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.
In FY2008 food and nutrition intervention for People Living with HIV/AIDS (PHAs) program will continue to
provide technical and financial support to Ministry of Health (MoH), CBOs/NGOs, Networks of People Living
with HIV/AIDS and USG implementing partners and sub-grantees, in twenty districts to integrate food and
nutrition interventions in HIV/AIDS prevention, care and treatment programs. The program aims to improve
quality of life of PHAs and increase adherence to ARVs and ARV efficacy, and implements three major food
and nutrition interventions namely: food and nutrition assessment that determines nutrition status, food
access and availability, and household and community coping capacity, nutrition Counseling and Care
including infant and young child nutrition feeding options and targeted food and nutrition support that
includes food supplements for vulnerable groups including OVCs, HIV-positive pregnant and lactating
mothers and those with mild-to-moderate malnutrition, therapeutic foods for moderately and severely
malnourished PHAs, micronutrient supplementation and replacement feeding for infants.
Linkages will be made to programs that provide supplementary feeding, food assistance and livelihood
assistance programs for households of People Living with HIV/AIDS. The programs include among others,
World Food Program (WFP) and ACDI-VOCA under the Title II, Food for Peace Program, Save the Children
and World Vision. The program primarily targets four population groups, namely; PHAs including adults and
children in care, support and treatment programs, OVCs, particularly children born to HIV positive mothers
that are identified through and linked to PMTCT, community outreaches and other OVC programs. This will
also include nutritionally vulnerable children identified in households of PHAs, HIV-positive pregnant and
lactating women and, infants and HIV-positive children identified through feeding centers in conflict affected
districts.
The program will develop a nationally acceptable Ready to Use Therapeutic Foods (RuTF) reconstituted out
of locally available foods and establish a system for effective development and delivery of RuTF to severely
malnourished PHAs. The private sector and Networks of People Living with HIV/AIDS will be engaged in
leveraging resources to develop and sustain programs for the nutritional rehabilitation of PHAs in the
community.
In FY2008 the program will develop a training curriculum for targeting special population groups and
integrating food and nutrition in HIV/AIDS services developed, guidelines for linking food and nutrition to
care and treatment programs developed and train 600 healthcare providers and carers in nutritional
assessment, care and management of malnourished PHAs. It is estimated that by end of the FY2008, the
program will have over 240 HIV/AIDS service providers that carry out nutritional assessments, provide
nutritional counseling and care and nutritional supplements covering a total of 40,000 PHAs.
The program will develop and disseminate guidelines on therapeutic feeding for PHAs and integrate them in
the National food and nutrition guidelines for PHAs, and develop and document a nationally acceptable
recipe for locally produced RuTF with details of nutrient content and production methods. Guidelines on
setting up and managing a community therapeutic system and a framework for monitoring and evaluation of
therapeutic feeding will be developed and implemented.10,000 patients with evidence of severe malnutrition
will receive RuTF and over 20,000 OVCs including infants receiving replacement feeding, receiving food
and nutritional supplementation
includes food supplements for vulnerable groups including Orphans and Vulnerable Children (OVC), HIV-
positive pregnant and lactating mothers and those with mild-to-moderate malnutrition, therapeutic foods for
moderately and severely malnourished PHAs, micronutrient supplementation and replacement feeding for
infants.
The program will target OVC, particularly children under the age of two, born to HIV-positive mothers that
are identified through and linked to PMTCT, community outreach, or other OVC programs, nutritionally
vulnerable children identified in households of PHAs, HIV-positive children identified through feeding
centers in conflict affected districts, and HIV-positive pregnant and lactating women. Infants born to HIV-
positive mothers are at a substantially higher risk of low birth weight, early malnutrition, and mortality in the
first two years of life, than children born to mothers without HIV, and the risks are greatest for infants of
mothers with more advanced disease. Providing nutritional care is essential to minimize HIV transmission in
the post-natal period, whilst at the same time maximizing overall child survival. The Nutrition for PHAs
program will provide critical food and nutrition interventions for HIV-exposed infants that include nutritional
assessment, infant feeding, counseling and support, periodic vitamin A supplementation, provision of
suitable replacement foods as appropriate and regular growth monitoring.
and World Vision.
The program appreciates the fact that frequent untreated infections, nutrient malabsorption and other
metabolic complications of HIV place HIV-positive infants at extremely high risk of malnutrition. To increase
the likelihood that these children will recover from severe acute malnutrition, the program will train
healthcare providers and carers on early detection and initiation of therapeutic feeding. Successful
outcomes for these children will also depend on strong counseling program and support system for
mothers. Therefore this program will integrate nutritional counseling and education in HIV/AIDS care
services and train communities and CBOs on how to provide support to mothers.
In FY2008, the program will develop a nationally acceptable Ready to Use Therapeutic Foods (RuTF)
reconstituted out of locally available foods and establish a system for effective development and delivery of
RuTF to severely malnourished OVC. The private sector and Networks of People Living with HIV/AIDS will
be engaged in leveraging resources to develop and sustain programs for the nutritional rehabilitation of
PHAs in the community. Guidelines on therapeutic feeding for PHAs will be developed and disseminated.
Guidelines on setting up and managing a community therapeutic system and a framework for monitoring
and evaluation of therapeutic feeding will be developed and implemented.
10,000 patients with evidence of severe malnutrition and on ART will receive RuTF and over 20,000 OVCs
including infants receiving replacement feeding, receiving food and nutritional supplementation.
provide technical and financial support to Ministry of Health (MOH), CBOs/NGOs, Networks of People
Living with HIV/AIDS and USG implementing partners and sub-grantees, in twenty districts to integrate food
and nutrition interventions in HIV/AIDS prevention, care and treatment programs. The program aims to
improve quality of life of PHAs and increase adherence to ARVs and ARV efficacy, and implements three
major food and nutrition interventions namely: food and nutrition assessment that determines nutrition
status, food access and availability, and household and community coping capacity, nutrition Counseling
and Care including infant and young child nutrition feeding options and targeted food and nutrition support
that includes food supplements for vulnerable groups including OVCs, HIV-positive pregnant and lactating
care and treatment programs developed and train 600 healthcare providers and caregivers in nutritional
the National food and nutrition guidelines for PHAs, develop and document a nationally acceptable recipe
for locally produced RuTF with details of nutrient content and production methods. Guidelines on setting up
and managing a community therapeutic system and a framework for monitoring and evaluation of
and nutritional supplementation.
