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
THIS IS A CONTINUING ACTIVITY UNDER COP 09.
ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:
This activity is being funded across PMTCT, OVC, HBHC, and ARVS. Funds were reprogrammed in
August 2008.
This activity will strengthen nutrition support for PLWHA, including HIV-positive pregnant and lactating
women in PMTCT programs, and OVC, particularly the integration of nutrition assessment, counseling and
support within clinical care and treatment services (hospital and health center levels), while linking patients
to food security and livelihood assistance at the community level. FANTA II will also provide support and
TA to partners and the Ministry of Health for maternal nutrition interventions. FANTA II will provide technical
guidance to USG and USG partners on the integration of best practices for infant and young child feeding
(IYCF) interventions for HIV-infected pregnant and lactating women and their infants, and will participate in
the development of national nutrition policies in collaboration with other partners and Ministry of Health,
including policies around IYCF. While not a primary focus of their support, as FANTA is currently
USG/Mozambique's primary partner in the area of nutrition, and IYCF interventions are a critical component
of PMTCT programming and nutrition interventions, this will be an important area of support from FANTA.
The Academy of Educational Development (AED)'s Food and Nutrition Technical Assistance Project II
(FANTA) has assisted numerous countries in Sub-Sahara Africa to formulate policies and technical
guidance for HIV/AIDS and nutrition, develop appropriate training curricula and job aides for nutrition
support, and establish programs to directly address the nutritional needs of those who are most vulnerable
within HIV/AIDS care and treatment programs. Drawing heavily on this experience and using/adapting
materials from other countries, FANTA will provide support to PEPFAR/Mozambique to: (1) develop a USG
strategy for food and nutrition 2) strengthen and re-vitalize Ministry of Health Technical Working Groups and
other coordination mechanisms on nutrition and HIV 3) revise/develop training materials and job aids 4)
assist in developing plans and participate in a visit to Nairobi by representatives of PEPFAR/Mozambique
with National AIDS Council, Ministry of Health and Social Welfare Ministry, to observe the PEPFAR/Kenya-
supported Food-by-Prescription (FBP) and the AMPATH Program at hospital and other Comprehensive
Care Center ART sites and the InstaProducts Ltd. supplementary food production facility; 5) work with
implementing partners responsible for clinical sites to establish training and QA approaches to effectively
integrate and strengthen nutrition assessment and counseling within all PEPFAR-supported care and
treatment sites (including PMTCT) 6) provide recommendations on specifications for appropriate daily multi-
micronutrient supplements for adult PLWHA, PMTCT pregnant/lactating women, and OVC whose diets are
likely to be inadequate to meet basic vitamin/mineral requirements.
Finally, FANTA will share current scientific knowledge and program experience from other countries with
PEPFAR/Mozambique and its implementing partners, particularly with regard to linking clinical nutrition
support with food security and livelihood assistance, including "wrap-arounds" with food aid and
MCH/nutrition programming, to address the longer-term food and nutrition needs of PLWHA and their
families.
Reprogramming August08: Food and nutrition support is an essential component of services for people
living with HIV/AIDS, particularly for pregnant and lactating women. Within the PMTCT portfolio, this activity
will establish an assessment to improve the coordination and provision of food and nutritional access for this
target population. In accordance with PEPFAR guidance, the competed follow-on mechanism to the
FANTA agreement will assess the food and nutritional factors that impact PLWHA from the Mozambican
experience. The FANTA Follow-on will liaise with WFP, the Ministry of Health, the Ministry of Women and
Social Action, current palliative care and treatment partners, and other stakeholders and partners to conduct
this assessment. The findings of PMTCT specific issues will help the USG to identify locally appropriate
and sustainable ways of improving nutrition for pregnant/lactating women affected by HIV. Expected
outcomes will include the development of entry criteria tools that can be used by clinics and hospitals in
coordination with community and home care partners for pregnant/lactating PWLHA who are severely
malnourished adults, following the guidance on use of PEPFAR funding. Special attention will be paid
towards leveraging Title II funds to supplement the needs of PMTCT patients who are mild to moderately
malnourished. In addition, monitoring and evaluation systems will be put into place that can most
accurately measure the ability of community-based programs to support nutritional provision of PMTCT
clients once nutritional assessments and counseling are done at the clinical level.
New/Continuing Activity: Continuing Activity
Continuing Activity: 21426
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
21426 21426.08 U.S. Agency for Academy for 9310 9310.08 Fanta II GHN-A- $350,000
International Educational 00-08-0001-00
Development Development
Emphasis Areas
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $50,000
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Estimated amount of funding that is planned for Food and Nutrition: Policy, Tools $75,000
and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.01:
This is a continuing activity under COP09.
THIS NARRATIVE REPLACES AUGUST 2008 REPROGRAMMING NARRATIVE.
TA to partners and the Ministry of Health for maternal nutrition interventions and facilitate the integration of
infant and young child feeding interventions into PMTCT programs.
materials from other countries, FANTA will provide support to PEPFAR/Mozambique to (1) develop and
USG strategy for food and nutrition 2) strengthen and re-vitalize Ministry of Health Technical Working
Groups and other coordination mechanisms on nutrition and HIV; 3) revise/develop training materials and
job aids 4) assist in developing plans and participate in a visit by representatives of PEPFAR/Mozambique
with National AIDS Council, Ministry of Health and Social Welfare Ministry, to Nairobi to observe the
PEPFAR/Kenya-supported Food-by-Prescription (FBP) and AMPATH Program at hospital and other
Comprehensive Care Center ART sites and the InstaProducts Ltd. supplementary food production facility;
5) work with implementing partners responsible for clinical sites to establish training and QA approaches to
effectively integrate and strengthen nutrition assessment and counseling within all PEPFAR-supported care
and treatment sites (including PMTCT);6) provide recommendations on specifications for appropriate daily
multi-micronutrient supplements for adult PLWHA, PMTCT pregnant/lactating women and OVC whose diets
are likely to be inadequate to meet basic vitamin/mineral requirements.
Activity funded across PMTCT, HKID, HBHC, treatment
Reprogramming August08: Funding of $322,512. Activity previously listed as TBD because competition
for the FANTA award was in process at the time the reprogramming request was submitted.
Continuing Activity: 21427
21427 21427.08 U.S. Agency for Academy for 9310 9310.08 Fanta II GHN-A- $322,512
Health-related Wraparound Programs
* Child Survival Activities
* Family Planning
* Malaria (PMI)
* TB
Estimated amount of funding that is planned for Food and Nutrition: Policy, Tools $150,000
Table 3.3.08:
This activity is being funded across PMTCT, OVC, HBHC, and treatment.
MCH/nutrition programming, to address the longer-term food and nutrition needs of OVC and their families.
This is the activity narrative from FY08
Reprogramming August08: Aim of this agreement is to take finding and tools from recent assessment and
establish an implementation strategy fro community based implementing partners across all USG agencies.
This activity will also support Ministry of Health, Women and Social Action and others in revising,
developing and disseminating foad and nutrition policy. This activity will support the establishment of
uniform practices and understanding amongh all USG oVC implementers on how, collectively, efforts can
contribute to sustainable food security and nutrition for OVC with the context of HIV and AIDS.
Continuing Activity: 21429
21429 21429.08 U.S. Agency for Academy for 9310 9310.08 Fanta II GHN-A- $300,000
Estimated amount of funding that is planned for Food and Nutrition: Policy, Tools $300,000
Table 3.3.13:
