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.
This activity is linked to MOHSS (Activity #7331), ITECH (Activity # 7350) HBHC efforts, the MoHSS/Red Cross Nutrition suppl. (Activity #7330) in the ART section & the Capacity Project Basic Care (Activity #7404).
Appropriate nutrition counseling, anthropometric assessment, monitoring, micronutrient supplementation, rehabilitation & referral of severely malnourished PLWHA & safe infant & young child feeding (IYCF) strategies in the context of HIV/AIDS are critical program gaps in Namibia. Anecdotal reports indicate that health workers in key HIV/AIDS service delivery sites (especially ART & PMTCT) are unable to conduct basic clinical nutrition assessments or recommend appropriate nutrition strategies for HIV-positive adults, children & infants, as well as HIV-positive pregnant & lactating women. In FY06, the USG supported through ITECH a Technical Advisor for HIV & Nutrition in the MoHSS Food & Nutrition Subdivision of the Family Health Division to begin addressing critical program gaps essential for PEPFAR goals in MTCT & care & treatment. The advisor began providing training & technical support in priority PEPFAR program areas, including safe infant & young child feeding for HIV/AIDS programs & work with the Food Assistance & Nutrition Technical Assistance (FANTA) project to undertake a review of dietary practices by HIV-positive infants, children & adults in Namibia. Prior to this activity, no reliable data existed on food consumption patterns or dietary habits of PLWHA, including an adequate examination of gender roles & responsibilities for nutritional care in the household, reviewing locally available foods for PLWHA in Namibia, & determining current traditional nutritional & herbal remedies used to "treat" HIV & AIDS. The review is currently underway, & results will be used by health care providers, community counselors & community home-based care volunteers to advise PLWHAs & their families on strategies for sustaining their health through appropriate dietary practices (rather than reliance on highly marketed nutritional supplements). Findings will also be used to inform national policy, guidelines, planning, & messaging about nutrition & HIV/AIDS.
Building on successes in 2006, there is a critical need to build Namibian capacity to address clinical nutrition & HIV/AIDS in 2007. Currently, nutrition assistance in Namibia is limited to a small unit in the MoHSS, located in the capital, with technical support dedicated to HIV & nutrition from one expatriate technical advisor from ITECH. In FY07, the MoHSS requested PEPFAR support to expand & decentralize training & technical support on clinical nutrition & HIV/AIDS for Namibian health workers who work in HIV/AIDS service delivery areas. This includes the following: (1) scale-up of the in-service training for health workers on nutrition & HIV/AIDS (developed by the MoHSS & ITECH); (2) support for more intensive training to a fewer number of Namibian HIV/AIDS health providers who will serve as trainers & technical "resource persons" on clinical nutrition & HIV; & (3) assistance with tools & IEC materials on nutrition & HIV which support health worker performance & client adherence for quality HIV care. USG plans which respond to the MoHSS request for scale-up of in-service training for health workers on nutrition & HIV/AIDS is found in ITECH (Activity #7350).
In partnership with ITECH & the MoHSS in FY07, FANTA will provide technical support for development of the short course & the tools on nutrition & HIV which will support & reinforce health worker performance to provide quality nutritional care for PLWHA. As described above, the MoHSS requested more intensive training to a fewer number of Namibian HIV/AIDS health providers who will serve as trainers & technical "resource persons" on clinical nutrition & HIV. Given the current human resource crisis, rather than send health workers out of Namibia for training (as was requested by the MoHSS), the USG support the development of a short course in Namibia which would expand the base of nutrition & HIV expertise in-country beyond the current in-service course for health workers. Based on the findings of the FY06 nutrition & dietary practices review, FANTA, in collaboration with ITECH & the MoHSS Food & Nutrition Subdivision, will develop an intensive two month short-course for Namibian health workers. Approximately ten Namibian health workers who work in HIV/AIDS service delivery sites in highly vulnerable regions of Namibia will be trained to become nutrition & HIV resource persons at the regional clinic level. The resource persons will provide technical support on clinical nutrition & HIV to other health care workers with an emphasis on ensuring safe infant & young child feeding strategies, appropriate anthropometric assessment, nutrition counseling, monitoring, micronutrient supplementation, & referral, as well as managing technical implementation of "nutrition corners" in select ART sites for the MoHSS/Red Cross Nutrition suppl. (Activity #7330) & the Capacity Project Basic Care (Activity #7404),
which are proposed to provide appropriate messaging & training for PLWHA & their families on proper nutrition with locally available foods. With FY07 support, FANTA will partner with the MoHSS & ITECH to identify & support an appropriate consultant to assist with design & implementation of the short course, in consultation with the USG country team. FANTA will also provide technical assistance in the development of the curriculum, & follow-up & reporting after the training program.
Routine nutrition counseling, anthropometric assessment, micronutrient supplementation & monitoring of nutritional status of HIV-positive infants, children & adults including pregnant & lactating women is a critical activity to achieve goals in MTCT & HIV/AIDS care & treatment. However, basic equipment, monitoring tools & information are required by health workers to manage clients effectively. Technical support is needed for the development & adaptation of nutrition tools, similar to what FANTA has done in other countries, which support health workers to appropriately manage nutrition & HIV. The emphasis is on facility based providers, however, the information on nutrition & symptom management would also be utilized with community providers. This activity is essential for reinforcing training messages & guiding quality service delivery, particularly regarding the management of metabolic complications of malnourished PLWHA & the increasing challenges of lipodistrophy & ART. It is proposed that FANTA would provide technical assistance in partnership with ITECH & the MoHSS to develop, adapt & pre-test the following tools: 1) A nutrition job aide for facility-level use by nurses & physicians. This will involve development of a small binder & a clinic poster which contains appropriate algorithms for health workers in HIV/AIDS service delivery sites to manage clinical nutrition, including severely malnourished PLWHA & lipodistrophy; 2) A health worker counseling cue card on breast management & safe infant & young child feeding; 3) A pamphlet & poster on symptom management with nutrition & HIV/AIDS. This would cover basic nutritional management of common HIV-related symptoms such as weight loss, wasting, diarrhea, nausea & vomiting, mouth sores, & poor appetite; 4) A pamphlet & poster on food, water & personal hygiene strategies for improved nutrition & improved HIV status; & 5) IEC materials & a communication strategy specific to safe infant & young child feeding in the context of HIV/AIDS.
