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
ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:
Academy for Educational Development / Capable Partners Program (AED/CAP) will use FY 2009 funds to
continue building human capacity in the integration of maternal nutrition, infant and young child feeding and
prevention of mother-to-child HIV transmission (PMTCT). The program is in line with the HIV & AIDS and
STI Strategic Plan for South Africa, 2007-2011 and aims to broaden the involvement of agencies, including
non-governmental organizations and communities to strengthen key programs such as health education
and behavior change communication, voluntary counseling and testing, PMTCT, antiretroviral therapy, and
screening for sexually transmitted infections and TB. All these activities will contribute to the reduction of
new infections among pregnant and lactating women. The organization will continue trainings aiming at
improving the quality of service delivery, focusing on the minimum packages during antenatal, labor and
delivery and postnatal care based on the Batho Pele principles of respect for human rights and
confidentiality.
------------------------------
SUMMARY:
AED will use FY 2008 PEPFAR funding to continue to support integration of maternal nutrition and Infant
and Young Child Feeding (IYCF) in the context of HIV policy into healthcare and community services
through three components: training of healthcare providers and community health workers from all nine
provinces; assistance for implementation of integrated IYCF and PMTCT model in two districts of KwaZulu-
Natal and one district each in North West, Mpumalanga and Eastern Cape; and support to enhance public
awareness of the importance of maternal nutrition and IYCF in PMTCT.
BACKGROUND:
This is an ongoing AED project, initiated in FY 2004 with PEPFAR funding. The first activity was
development of guidelines on nutrition for pregnant and lactating women and IYCF in the context of HIV and
AIDS. AED has been working in collaboration with the South African National Department of Health (NDOH)
nutrition directorate and local NGOs to build health workers' capacity to integrate maternal nutrition and
IYCF into existing healthcare and community services based on these guidelines. This will continue with FY
2008 funding. In addition, AED will continue to support efforts to enhance public awareness of the
importance of improved nutrition for HIV-infected women in general and pregnant and lactating women in
particular, as well as the importance of IYCF counseling as an aspect of PMTCT. Furthermore, AED will
provide technical assistance to the National, Provincial and District Departments of Health and selected
NGOs and FBOs to enhance male involvement to address gender issues in PMTCT. AED will also provide
technical assistance to ensure sustainability through continuing support and monitoring of PMTCT data.
AED will also provide technical assistance to provincial DOH staff to encourage expansion to other sub-
districts in the provinces and promote greater sustainability.
ACTIVITIES AND EXPECTED RESULTS:
ACTIVITY 1: Technical Assistance to NDOH, NGOs and FBOs
Building on the development of Maternal Nutrition Guidelines in collaboration with the NDOH, further
technical assistance will be provided to National, Provincial and District Departments of Health and selected
NGOs and FBOs. This technical assistance will increase Human Capacity Development (HCD) by training
health workers to integrate counseling on maternal nutrition and IYCF in the context of HIV into existing
healthcare and community services. AED will provide technical assistance to the targeted provincial
Departments of Health in the implementation of the guidelines. In addition, following earlier successful
training of lecturers from universities and schools of nursing in the integrated model, AED will provide
technical assistance to develop capacity to include the integrated program into existing professional
development curricula of nurses and dieticians' pre-service orientation. Additional trainers from these
institutions in the nine provinces will be trained at the national level as well as provincial level in Gauteng,
Limpopo, Northern Cape, Western Cape and Free State provinces. Healthcare providers from each of the
five target provinces will be trained to provide direct integrated services to clients in their respective districts.
Policies and guidelines on pregnant and lactating mothers and IYCF in the context of HIV will continue to be
disseminated and implemented. Technical assistance will continue to be provided to Mpumalanga, Eastern
Cape and North West provinces to conduct needs assessments at clinics and community services in three
sub-districts, and will be followed by mentorship and supervision in view of implementing integrated PMTCT
and nutrition for pregnant and lactating women and IYCF into service outlets. Facilities where AED is
currently working will continue to receive support, mentorship and in-service training around issues not fully
addressed during the initial implementation of the program, such as stigma and family planning. Program
managers working with women and children (on integrated management of childhood illnesses, PMTCT,
CT, Maternal, Child and Women's Health, and Health Promotion) will be mobilized on the promotion of the
Baby Friendly Community Initiative in the context of HIV.
ACTIVITY 2: Quality Assurance
Building on the activities of FY 2006 and 2007 in the four sub-districts (Kagisano Molopo, North West;
Qaukeni, Eastern Cape; Umzumbe, KwaZulu-Natal; and Kabokweni, Mpumalanga), AED will support
existing facilities to increase the provision of quality care by supporting the provision of refresher courses for
performance and quality improvement in the integration of nutrition to the basic PMTCT package. AED will
provide technical assistance for the integration of safe-feeding practices in PMTCT into antenatal, labor and
delivery practices, as well as post-natal care. Quality assurance and supervision will be provided using the
trained Baby Friendly Hospital Initiative assessors to conduct internal and external assessments.
ACTIVITY 3: Family-Centered Community Care
Technical assistance will be provided to three sub-districts to implement the "Family-Centered Community
Activity Narrative: Care" approach, with clear follow-up and referral system for mothers and infants. CBOs, NGOs and FBOs
will contribute to community mobilization. Technical assistance will be provided to health care workers and
community volunteers to address stigma and discrimination, including gender issues. In addition, key
community members, leaders, and religious leaders will be trained to organize behavior change
communication activities on male involvement and people living with HIV in each of the three target
facilities. AED will support development of linkages and referrals to existing services such as family
planning, TB treatment, and care and support for HIV-infected mothers and families. AED will strengthen
linkages between facility interventions and community services for follow-up, couple counseling, family-
based counseling and testing, specifically involving men in PMTCT activities, and will also encourage and
facilitate public-private partnerships.
ACTIVITY 4: Integrated IYCF/PMTCT expansion to Northern Cape
With FY 2007 funding, AED expanded to the Northern Cape Province. FY 2008 funding will be used to
continue activities with FHI and JPHEIGO to harmonize the PMTCT provincial guidelines and monitoring
systems. FY 2008 funding will be used for expansion of the integrated IYCF/PMTCT model in the Western
Cape, Gauteng, Limpopo and Free State provinces.
ACTIVITY 5: Expansion
FY 2008 funds will continue to support the roll-out of and training on the new NDOH PMTCT guidelines with
the integration of maternal nutrition and Infant and Young Child Feeding practices. This will include capacity
development of non-governmental organizations and community health care workers in existing provinces
so they will be able to play a key role in achieving project targets, strengthening referrals and linkages, and
improving monitoring and evaluation to ensure program sustainability within the selected provinces. Funds
also will be used to expand the program by providing onsite support to other service outlets within the
existing districts. In the existing districts, FY 2008 activities will include emphasis/addition of HIV counseling
and testing and ARV prophylaxis in the integrated training on maternal nutrition and IYCF in the context of
PMTCT. This will be based on the national PMTCT guidelines, in line with the National HIV and AIDS
Strategic Plan.
These activities will directly contribute to the seven million infections averted component of the 2-7-10
objective of PEPFAR by training additional health workers on safe infant feeding practices, hence reducing
the risk of transmission via mixed feeding. AED will contribute to the PEPFAR vision outlined in the five-year
strategy for South Africa by expanding access to PMTCT services and by improving PMTCT related
counseling of mothers.
New/Continuing Activity: Continuing Activity
Continuing Activity: 13361
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
13361 3285.08 U.S. Agency for Academy for 6450 2789.08 LINKAGES $1,750,000
International Educational
Development Development
7508 3285.07 U.S. Agency for Academy for 4447 2789.07 LINKAGES $1,275,000
3285 3285.06 U.S. Agency for Academy for 2789 2789.06 LINKAGES $620,000
Emphasis Areas
Health-related Wraparound Programs
* Child Survival Activities
* Safe Motherhood
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $1,750,000
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.01:
