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
**THE BELOW ACTIVITY NARRATIVE WAS CHANGED IN APRIL 2009 REPROGRAMMING DUE TO
THE USD$259,675 FUNDING CHANGE FROM TBD TO AED**
Under COP 2007 FANTA worked with the Ministry of Health and Social Services (MOHSS) Food and
Nutrition Sub-division to assess the food and nutrition needs of PLHIV in Namibia and develop nutrition and
HIV assessment and counseling job aids and IEC materials, a 2-day skills-based nutrition assessment and
counseling training module, and operational guidelines for food supplementation for people with HIV. Under
COP 2008 FANTA-2 is supporting the MOHSS in operationalizing a FBP program integrated into HIV
service provision, finalizing and printing nutrition and HIV materials developed under COP 2007, developing
a nutrition and HIV course for regional health workers who will supervise clinical health providers working
with ART clients, and developing a system to collect nutrition data on PLHIV.
Under COP 2009 FANTA-2 will continue this support to the MOHSS and PEPFAR implementing partners in
integrating food and nutrition into HIV services through the following components:
1. Continued technical support for FBP coordination. FANTA-2 will provide ongoing technical assistance to
the MOHSS to support coordination of the FBP program that will begin in COP 2008. FANTA-2 will continue
to support the MOHSS in monitoring program components, facilitating coordination among partners
(government facilities, supporting NGOs, private sector food manufacturers, community support groups),
identifying needed refinements in interventions, and sharing lessons, experience, and evidence from other
countries and stakeholders. A FANTA-2 consultant based in Windhoek will take the lead in providing this
support, with support from the larger FANTA-2 team.
2. Technical support for FBP training and supervision. Service provider capacity is essential to the success
of FBP, and participating providers require specific knowledge and skills to implement the FBP protocol
effectively. FANTA-2 will design and support a training of trainers (TOT) on the protocol for providing
specialized food products to malnourished clients. The protocol will include anthropometric entry and
graduation criteria for ART and pre-ART, PMTCT, and pediatric HIV and OVC clients; cutoffs for classifying
nutritional status (severely malnourished, moderately/mildly malnourished, or not malnourished); an
appropriate food package using a combination of ready-to-use therapeutic food (RUTF) and fortified
blended food (FBF) based on client status; food handling and logistics; monitoring and evaluation; and
linkages to clinical services. The trained trainers will then train service providers at the FBP sites. This
training will complement the national MOHSS/I-TECH training of service providers in nutrition and HIV,
including nutrition counseling and assessment. FANTA-2 will also work with the MOHSS and I-TECH to
implement an effective supervisory system for MOHSS regional staff who supervise health care providers.
3. Technical support for M&E strengthening. FANTA-2 will work with the MOHSS and PEPFAR IPs to
strengthen M&E systems for the FBP program to ensure they meet PEPFAR reporting requirements and
feed into the national M&E system. This component follows from the COP 2008 activity of working with the
MOHSS to develop a system to collect nutrition data on PLHIV in ART sites. The FBP program generates
important results for the national government and for PEPFAR, and the program M&E system needs to
capture this information and feeding it into the larger reporting mechanisms. Drawing from M&E experience
in other countries and programs, FANTA-2 will work with the MOHSS and PEPFAR IPs to refine indicators,
reporting mechanisms, information links with other institutions; and training and support for people collecting
and analyzing the data. FANTA-2 also will support the MOHSS in ensuring harmonization of M&E tools with
PEPFAR requirements and national systems.
4. Process review. As the FBP program expands in COP 2009, FANTA-2 will work with the MOHSS and
partners to review the approaches and initial results to inform refinement and improvement of activities. The
review will cover FBP processes, efficiencies, challenges, participant perceptions, acceptability of food
products, and initial outcomes. Findings of the review, including promising approaches, gaps, and
opportunities for improvement, will be disseminated to stakeholders through a 1-day workshop. A recent
review by FANTA of the Kenya FBP program can serve as a starting point for the review.
5. Technical support for national nutrition and HIV training. As I-TECH and the MOHSS roll out the national
training in nutrition and HIV, FANTA-2 will provide technical input as needed into the content to ensure it is
consistent with the latest evidence base, relevant to the Namibian nutrition context, and refined based on
feedback from initial implementation.
New/Continuing Activity: Continuing Activity
Continuing Activity: 17528
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
17528 17528.08 U.S. Agency for To Be Determined 7658 7658.08 FANTA Follow
International On TBD
Development
Emphasis Areas
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 $259,675
and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.08:
THE USD$45,825 FUNDING CHANGE FROM TBD TO AED**
COP 2008 FANTA-2 is supporting the MOHSS in operationalizing a FBP program, finalizing and printing
nutrition and HIV materials developed under COP 2007, developing a nutrition and HIV course for regional
health workers who will supervise clinical health providers working with ART clients, and developing a
system to collect nutrition data on PLHIV.
Under COP 2009 FANTA-2 will provide technical support to PEPFAR implementing partners (IPs) and the
MOHSS to link pediatric HIV clients accessing clinical services to community-based nutrition, food
assistance, and livelihood services. The links developed will also support screening and referral of
malnourished or vulnerable pediatric HIV clients and OVC to facility-based clinical services. FANTA-2 will
document the linkage systems and share the information with stakeholders nationally to support replication
and scale-up of the approaches. This support will be provided through the following components:
1. Models for linking community- and clinic-based services
FANTA-2 will provide technical assistance to PEPFAR IPs to develop models for linking pediatric HIV
clients and OVC between community-based nutrition, food security, and livelihood services and clinical food
and nutrition services. Two-way referral systems will enable a) community- and home-based care providers
to screen HIV-infected children for malnutrition or vulnerability to malnutrition and refer them to clinical
services and b) HIV care and treatment facilities to refer pediatric HIV clients whose households are food
insecure and FBP clients who need follow-up counseling, food support, or livelihood strengthening,
especially after they graduate from FBP to community nutrition, food security, and livelihood support
services. The linkages will also include systems for sharing client information between facility and
community services, adapted from existing management information systems. Such a system is vital for
pediatric HIV clients and OVC who may receive PMTCT, clinical pediatric HIV, and community-based OVC
services. Client information from one set of services is not always available to the other set. PEPFAR IPs
can play a key role in establishing links among information systems. This information support improved
monitoring and reporting of program results, including client-level impacts. FANTA-2 will facilitate planning
meetings with the MOHSS and PEPFAR IPs to identify approaches and mechanisms for these linkages,
provide technical input to the MOHSS and partners on the design of the systems, and support targeted
visits to sites.
2. Documentation of lessons learned
FANTA-2 will document the process, challenges, and initial outcomes of the referral and information
systems described above and disseminate the findings to stakeholders, including the MOHSS, PEPFAR
and its IPs, UNICEF, the Clinton HIV/AIDS Initiative, and other partners working in (nutrition and) HIV.
FANTA-2 will draw on similar activities it is supporting in other countries under COP 2008 and adapt this
experience to the Namibia context. These activities are closely linked to the PEPFAR-supported FBP
program because facilities implementing the program will be linked to community services for screening,
follow-up, and longer-term sustainability. The activities are also closely linked to PEPFAR-supported
community-based services for OVC and PLHIV.
Estimated amount of funding that is planned for Food and Nutrition: Policy, Tools $45,825
Table 3.3.10:
