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.
NEW ACTIVITY
This activity relates to TBD FN HTXS, and TBD FN HKID.
In keeping with current guidance from (OGAC) Emergency Plan funds for this activity will target food
support to the following priority groups: Orphans and Vulnerable Children born to an HIV infected parent
(regardless of the child's HIV and nutritional status); HIV-positive pregnant and lactating women in
programs to prevent the transmission of HIV to their children (PMTCT); and Adult patients in anti-retroviral
therapy (ART) and care programs who have evidence of severe malnutrition, as defined by the Ministry of
Health.
The activity will support a Request for Proposals to procure commodities and provide logistics support
required to implement a nutrition/HIV program modeled after Kenya's Food by Prescription. It is important
to note that USG does not yet have full buy-in of the Ministry of Health for a food by prescription program
model. PEPFAR/Mozambique will sponsor a study tour to Kenya in early 2009 (led by FANTA) for Ministry
of Health, National AIDS Council, and the Social Welfare Ministry to observe and understand
implementation of AMPATH and FBP.
This activity will involve (1) competitive procurement of one or more fortified, blended flour products for
clinically malnourished PLWHA, PMTCT women during pregnancy and lactation, and early weaned infants
born to HIV-positive women (specifications based on foods presently used in the Mozambique (2) regular
delivery of the product(s) implementation sites (supported by PEFFAR partners); and (3) support to the
clinic sites on inventory control, storage, and record keeping (working with FANTA and the hospital and
health center clinical care partners).
A 30-day supply of food will be provided to patients who have undergone clinical nutrition assessment and
counseling, and who meet specific entry criteria, specifically: clinically malnourished patients with body
mass index (BMI) or mid-upper arm circumference (MUAC) defined by Ministry of Health. Patients will
return on a monthly basis for reassessment and an additional month's food supply until their weight
stabilizes above an established exit cutoff (to be defined with MOH). Typically, patients are provided with 3-
6 months of supplementary food before exceeding the BMI/MUAC exit cutoff. In addition, supplementary
food will be provided on a monthly basis for women in select PMTCT programs during pregnancy and until
the infant is weaned (~4-6 mo of age), at which time food will continue to be provided on a monthly basis for
the infant until 2 years of age. FANTA will assist in establishing the product specifications and production
standards (e.g. GMP and safety) for the low-cost, nutrient-dense supplementary food(s) to be procured
under this activity.
In a later phase, contractor will supply food baskets in line with MOH food and nutrition guidelines and the
food by prescription program for all USG-supported clinical sites not within WFPs geographic focus areas.
The contractor will develop a food distribution strategy that ensures that all beneficiary sites receive the
recommended food commodities. The contractor will support the following activities: 1) Forecasting of food
commodities in close collaboration with AED/FANTA project, MOH, UNICEF, World Food Programme
(WFP), and Clinton Foundation/CHAI. 2) Development of a distribution strategy based on different
scenarios, including distribution within existing distribution system as well as outsourcing distribution of food
commodities to point of service, in cases where the existing system is not functioning. 3) Develop SOPs
and tools for USG clinical partner-supported sites, districts, and provinces to adequately manage food
commodities, including LMIS tools for reporting on food consumption, FIFO, storage at sites, and
distribution 4) Conduct assessments of provincial warehouses and district warehouses in collaboration with
the DPS/DDS and USG clinical partners supporting the provinces and districts to identify needs for
adequate storage and distribution of food stuffs 5) Provide assessment tools and SOPs to DDS/DPS and
USG partners for assessing storage space and conditions at PMTCT sites. 6) Provide ongoing technical
support in the logistics management and supervision of the management of food commodities.
USG will wrap food distribution around existing World Food Program (WFP) supported MCH clinics, as
WFP only supports food insecure provinces. USG will support non-WFP supported sites and a mapping
between USG and WFP activities will be conducted to ensure that all USG supported PMTCT sites are
supported either by WFP wrap around or the USG TBD partner.
New/Continuing Activity: New Activity
Continuing Activity:
Emphasis Areas
Health-related Wraparound Programs
* Child Survival Activities
* Safe Motherhood
* TB
Human Capacity Development
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Estimated amount of funding that is planned for Food and Nutrition: Policy, Tools
and Service Delivery
Food and Nutrition: Commodities
Estimated amount of funding that is planned for Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.01:
THIS IS A NEW ACTIVITY IN COP 09
support to the following priority groups: Orphans and vulnerable children born to an HIV infected parent
therapy (ART) and care programs who have evidence of severe malnutrition, as defined by The World
Health Organization (BMI less than 16).
required to implement a nutrition/HIV program modeled after Kenya's Food by Prescription program. It is
important to note that USG does not yet have full buy-in of the Ministry of Health for a food by prescription
program model. PEPFAR/Mozambique will sponsor a study tour to Kenya in early 2009 (led by FANTA) for
Ministry of Health, National AIDS Council, and the Social Welfare Ministry to observe and understand
implementation of the AMPATH and FBP programs.
* Malaria (PMI)
Program Budget Code: 09 - HTXS Treatment: Adult Treatment
Total Planned Funding for Program Budget Code: $36,748,256
Total Planned Funding for Program Budget Code: $0
Table 3.3.09:
THIS IS A NEW ACTIVITY IN COP 09.
In keeping with current guidance from (OGAC) Emergency Plan funds for this activity will target nutritional
support to: Orphans and vulnerable children born to an HIV infected parent (regardless of the child's HIV
and nutritional status). Funding in PMTCT and HTXS will target HIV-positive pregnant and lactating women
in programs to prevent the transmission of HIV to their children and adult patients in anti-retroviral therapy
(ART) and care programs who have evidence of severe malnutrition, as defined by the Ministry of Health.
Estimated amount of funding that is planned for Human Capacity Development
Estimated amount of funding that is planned for Economic Strengthening
Estimated amount of funding that is planned for Education
Estimated amount of funding that is planned for Water
Table 3.3.13:
