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: 2012 2013 2014
This IM is implemented by FHI 360 and will contribute to the GHI and Partnership Framework goals and objectives through cross-cutting programs on food and nutrition policy; tools and service delivery; integrating nutrition assessment counseling and support (NACS) into the HIV and TB programs; and human resources for health.
Through the predecessor project, FANTA II, the MOHSS and I-TECH/Namibia have trained health managers and providers in NACS in 62 ART sites and antenatal, postnatal, and primary health care clinics. FANTA II also trained community health care providers in NACS to strengthen home-based care and link clinic and community HIV services. FANTA III will build on this work to: achieve cost efficiencies by improving client outcomes through capacity building of health care workers and the Health and Nutrition Working Group of the OVC Permanent Task Force; build upon UNICEF support for the Integrated Management of Acute Malnutrition program; and support World Food Program efforts to improve food security of people living with HIV/AIDS (PLWHA).
Activities will enhance the sustainability of NACS services in Namibia and improve the quality and access of USG-supported services. Activities will be transitioned to GRN training institutions and program staff, contributing to GHI strategies of increased access.
Target populations are malnourished PLWHA, pregnant and post-partum women and OVC throughout Namibia. The project will support integration of nutrition indicators into the patient care booklet and child health passports. Activities will be monitored and reported in collaboration with MOHSS.
No vehicle purchases envisaged.
The Food and Nutrition Technical Assistance III (FANTA III) project will continue to work with the Ministry of Health and Social Services (MOHSS) under this budget code to implement nutrition assessment counseling and support (NACS) in five additional health districts. Focus will be on building technical capacity within pubic sector health facilities to integrate nutrition into HIV/ AIDS care. This includes assessing human resource and logistical capacity, the need for anthropometric equipments and NACS training. Based on assessment results, FANTA III will provide technical assistance to improve the sites capacity to implement NACS, co-facilitate NACS training of at least two health care providers from each site and provide job aids and client materials.
FANTA III will support the MOHSS to conduct supportive supervisory visits to NACS sites to monitor the quality of services, identify challenges and provide technical assistance. The IM will support regular meetings between facility staff and community-based health care providers (CBHCP) to strengthen clinic-community linkages to ensure access to services within the continuum of care. FANTA III will continue to train CBHCP to follow-up NACS clients, screen for malnutrition and provide mid-upper arm circumference tapes and job aids to enhance community screening and referral of PLHIV and TB clients for treatment of malnutrition. The IM will work with MOHSS to ensure that nutrition and HIV is integrated into the training of the new cadre of health extension workers.
FANTA III will collaborate with the Livelihood and Food Security Technical Assistance (LIFT) IM to ensure that NACS beneficiaries are linked to community-based livelihood strengthening programs to improve household income and prevent relapse.
With established NACS policy guidance and consolidation of procurement, storage and distribution of specialized food products, and supply of anthropometric equipment to the initial NACS sites, support is needed in COP12 to scale up and improve the quality of services and health care provider monitoring and supervision. FANTA III will work with the MOHSS and I-TECH/Namibia to institutionalize systems for continuous quality improvement (QI) of NACS services to allow the MOHSS to better define health care provider roles and responsibilities, task shift effectively, improve time allocation and create performance standards. TA will include dissemination of job aids to improve, client management, record keeping, reporting, mentoring and supervision.
FANTA III will disseminate the results of a COP 11 review of NACS processes, efficiencies, challenges, participant perceptions, acceptability of food products and initial outcomes. Quantitative and qualitative information on utilization, efficiency and impact of NACS services including sustainability and system performance will inform refinement and improvement of NACS in Namibia.
The predecessor IM, FANTA II, supported the MOHSSS to integrate nutrition and HIV indicators into the national HIV patient management booklet. FANTA III will work with the MOHSS and other UGS IM to refine reporting mechanisms and provide support for data collection and analysis. The IM will continue to work with the MOHSS to strengthen M&E.
The Food and Technical Assistance III (FANTA III) IM will work under this budget code with the Ministry of Health and Social Services (MOHSS) to train health care providers in antenatal care (ANC) and maternal and child health (MCH) clinics in nutrition assessment and counseling and support (NACS), including infant and young child feeding (IYCF) counseling in the context of HIV. FANTA III and the MOHSS will provide supportive supervision at these sites to monitor the quality of services and provide technical support as needed, including nutrition and HIV data collection on HIV-exposed children.
Approximately 285 ANC and MCH clinics offer counseling on PMTCT and infant feeding during antenatal visits, but post-natal follow-up of PMTCT clients and their infants is limited and arbitrary.
The MOHSS has adopted the policy of promoting exclusive breastfeeding for all infants for the first six months with anti-retroviral coverage for eligible infants or HIV positive mothers during breastfeeding. With support from UNICEF/Namibia, the MOHSS has developed infant and young child feeding (IYCF) counseling cards to address inconsistent counseling messages particularly on replacement feeding and complementary foods.
FANTA III will continue to build the capacity of community-based health care providers (CBHCP) in nutrition management and support for HIV-affected families, especially infants and young children. The CBHCP will be trained to strengthen screening referral and follow-up of child and adolescent clients in the community. The IM will provide mid-upper arm circumference tapes and job aids to enhance community screening and referral of malnourished children, adolescents and pregnant and post-partum women for treatment of malnutrition. FANTA III will also support the MOHSS to disseminate take-home client materials on IYCF in the context of HIV.
FANTA III will continue to support the MOHSS and other USG partners working with home-based care and other community services for PLHIV and orphans and vulnerable children (OVC) in strengthening referral links between clinical nutrition services for pediatric HIV clients and community -based nutrition, food security and livelihood services for caregivers. This IM will leverage the activities of the Livelihood and Food Security Technical assistance IM. The linkages will also include systems for sharing client information between facility and community services adapted from existing management information systems.
Technical support at the community level will include developing materials and training care workers in early childhood development centers supporting OVC. This capacity building effort will be coordinated through the Health and Nutrition Working Group of the Ministry of Gender Equality and Child Welfare lead by the Permanent Task Force for OVC
FANTA III will work with the MOHSS and other USG IM to refine reporting mechanisms and provide support for data collection and analysis. The IM will continue to work with the MOHSS to strengthen monitoring and evaluation (M&E) to ensure it meets PEPFAR reporting requirements and feeds into the national M&E system.
Target populations are pregnant and post partum women, HIV exposed infants and OVC (particularly those enrolled in ECD centers).
