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 2015
The Integrated Management of Acute Malnutrition (IMAM) program will focus on identifying, treating, and weaning children and adults who are severely wasted/ malnourished. HIV/AIDS has exacerbated the problem of malnutrition in the country and significantly contributes to the problem of acute malnutrition/wasting. Malnutrition contributes up to 60% of childhood mortality.
Targeted nutrition interventions will be provided to children (including OVC), pregnant and lactating women, and persons living with HIV/AIDS to help break this cycle of malnutrition, disease and mortality, and to improve the quality of life and increase productivity. Family-centered nutrition service delivery will entail treatment of malnutrition through therapeutic and supplementary feeding, promotion of effective infant feeding practices, and maternal nutrition. This program will provide district-wide coverage of IMAM through the health system at facility and community levels and will target districts with high levels of malnutrition and HIV/AIDS prevalence. The proposed project geographic coverage for malnutrition treatment services is within the Government of Uganda health system, at community and health facility levels, in the same areas where - STAR SW provides comprehensive HIV services in the districts of Ntungamo and Kisoro.
The program is implemented in collaboration with District Health Teams and government health workers and, as much as possible, uses government approved tools like guidelines, reporting and supervision mechanisms. Coaching and mentoring are also emphasized as part of skill building and task shifting to ensure sustainability. This alignment with the GoU underscores GHI principles of country ownership and sustainability.
There are no expected vehicle purchases
The proposed activity will provide supplementary and/or therapeutic feeding services through in-patient and outpatient services based on defined entry and exit criteria, clinical status, and severity of malnutrition. Target groups include undernourished adolescents and adults with acute malnutrition in facilities and communities in two districts in South Western Uganda. More than 8,500 adolescents and adults with acute malnutrition (including pregnant and lactating women, and people living with HIV (PHA)) will be reached with IMAM activities. Locally produced ready-to-use therapeutic foods (RUTF) and other fortified blended foods will be provided by prescription to moderately malnourished pregnant and lactating women and adult PHAs through the health system.
Community level activities will focus on active case finding and referral of malnourished pregnant and lactating women and adult PHAs. Targeted nutrition interventions will be provided with the goal of enhancing knowledge and practice of good nutrition and hygiene at the household level. The program will use existing community structures such as the village health team (VHT), opinion/religious leaders, community-based organizations to strengthen health facility/community linkages for follow-up, adherence, and linkage to other food security interventions. The IMAM activities will be implemented within the existing health system structures at the facility and community level. Integration with other health activities will occur through out-patient and in-patient services (including ART/care clinics), ante-natal care (including PMTCT), and community outreach service delivery points.
In-service training and mentoring during supportive supervision will be undertaken in partnership with the district and the Ministry of Health. Activity implementation will also be done within the framework of other service delivery channels using national tools and guidelines. In doing this, the health workers will be equipped with skills that will ensure sustainability beyond the project life.
The proposed activity will provide supplementary and/or therapeutic feeding services through in-patient and outpatient services in the districts of Kisoro and Ntungamo based on defined entry and exit criteria, clinical status, and severity of malnutrition. Integrated Management of Acute Malnutrition (IMAM) activities will be made available to eligible children receiving ART care. Locally produced ready-to-use therapeutic foods (RUTF) and other fortified blended foods will be provided by prescription to moderately malnourished children. Community level activities will focus on active case finding and referral of malnourished children. The program will use existing community structures such as the village health team (VHT), opinion/religious leaders, and community-based organizations to strengthen health facility/community linkages for follow-up, adherence and linkage to other food security interventions. The IMAM activities will be implemented within the existing health system structures at the facility and community level. Integration with other health activities will occur through out-patient and in-patient services (including ART/care clinics) and community outreach service delivery points. The project fits into and contributes to the Health Sector Strategic and Investment Plan (HSSIP) and the Child Survival Strategy and operates within the Infant and Young Child Feeding (IYCF) policy and IMAM guidelines for Uganda. In-service training and mentoring during supportive supervision will be undertaken in partnership with the district and the MOH. Activity implementation will also be done within the framework of other service delivery channels using national tools and guidelines. In doing this, the health workers will be equipped with skills that will ensure sustainability beyond the project life.
