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 Narrative (Adult)
The Food and Nutrition Intervention for Uganda - (NuLife) is being implemented by University Research
Co., LLC (URC) to support to Ministry of Health (MOH), CBOs/NGOs, Networks of People Living with
HIV/AIDS and USG implementing partners to integrate and expand food and nutrition into HIV/AIDS
prevention, care and treatment programs. The focus of the program is to increase the utilization, adherence
to and efficacy of anti-retroviral treatment (ART) and improving the nutritional and health status of PLHIV.
The program's three primary objectives include: 1) provision of technical and financial support to the MOH,
CBOs/NGOs, PLHIV Networks, USG partners to integrate food and nutrition interventions in HIV and AIDS
prevention, care and treatment programs; 2) development of a high quality, low-cost, nationally acceptable
RUTF made from locally available ingredients and 3) the establishment of a supply chain system for the
delivery of RUTF to participating health facilities. The program will provide 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.
During FY 2008, NuLife has provided technical assistance in drafting the National Nutrition and HIV and TB
Strategy (2008-2010). NuLife has reviewed both national and international guidelines, training curricula,
educational materials and other documents related to food and nutrition for PLHIV; supported the updating
and expansion of the National Infant and Young Child Feeding (IYCF) Guidelines and the development of
related counseling tools and other job aids. It has facilitated a critical review of the draft National Guidelines
on the Integrated Management of Acute Malnutrition (IMAM). NuLife secured a position for a nutritionist on
the Core Team at the national level and expanded the role of the current HCI-supported Quality
Improvement (QI) collaborative teams to include a nutrition focal person at each level. 223 health workers
from 120 ART facilities were sensitized in the basics of integrating food and nutrition in health facilities.
Working with the IHAA and the Northern Uganda Malaria and HIV/AIDS TB (NUMAT) program, 605 network
support agents (NSAs) and 100-health facility in charges from 36 districts received an initial orientation and
package of educational materials on the special food and nutrition needs of PLHIV. A Geographic
Information System (GIS) was established for use in prioritizing areas of operation, program planning and
visual reporting; 32 phase one priority sites across 29 districts were selected and a community mobilization
strategy was developed. The specifications for the production of a local RUTF were developed and the
identification and selection process for a Ugandan manufacturer was completed.
FY2009 activities include: 1) Building on and consolidate its FY2008 achievements as it expands its
technical and financial support for HIV-related food and nutrition interventions. NuLife will support training of
both facility and community health staff in 32 Phase One and 45 Phase Two sites participating communities
related to 1) nutrition and HIV/AIDS for Adult Care and Treatment programs, including nutritional
assessment, counseling, and food by prescription (FBP); 2) Integrated Management of Acute Malnutrition
(IMAM) in the context of HIV/AIDS; and Community Mobilization for Behavior Change related to nutrition
and HIV. Support materials will include: a) a counseling materials for use with PLHIV, b) patient take home
flyers; c) training materials and d) equipment. NuLife will greatly support the capacity building effort of the
MOH and other partner for integration of nutrition care and support within adult care and treatment services
by training a core national team of 100 trainers. The trainers will in turn train health workers, community
based volunteers and district teams in IMAM, FBP guidelines and community mobilization. Working through
the Health Care improvement (HCI) program and USG partners, NuLife will select at least 12 health workers
from each district and regional health facilities and 8 health workers from each HCIV including members
from the quality improvement (QI) ART teams, in the provision of food and nutrition care and support
(nutrition counseling, assessment and food by prescription) services. 1600 health workers from Phase One
and Two health facilities and participating communities will be trained. 654 community health workers will be
trained under the NuLife community mobilization model. NuLife will continue to promote a close
collaboration with USG partners and will work through a number of official MOH structures and mechanisms
including the MOH Sub-Committee on Nutrition MOH Sub-Committee and the MOH/Quality of Care
Initiative.
2) USG Partner Coordination: The program will focus collaborative efforts with USG partners implementing
Adult Care and Treatment programs in the selection of health care providers to be trained. Adult patients
participating in programs supported by USG partners will also be able to access food and nutritional care
and support counseling services. 3) NuLife has supported the establishment of and will continue to provide
support to the MOH Sub-Committee on Nutrition (SCN) under the MCH cluster to provide overall guidance
and coordination for development of policies, strategies, materials and curriculum related to nutrition. This
sub-committee, which will meet monthly, is responsible for the selection of national nutrition and HIV
trainers, approval and revision of materials and provision of overall policy and technical guidance for
implementation of nutrition and HIV activities in the NuLife supported facilities and those of collaborating
organizations. 4) NuLife is collaborating closely with the MOH/Quality of Care Initiative (QoCI) in the
introduction of food and nutrition interventions in health facilities providing ART throughout the country. The
mechanisms through which NuLife will collaborate with the national QoCI including support for the
participation of selected nutritionists or nutrition focal persons in the national-level Core Team (made up of
technical staff from MOH, URC/HCI staff and key USG HIV care and treatment partners), the Regional
Coordinator Teams (5-6 member); and the District Quality Improvement (QI) Teams. During FY2009, NuLife
will introduce food and nutrition interventions in selected HCI sites through training in priority areas during
learning sessions, and will provide follow-up through monthly supervision or coaching visits to Phase One
and Phase Two Sites. Under the HCI model for sustainability purposes, the district QI teams are assuming
the roles of the Regional Coordinator Teams in the supervision and support to participating health facilities
in relation to implementation of ART guidelines, data collection and management, and improving the quality
of care and services. NuLife has worked with the HCI program to strategically start with districts where there
is a presence of URC- supported facilities and orienting the districts in food and nutrition interventions for
PLWHAs. 246 staff from DHT teams will be trained to provide support supervision to health facilities
supported by NuLife. 5) Community mobilization will create demand for comprehensive food and nutrition
services for PLHIV, mobilizing internal resources to the response, reaching the most vulnerable, and
addressing the underlying causes of malnutrition. Approximately 400 network support agents and peer
counselors within the catchment area of the 32 Phase One and 45 phase Two facilities will be trained and
supported to integrate food and nutrition interventions for PLHIV. Using the Community Action Cycles
(CACs) approach, NuLife will work with USG partners to initiate relationships with existing community-based
groups (volunteer networks, family support groups, and community leaders) to promote good nutrition
Activity Narrative: practices. Other support activities will be identification and follow up of malnourished cases. For each of the
ART QI teams, at least 2 people from the community groups will be seconded to the QI team whose roles
will be to coordinate the community component and linking the community with the health facility. At the sub
-county level, a community core group (CCGs) of 4-5 persons will be formed to provide overall coordination
of activities at the sub-county level including development and implementation of community action plans for
food and nutrition. Trained volunteers will primarily identify and follow up malnourished PLHIV children
using the mid upper arm circumference (MUAC) and simple criteria of danger signs to determine those in
need of referral. Working with ACDI/VOCA and other partners, like World Vision, WFP, LWF, linkages will
be made to programs that provide supplementary feeding, food assistance and livelihood assistance
programs for households of PLHIV.
New/Continuing Activity: New Activity
Continuing Activity:
Emphasis Areas
Gender
* Increasing gender equity in HIV/AIDS programs
Health-related Wraparound Programs
* Child Survival Activities
* Safe Motherhood
Refugees/Internally Displaced Persons
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $163,000
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Estimated amount of funding that is planned for Food and Nutrition: Policy, Tools $150,000
and Service Delivery
Food and Nutrition: Commodities
Estimated amount of funding that is planned for Food and Nutrition: Commodities $50,000
Economic Strengthening
Education
Water
Table 3.3.08:
programs for households of PLH.
New/Continuing Activity: Continuing Activity
Continuing Activity: 15773
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
15773 15773.08 U.S. Agency for University 7257 7257.08 HCI (Health $2,700,000
International Research Care
Development Corporation, LLC Improvement
Project)
Estimated amount of funding that is planned for Human Capacity Development $166,000
Estimated amount of funding that is planned for Food and Nutrition: Policy, Tools $165,000
Table 3.3.09:
Activity Narrative (Pediatric)
The Food and Nutrition Intervention for Uganda -(NuLife) is being implemented by University Research
During FY 2008, NuLife has established collaboration mechanisms with MOH through establishment of a
Sub-Committee on Nutrition(SCN) and provided technical assistance in drafting the National Nutrition and
HIV and TB Strategy (2008-2010). NuLife has reviewed both national and international guidelines, training
curricula, educational materials and other documents related to food and nutrition for PLHIV; supported the
updating and expansion of the National Infant and Young Child Feeding (IYCF) Guidelines and the
development of related counseling tools and other job aids. It has facilitated a critical review of the draft
National Guidelines on the Integrated Management of Acute Malnutrition (IMAM). Through the Heath Care
Improvement Project (HCI), NuLife secured a position for a nutritionist on the Core Team at the national
level and expanded the role of the current HCI-supported Quality Improvement (QI) collaborative teams to
include a nutrition focal person at each level. Through regular HCI learning sessions, a total of 223 health
workers from 120 ART facilities were sensitized in the basics of integrating food and nutrition in health
facilities. Working with the IHAA and the Northern Uganda Malaria and HIV/AIDS TB (NUMAT) program,
605 network support agents (NSAs) and 100-health facility in charges from 36 districts received an initial
orientation and package of educational materials on the special food and nutrition needs of PLHIV. A
Geographic Information System (GIS) was established for use in prioritizing areas of operation, program
planning and visual reporting; 32 phase one priority sites across 29 districts were selected and a community
mobilization strategy was developed. The specifications for the production of a local RUTF were developed
and the identification and selection process for a Ugandan manufacturer was completed.
During FY2009, NuLife will build on and consolidate its FY2008 achievements as it expands its technical
and financial support for HIV-related food and nutrition interventions. Specific to Adult Care and Treatment
programming, Under the framework of the National Strategy for Nutrition and HIV and TB (2008-2010),
NuLife will support training of both facility and community health staff in 32 Phase One and 45 Phase Two
sites participating communities related to 1) nutrition and HIV/AIDS for Adult Care and Treatment
programs, including nutritional assessment, counseling, forecasting of RUTF, and food by prescription
(FBP); 2) Integrated Management of Acute Malnutrition (IMAM) in the context of HIV/AIDS; and Community
Mobilization for Behavior Change related to nutrition and HIV. Support materials will include: a) a counseling
materials for use with PLHIV, b) patient take home flyers; c) training materials and d) equipment. NuLife will
greatly support the capacity building effort of the MoH and other partner for integration of nutrition care and
support within adult care and treatment services by training a core national team of 100 trainers drawn from
a pool national and regional level nutrition experts. The trainers will in turn train health workers, community
(nutrition counseling, assessment and food by prescription) services. A total of 1600 health workers from
Phase One and Two health facilities and participating communities will be trained. 654 community health
workers will be trained under the NuLife community mobilization model and through partnership with IHAA,
EGPAF, NUMAT and other USG implementing partners.
USG Partner Coordination: The program will focus collaborative efforts with USG partners implementing
Adult Care and Treatment programs in the selection of health care providers to be trained. Some of the
major Adult Care and Treatment partners will include JCRC, TASO, International HIV AIDS Alliance,
NUMAT, CRS/AIDSRelief, where programming overlaps with the 32 NuLife Phase One Sites and 45 Phase
Two Sites. Adult patients participating in programs supported by USG partners will also be able to access
food and nutritional care and support counseling services.
MOH/Quality of Care Initiative (QoCI): NuLife is collaborating closely with the MOH/Quality of Care Initiative
in the introduction of food and nutrition interventions in health facilities providing ART throughout the
country. The mechanisms through which NuLife will collaborate with the national QoCI including support for
the participation of selected nutritionists or nutrition focal persons in the national-level Core Team (made up
of technical staff from MOH, URC/HCI staff and key USG HIV care and treatment partners), the Regional
PLHAs. A total of 246 staff from DHT teams will trained to provide support supervision to health facilities
supported by NuLife.
Community level: Community mobilization will be used as a strategy towards creating demand for
comprehensive food and nutrition services for PLHIV, mobilizing internal resources to the response,
reaching the most vulnerable within the catchment area, and addressing the underlying causes of
malnutrition. Approximately 400 network support agents and peer counselors from communities within the
catchment area of the 32 Phase One and 45 phase Two facilities will be trained and supported by district
and health facility-based teams to integrate food and nutrition interventions for PLHIV. Using the Community
Activity Narrative: Action Cycles (CACs) approach, NuLife will work with USG partners to initiate relationships with existing
community based groups (volunteer networks, family support groups, and community leaders) to promote
good nutrition practices. Other support activities will be identification and follow up of malnourished cases
within the catchment area. For each of the ART QI teams at the 32 Phase One and possibly 45 phase Two,
at least 2 people from the community groups will be seconded to the QI team whose roles will be to
coordinate the community component and linking the community with the health facility. At the sub-county
level, a community core group (CCGs) of 4-5 persons will be formed to provide overall coordination of
activities at the sub-county level including development and implementation of community action plans for
Estimated amount of funding that is planned for Human Capacity Development $70,000
Estimated amount of funding that is planned for Food and Nutrition: Policy, Tools $35,000
Estimated amount of funding that is planned for Food and Nutrition: Commodities $45,000
Table 3.3.10:
Estimated amount of funding that is planned for Food and Nutrition: Policy, Tools $50,000
Estimated amount of funding that is planned for Food and Nutrition: Commodities $40,000
Table 3.3.11:
Activity Narrative (OVC)
The Food and Nutrition Intervention for Uganda - NuLife is being implemented by University Research Co.,
LLC (URC) to support to Ministry of Health (MOH), CBOs/NGOs, Networks of People Living with HIV/AIDS
and USG implementing partners to integrate and expand food and nutrition into HIV/AIDS prevention, care
and treatment programs, with a focus on increasing the utilization, adherence to and efficacy of anti-
retroviral treatment (ART) and improving the nutritional and health status of PLHIV. The program's three
primary objectives include: 1) provision of technical and financial support to the MOH, CBOs/NGOs, PLHIV
Networks, USG partners to integrate food and nutrition interventions in HIV and AIDS prevention, care and
treatment programs; 2) development of a high quality, low-cost, nationally acceptable RUTF made from
locally available ingredients and 3) the establishment of a supply chain system for the delivery of RUTF to
participating health facilities. The program will provide 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. Focused food and nutrition interventions
include: 1) Food by Prescription (FBP) including nutrition assessment, counseling, prescription of food as
needed and follow-up of adults and children on ARVs; 2) Infant and Young Child Feeding (IYCF) and follow-
up of women participating in PMTCT programs and their HIV-exposed infants; and 3) Integrated
Management of Acute Malnutrition (IMAM/CMAM), a strategy aimed at strengthening the link between the
community and facility to improve nutrition assessment, counseling, referral and follow-up. Targeted food
related support is focused on therapeutic foods prescribed for moderately and severely malnourished PHAs.
NuLife has made substantial progress during FY 2008 in setting the groundwork and establishing
collaboration mechanisms for fully integrating food and nutrition interventions for PLHIV. At the national
level, NuLife was instrumental in establishing a Sub-Committee on Nutrition(SCN) within the MOH to guide
the national nutrition agenda; developed a joint work plan with the Nutrition Unit of the MOH ACP,
articulating specific areas of technical and financial support; provided technical assistance in drafting the
National Nutrition and HIV and TB Strategy (2008-2010); collected and reviewed a variety of guidelines,
training curricula, educational materials and other documents (both national and international) related to
food and nutrition for PLHIV as part of an initial benchmarking activity; supported the updating and
expansion of the National Infant and Young Child Feeding (IYCF) Guidelines and the development of
related counseling tools and other job aids; and facilitated a critical review of the draft National Guidelines
on the Integrated Management of Acute Malnutrition (IMAM). Through the Heath Care Improvement Project
(HCI), NuLife secured a position for a nutritionist on the Core Team at the national level and expanded the
role of the current HCI-supported Quality Improvement (QI) collaborative teams to include a nutrition focal
person at each level. Through regular HCI learning sessions, a total of 223 health workers from 120 ART
facilities were sensitized in the basics of integrating food and nutrition in health facilities. Working with the
IHAA and the Northern Uganda Malaria and HIV/AIDS TB (NUMAT) program, a total of 605 network support
agents (NSAs) and 100 health facility-in-charges from 36 districts received an initial orientation and package
of educational materials on the special food and nutrition needs of PLHIV. A Geographic Information
System (GIS) was established for use in prioritizing areas of operation, program planning and visual
reporting; 32 phase one priority sites across 29 districts were selected and a community mobilization
identification and selection process for a Ugandan manufacturer was completed through the issuance of an
expression of interest and subsequent request for proposals.
During FY2009, NuLife 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. In FY 2009, NuLife will continue
to promote a close collaboration with USG partners and will work through a number of official MOH
structures and mechanisms including the MOH Sub-Committee on Nutrition MOH Sub-Committee and the
MOH/Quality of Care Initiative.
Activity Narrative: PLHAs. A total of 246 staff from DHT teams will trained to provide support supervision to health facilities
Action Cycles (CACs) approach, NuLife will work with USG partners to initiate relationships with existing
Estimated amount of funding that is planned for Food and Nutrition: Policy, Tools $90,000
Table 3.3.13:
