARGETED
Patients receiving treatment will include two cohorts of patients identified through US government funded
research studies, their families, women seeking antenatal and maternity services, and others in the
geographic area. These populations include vulnerable women and children, in particular sex workers and
Activity Narrative: former sex workers who might not otherwise seek/access medical care and who may be high risk to
transmission HIV particularly in the absence of appropriate treatment and support. Public health workers will
be targeted, mainly doctors, nurses, pharmacists and laboratory workers.
6. KEY LEGISLATIVE ISSUES ADDRESSED
This activity addresses legislative issues related to stigma and discrimination through community
sensitization activities.
7. EMPHASIS AREAS
This activity includes minor emphasis in commodity procurement, community mobilization, development of
networks/linkages/referral systems, human resources, information, education, and communication, logistics,
and training.
New/Continuing Activity: Continuing Activity
Continuing Activity: 16808
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
16808 16808.08 HHS/Centers for University of 7013 287.08 $900,000
Disease Control & Manitoba
Prevention
Emphasis Areas
Gender
* Addressing male norms and behaviors
* Increasing gender equity in HIV/AIDS programs
Human Capacity Development
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.03:
+ New activity emphasis on prevention with positives among patients coming for care and treatment
services.
This activity relates to activities in ARV Services, Pediatric ARV services, Pediatric Care and Support,
Prevention, and PMTCT.
The University of Manitoba (UoM) will expand provision of palliative care services at 4 sites in Nairobi,
providing care for 4,000 adults with HIV. Patients receiving care will include two cohorts of patients
identified through United States (U.S.) government funded research studies, their families, and others in the
geographic area. Services will be provided at Pumwani Maternity Hospital (PMH) and a clinic in the
Pumwani Majengo area of Nairobi, Korogocho and the Sex Workers Outreach Program (SWOP) and clinic
in the Nairobi central business district. UoM activities will link with those conducted by other University
based groups collaborating with the University of Nairobi and will be conducted in close collaboration with
PMH and Nairobi City Council Clinics through the Nairobi Provincial ART Officer. The existing referral
networks between the PMTCT program and other care and support centers within Nairobi will also be
enhanced. Adherence to care will be supported through extensive involvement of peer groups. Funds will
be used to support health care worker salaries in accordance with Emergency Plan guidance, and will
support logistics (particularly pharmacy management) and dissemination of informational materials. The
activity will support the training of 40 individuals to provide HIV-related palliative care (excluding TB/HIV).
UoM also has a long-standing relationship with a cohort of commercial sex workers and former commercial
sex workers in the Majengo area of Nairobi. Prior to the availability of Emergency Plan funds, it had not
been possible to provide antiretroviral treatment (ART) to the women in this cohort because of lack of
resources. Extensive community-based services have already been established that involve peers
educators in a setting that allows this very vulnerable population to receive health services that they would
otherwise be unable to access. These activities will capitalize on the HIV care expertise of the UoM staff.
These activities will contribute to expansion of palliative care for clinically qualified HIV-positive adults,
strengthened human resource capacity to deliver HIV care, and a strengthened referral network for
provision of HIV care.
These activities link closely to adult ART services provided by UoM, PMTCT services at PMH provided by
University of Nairobi and to services provided at Kenyatta Hospital, a network center through University of
Nairobi.
Patients receiving treatment will include two cohorts of patients identified through U.S. government funded
geographic area. These populations include vulnerable women, in particular sex workers and former sex
workers who might not otherwise seek/access medical care and who may be high risk to transmission HIV
particularly in the absence of appropriate treatment and support. Public health workers will also be targeted,
including mainly doctors, nurses, pharmacists and laboratory workers.
This activity includes minor emphasis in commodity procurement, community mobilization, and development
of networks/linkages/referral systems, human resources, information, education, and communication,
logistics, and training.
Continuing Activity: 15025
15025 4135.08 HHS/Centers for University of 7013 287.08 $100,000
7093 4135.07 HHS/Centers for University of 4297 287.07 $100,000
4135 4135.06 HHS/Centers for University of 3218 287.06 $48,000
Table 3.3.08:
ACTIVITY UNCHANGED FROM COP 2008
This activity relates to activities in Adult Basic Care and Support Care and PMTCT, Pediatric Basic Care
and Support, Pediatric treatment, Counseling and Testing, TB/HIV.
The University of Manitoba (UoM) will expand provision of adult services at 4 sites in Nairobi, providing ART
to 2,000 adults with advanced HIV (including 1,200 new patients), bringing the total number ever treated to
2,400. Patients receiving treatment will include two cohorts identified through U.S. government funded
research studies, their families, and others in the geographic area. Services will be provided at Pumwani
Maternity Hospital (PMH) and clinics in the Pumwani Majengo area of Nairobi, Korogocho, the Sex Workers
Outreach Program [SWOP] and a clinic in the Nairobi central business district. UoM activities will link with
those conducted by other university based groups that are collaborating with the University of Nairobi.
These activities will also be conducted in close collaboration with PMH and Nairobi City Council Clinics
through the Nairobi Provincial AIDS and STI Coordinating Officer (PASCO). The existing referral networks
between the PMTCT program and other care and support centers within Nairobi will also be enhanced.
Adherence to care and to antiretroviral treatment (ART) will be supported through extensive involvement of
peer groups. Funds will be used to support health care worker salaries in accordance with Emergency Plan
guidance, and the logistics (particularly pharmacy management) and dissemination of informational
materials.
UoM has an extensive history of work in Kenya with vulnerable populations, including sex workers, and a
long-standing research collaboration with the University of Nairobi with a primary focus on evaluation of risk
factors for maternal to child transmission of HIV. Since 1986, they have been the main provider of health
care and counseling for over 1,700 mothers and their families. This long-term association has nurtured and
created a very trusting environment for patients to visit. Prior to the availability of Emergency Plan funds, it
had not been possible to provide ART to the women and children in this cohort because of a lack of
resources. UoM also has a long-standing relationship with a cohort of commercial sex workers and former
commercial sex workers in the Majengo area of Nairobi. Extensive community-based services have already
been established that involve peers educators in a setting that allows this vulnerable population to receive
health services that they would otherwise be unable to access. These activities will capitalize on the
treatment expertise of UOM staff and will provide training for 40 health care workers.
These activities will contribute to the increased availability of ART for clinically qualified HIV-positive adults,
strengthened human resource capacity to deliver ART,, and an improved referral network for the provision
of ART.
This activity relates to adult Palliative Care activities supported by UoM, ARV services supported by the
University of Nairobi at Kenyatta National Hospital, a network center, and relates closely to University of
Nairobi supported PMTCT services at Pumwani Maternity Hospital.
The populations targeted in this activity include two cohorts of patients identified through U.S. government
funded research studies, their families, and women seeking antenatal and maternity services, and others in
the geographic area. These populations include vulnerable women, in particular sex workers and former sex
workers, who might not otherwise seek/access medical care. Members of these populations may be at high
risk to transmit HIV, particularly in the absence of appropriate treatment and support.
networks/linkages/referral systems, human resources, information, education and communication, logistics,
targeted evaluation, and training.
Continuing Activity: 15027
15027 4136.08 HHS/Centers for University of 7013 287.08 $800,000
7094 4136.07 HHS/Centers for University of 4297 287.07 $547,200
4136 4136.06 HHS/Centers for University of 3218 287.06 $157,000
Table 3.3.09:
This PHE activity, "A Targeted Cell Phone Intervention to Improve Patient Access to Care and Drug
Adherence in Patients Taking Antiretroviral (ARV) Medications in Kenya" was approved for inclusion in the
COP. The PHE tracking ID associated with this activity is KE.07.0045. A copy of the progress report is
included in the Supporting Documents section.
Continuing Activity: 17881
17881 17881.08 HHS/Centers for University of 7013 287.08 $269,000
Estimated amount of funding that is planned for Public Health Evaluation $300,000
ACTIVITY UNCHANGED FROM COP 2008:
This activity relates to activities in ARV Services (#7094), Adult Care and Support, Pediatric ARV Services,
and PMTCT (#7097).
University of Manitoba (UoM) will expand provision of palliative care services at 4 sites in Nairobi, providing
care for over 450 children infected with HIV. Pediatric services will continue to be provided at Pumwani
Maternity Hospital (PMH) in Nairobi. UoM activities will continue to link with those conducted by other
University based groups collaborating with the University of Nairobi and will be conducted in close
collaboration with PMH and Nairobi City Council Clinics through the Nairobi Provincial ART Officer. The
existing referral networks between the PMTCT program and other care and support centers within Nairobi
will also be enhanced. Adherence to care will be supported through extensive involvement of peer groups.
Funds will be used to support health care worker salaries in accordance with Emergency Plan guidance,
and will support logistics (particularly pharmacy management) and dissemination of informational materials.
The activity will support the training of 40 individuals to provide HIV-related palliative care (excluding
TB/HIV). UoM has an extensive history of work in Kenya with vulnerable populations and a long standing
research collaboration with the University of Nairobi with a primary focus on evaluation of risk factors for
maternal to child transmission of HIV. Prior to the availability of Emergency Plan funds, it had not been
possible to provide antiretroviral treatment to the women and children in this cohort because of lack of
resources. Extensive community-based services have already been established that involve peers as
educators and a setting that allows this very vulnerable population to receive health services that they would
These activities will contribute to expansion of pediatric palliative care for clinically qualified HIV-positive
children, strengthened human resource capacity to deliver HIV care, and a strengthened referral network for
4. LINKS TO OTHER ACTIVITIES.
These activities link closely to pediatric ART services provided by UoM (#7094), PMTCT services at PMH
provided by University of Nairobi (#7097) and to services provided at Kenyatta Hospital, a network center
through University of Nairobi.
Patients receiving treatment are the vulnerable children, who might not otherwise seek/access medical care
and who may be at a high risk of transmission HIV particularly in the absence of appropriate treatment and
support. Public health workers will continue to be targeted, mainly doctors, nurses, pharmacists and
laboratory workers.
Table 3.3.10:
This activity relates to activities in Adult Care and Support, Adult Treatment, Pediatric Care and Support,
The University of Manitoba (UoM) will expand provision of pediatric services at Pumwani Maternity Hospital.
This is one of its 4 service delivery sites (including Majengo area of Nairobi, Korogocho and the Sex
Workers Outreach Program (SWOP) and clinic in the Nairobi CBD) providing antiretroviral treatment (ART)
to 200 children with advanced HIV (including 100 new children). This brings the total number of children
ever treated to 240. Patients receiving treatment will include two cohorts of patients identified through U.S.
government funded research studies, their families, and others in the geographic area. UoM activities will
link with those conducted by other University based groups collaborating with the University of Nairobi and
will be conducted in close collaboration with PMH and Nairobi City Council Clinics through the Nairobi
Provincial AIDS and STI Coordinating Officer (PASCO). The existing referral networks between the PMTCT
program and other care and support centers within Nairobi will also be enhanced. Adherence to care and to
ART will be supported through extensive involvement of peer groups. Funds will also be used to support
health care worker salaries in accordance with Emergency Plan guidance, and logistics (particularly
pharmacy management) and dissemination of informational materials. UoM has an extensive history of
work in Kenya with vulnerable populations, including sex workers, and a long standing research
collaboration with the University of Nairobi with a primary focus on evaluation of risk factors for maternal to
child transmission of HIV. Since 1986, they have been the main provider of health care and counseling for
over 1,700 mothers and their families. This long-term association has nurtured and created a very trusting
environment for patients to visit. Prior to the availability of Emergency Plan funds, it had not been possible
to provide ART to the women and children in this cohort because of lack of resources. UoM also has a long-
standing relationship with a cohort of commercial sex workers and former commercial sex workers in the
Majengo area of Nairobi. Extensive community-based services have already been established that involve
peers educators in a setting that allows this very vulnerable population to receive health services that they
would otherwise be unable to access. These activities will capitalize on the treatment expertise of UoM staff.
In addition, UoM will also train 40 health care workers. By March 2008, UoM had 30 children on ART.
These activities will contribute to the expansion of pediatric ART for clinically qualified HIV-positive children,
strengthened human resource capacity to deliver ART, and an improved referral network for the provision of
ART.
This activity relates to pediatric Palliative Care activities supported by University of Manitoba, pediatric ARV
services supported by University of Nairobi at Kenyatta National Hospital, a network center, and relates
closely to University of Nairobi supported PMTCT services at Pumwani Maternity Hospital.
The populations targeted in this activity include vulnerable children that might not otherwise seek/access
medical care and who may be at high risk of HIV transmission, particularly in the absence of appropriate
treatment and support.
Table 3.3.11:
1.LIST OF RELATED ACTIVITIES
This activity relates to activities in Adult Care and Support, Pediatric Care and Support, Adult and Pediatric
ARV Services, and Prevention.
The University of Manitoba (UoM) will support TB/HIV services at 4 sites in Nairobi Province. Intensified TB
screening and treatment for 200 HIV patients and HIV screening for 100 TB suspects/patients will be
offered as a standard of care in all the facilities; Funds will support refresher training of laboratory staff and
improvement of basic laboratory microbiology capacity in order to meet the increased needs for TB testing.
A total of 10 health care workers will be trained to provide clinical prophylaxis and/or treatment for TB to HIV
-infected individuals. Funds will support expanded and strengthened delivery of integrated HIV and TB
services including strengthened referral systems. Additional activities will include community mobilization
and dissemination of educational materials to patients. University of Manitoba will maintain data concerning
the numbers of people served and will report both nationally and through the Emergency Plan. University of
Manitoba has an extensive history of work in Kenya with vulnerable populations including sex workers and a
long standing research collaboration with the University of Nairobi with a primary focus on evaluation of risk
factors for maternal to child transmission of HIV. This long-term association has nurtured and created a very
trusting environment for patients to visit. Prior to the availability of Emergency Plan funds, it had not been
resources. University of Manitoba also has a long-standing relationship with a cohort of commercial sex
workers and former commercial sex workers in the Majengo area of Nairobi. Extensive community-based
services have already been established that involve peers as educators and a setting that allows this very
vulnerable population to receive health services that they would otherwise be unable to access. These
activities will capitalize on the HIV care expertise among the University of Manitoba staff.
These activities will contribute towards the provision of integrated HIV/TB services for dually infected
patients care by reducing TB morbidity and mortality in HIV-infected individuals and reducing HIV related
morbidity and mortality in TB patients co-infected with HIV. These activities will strengthen referral systems,
improve diagnostics and treatment of TB among HIV-positive patients and strengthen capacity of health
workers to provide integrated HIV and TB services.
The overall program activity links closely to Adult Care and Support, Pediatric Care and Support, Adult and
Pediatric ARV Services, and Prevention currently supported by this partner, PMTCT services at PMH
provided by University of Nairobi and to services provided at Kenyatta Hospital, a network center through
University of Nairobi as well as HIV/TB services supported by Division of Leprosy Tuberculosis and Lung
Diseases (DLTLD).
These activities target people living with HIV/AIDS. Public health care providers, including doctors, nurses,
pharmacists, laboratory workers will receive training in the diagnosis and management of TB using
government guidelines.
This activity includes minor emphasis in commodity procurement, development of networks/linkages/referral
systems, community mobilization, human resources, local organization capacity development, quality
assurance, quality improvement and supportive supervision, and training.
Continuing Activity: 15026
15026 12456.08 HHS/Centers for University of 7013 287.08 $75,000
12456 12456.07 HHS/Centers for University of 4297 287.07 $50,000
Table 3.3.12:
1. ACTIVITY DESCRIPTION & EMPHASIS AREAS
The University of Manitoba primarily works in the area of prevention among sex workers in central business
district of Nairobi. This include normalizing and creating a demand for HIV counseling, testing and routine
STI screening among sex workers and promoting safer sexual behaviors thereby preventing and minimizing
HIV/AIDS and other sexually transmissible infections. In 2009 University of Manitoba will integrate HIV
counseling and testing (CT) services into the comprehensive prevention package. The specific CT activities
will include the establishment of stand-alone sites and Mobile VCT services in areas that are not covered
with VCT services. Included in these strategies will be night time VCT services (sometimes called
"Moonlight" VCT services). Since most of the clients that are served by University of Manitoba are sex
workers, this particular VCT strategy will be especially convenient to these clients. It is clear that sex
workers are exposed to sexually transmitted infections (STIs) due to their high-risk sexual behaviors. The
project will also provide treatment and care services for sexually transmissible infections and provide
linkage to its HIV/AIDS Care and Treatment facility. In 2009, health workers in these clinics will be trained
and supported in provider-initiated HIV testing and counseling (PITC). After this, a PITC program will be
initiated in these clinics. The establishment of these systems will lead the provision of HIV counseling and
testing services to at least 5,000 people in 5 sites of central Nairobi. To facilitate this, 10 VCT providers and
health care workers will be trained in different approaches of CT.
2. CONTRIBUTIONS TO OVERALL PROGRAM AREA
These activities will contribute to expansion of counseling and testing services, especially among high risk
populations. It will also enhance human resource capacity to deliver HIV counseling and testing services.
The program will reach 5,000 individuals with counseling and testing services and train at least 10
counseling and testing providers.
3. LINKS TO OTHER ACTIVITIES
These activities link closely to ART services provided by University of Manitoba, Prevention Services (OP)
provided by University of Manitoba, PMTCT services at PMH provided by University of Nairobi, and to
services provided at Kenyatta Hospital, a network center through University of Nairobi.
4. POPULATIONS BEING TARGETED
This activity will mainly target sex workers and their clients. This will entail targeting most of the people in
the central business district of Nairobi. The expanded net will include mothers seeking antenatal and
maternity services, and others in the geographic area. These populations include vulnerable women and
children, in particular current and former sex workers who might not otherwise seek/access medical care
and who may be high risk to transmission HIV particularly in the absence of appropriate treatment and
support. Public health workers will be targeted, mainly doctors, nurses, pharmacists and laboratory workers.
5. SECONDARY CROSS-CUTTING BUDGET ATTRIBUTIONS
There are no secondary cross-cutting budget attributions in this activity.
New/Continuing Activity: New Activity
Continuing Activity:
Table 3.3.14:
