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: 2010 2011
Goals and Objectives
In 2004, the MOH and partners developed nutrition care and support package for people living with HIV
(PLWHAs), including OVCs, implemented in public ART sites. The package includes nutrition counseling
for positive living, since the maintenance of good nutritional status can delay progression of HIV to AIDS,
assist in the management of opportunistic infections and help cope with ART when instigated. Some
technical gaps have been noted in nutrition care, treatment and support program (NCTS) that need to be
addressed. According to hospital records, 25% of ART/TB clients are admitted into the NCTS program. Of
these, 22% are moderately malnourished, and only 3% are severely malnourished. Yet, the program uses
RUTF for all cases, making the program very expensive. It is also argued the amount of RUTF given --
about 5-6 sachets per day-- is more than necessary - FANTA estimates that about 300g would be
sufficient. It has been noted that there are no links between the NCTS program and other community-
based program livelihood, including those targeting OVCs. Furthermore, the NTCS and CTC programs
are run as two separate and parallel programs, yet it makes logistical sense to manage them together.
Linkages with Partnership Framework
The Government of Malawi has made Nutrition, HIV and AIDS a priority within the Health pillar in the
Malawi Growth and Development Strategy. The National Action Framework also prioritizes food and
nutrition for PLHIV.
Geographic coverage and target population
The activities will be implemented at the national level.
Contribution toward cross cutting, gender and key issues
Human Resources for Health: FANTA II will contribute toward building the capacity of frontline health care
workers by training a team of national-level staff as trainers in NCTS, who will in turn train other front line
staff from the Ministry of Health and other health-service providers, such as CHAM.
Gender: N/A
Support to workplace interventions: N/A
Building Behavior Change Communication (BCC) Skills: N/A
Cost Effectiveness
Linking with Government of Malawi Activities
The NCTS program is already being implemented by the Ministry of Health in all public health facilities.
This activity will improve the quality of services offered to clients.
Research, Monitoring & Evaluation Plans
None
Budget Summary
PFIP Year 1 Funding - $0
PFIP Year 2 Funding - $50,000
Activities
FANTA will conduct two stakeholders' workshop aimed at addressing the challenges in the NCTS
program. The primary objective of the workshop will be to figure out how to link the NCTS and CTC
programs. The specific objectives will be to harmonize the implementation and M&E systems for the two
programs. This activity will be linked to a planned evaluation of the NCTS program that will be done by
AIDSTAR using core funds. The training is aimed at addressing bottlenecks and recommendations that
of the AIDSTAR evaluation report. Participants to the workshop will be drawn from the Ministry of Health,
The Department of Nutrition and HIV and AIDS, CHAM, and NGOs. The planned number of participants
is 30.
