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
The overall goal of the Infant and Young Child Nutrition project is to support interventions which improve the nutritional status of infants and children under 2 years old. IYCN will provide TA to the Ministry of Health and PEPFAR implementing partners to strengthen nutrition components in existing child survival, maternal health, newborn health and prevention of mother to child transmission (MTCT) programs. IYCN will also provide TA to MOH and partners to strengthen community-level interventions in these areas.
This activity contributes to Goal # 3 of the Partnership Framework by strengthening the capacity of health facility and community health workers to provide effective and quality infant and young child nutrition interventions.
While activities with MOH will focus at Central Level, the IYCN) project will hire local technical staff to provide ongoing monitoring and evaluation and technical support to facilities and partners in all provinces in Mozambique. IYCF will also hire a local staff person to be seconded to the MOH to coordinate activities such as training, policy development and training/job aids development. This individual will also help to ensure dissemination of the most up to date information and move the national nutrition rehabilitation program forward.
IYCN will support the development of curricula and job aids that build the skills of health staff to support key infant feeding messages defined by the MOH, taking into account cultural norms and constraints. Technical assistance will promote PMTCT services and compliance with treatment regimes by developing behavior change strategies that clearly link essential nutrition actions for HIV-positive women and their children to PMTCT services. IYCN will also focus on improving referral links between PMTCT and other health services (e.g. antenatal care, growth monitoring and promotion, and community outreach programs, such as home-based care). IYCN will use its experience in Zambia and Cote d'Ivoire to introduce a collaborative, evidence-based quality improvement approach to strengthen the nutritional aspects of PMTCT services. To further improve PMTCT attendance, training and materials for clinical staff will encourage male participation in PMTCT services, emphasizing the importance of family support for infant feeding.
Support for monitoring and evaluation will demonstrate the added value of infant and young child feeding promotion and support in health facilities, communities, and national media strategies. Through experience in a wide range of countries, IYCN has worked extensively on monitoring and evaluation approaches that allow the MOH to assess the effectiveness of interventions, target problems areas, and use simple tools to minimize the burden on human resources. These tools, which are used for follow-up to staff training, include an assessment of provider performance through observations of counseling sessions, review of key counseling skills, exit interviews with mothers, and a review of the flow of PMTCT services to identify inefficiencies in service delivery.
IYCN will assist the MOH and partners to develop or strengthen activities, training, and job aids for community health agents, HIV activists, and community support groups for breastfeeding, PMTCT, or persons living with HIV/AIDS. First, IYCN will identify gaps in training, activities and job aids for
community volunteers that address infant and young child feeding in coordination with PMTCT sites. IYCN's technical assistance would focus on developing action-oriented, pictorial job aids for group or individual counseling, particularly developing the volunteers' capacity to support infant feeding while involving partners and other family members. All content, messages, and materials will link infant and young child feeding support to PMTCT clinical support services (e.g., CD4 monitoring, antiretroviral therapy, nutrition services, food-based supplementation, and post-natal services)
The project will offer support for implementing the Plan for Communication and Social Mobilization to Promote, Protect, and Support Breastfeeding, which outlines behavioral messages for communication, target audiences (mothers, grandmothers, other family members and community members) and key activities. IYCN will provide assistance to develop an educational kit about breastfeeding for the media in order to facilitate the preparation of articles and commentaries by print media or radio programs. Additionally, IYCN may also offer technical assistance on infant and young child nutrition to organizations with specialized experience in social communications but less nutrition expertise. The project may also provide broader support to design, test, and produce the materials.
