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: 2007 2008
This activity is linked to HVAB (#8878) and supports the second year of a public-private partnership (PPP) between OGAC, two USAID programs ( Food for Peace and USAID/Zambia), Land O' Lakes, and private Zambian food processors for the sustainable, private sector development of food supplements for people living with HIV/AIDS (PLWHA). In FY 2006, OGAC will provide $250,000 to support this PPP and the USG/Zambia will contribute $100,000 of its PEPFAR funding in FY 2007 through its USAID partner, The Cooperative League of the USA (CLUSA). Land O' Lakes will be the key implementing partner in this PPP. USAID will leverage $250,000 in resources from Food for Peace ($60,000 from Land O'Lakes' Title II Institutional Capacity Building Award (ICB) and $190,000 from the Land O' Lakes FFP Dairy Development Cooperative Agreement). Private sector contributions and investments through Land O' Lakes and Zambian Food Processors will be valued at $250,000.
The need for fortified foods for malnourished PLWHA in Zambia is well documented. According to the World Health Organization: "HIV progressively damages the immune system, which can … lead to … weight loss and diarrhea….HIV-related conditions can lower food intake by reducing appetite and interfering with the body's ability to absorb food. HIV also alters metabolism, which … leads to increased energy and nutrient requirements for people with HIV.... Care for people living with HIV and AIDS needs to include … a healthy, balanced diet … rich in energy, protein and micronutrients."
The Production, Finance and Technology (PROFIT) Project, is a five year USAID economic growth initiative, started in FY 2005 and implemented by a consortium of organizations with strong experience in production, finance, and technology initiatives in Zambia. CLUSA, Emerging Markets Group (EMG), and International Development Enterprises (IDE) work in collaboration with a diverse group of Zambian organizations representing both the public and private sectors including key Government of Zambia (GRZ) institutions, Zambian NGOs, and small, medium, and large private sector firms. This diverse group aims to increase the production of selected agricultural commodities and non-farm products for which Zambia has a comparative advantage in both domestic and regional trade. As HIV/AIDS has had a negative impact on Zambia's agricultural production, using a wraparound approach the USG will continue to leverage the existing platform and human resources of the PROFIT Project to implement this public-private partnership.
This activity will support the continuation of the production and marketing of Ready to Use Therapeutic Food (RUTF) using a business model that will: (1) build the capacity of sustainable food businesses in Zambia to produce RUTF for PLWHAs; (2) provide the platform for RUTF processing and marketing operations in Zambia; and (3) provide technical innovations and assistance in RUTF product development, processing and marketing. Land O'Lakes will continue to contribute its strength in food technology and its experience in working with the food processing sector in Zambia to develop new/improved processed foods that effectively address the critical nutritional requirements of people living with HIV/AIDS and build a local private-sector capacity to effectively develop and deliver high-quality, nutritionally dense processed foods at an affordable price on an ongoing basis. Land O' Lakes will ensure the nutritional and dietary appropriateness of any RUTF by coordinating closely with the Food, Nutrition and HIV/AIDS Advisor and Maternal and Child Health Advisor at USAID and other nutrition experts in Zambia.
This activity will result in: (1) Three appropriate, new enriched food products made available for malnourished PLWHA to use as a dietary supplement; (2) Three Zambian food processors with sustainable capacity to develop nutritionally balanced and dense foods for the benefit of malnourished PLWHA; and (3) NGOs/PVOs having access to additional nutritious foods to distribute through CBOs, FBOs, clinics, and other channels to effectively assist PLWHA that require nutritional supplementation.
In addition, best industry practices will be shared between the USG and Zambia that will align USG, U.S. food industry, host country food industry, NGOs and government toward nutrition innovations that comply with international health and food quality standards, and OGAC Palliative Care and Food/Nutrition Guidance as mutually beneficial supply relationships between Zambian food processors and NGOs/PVOs are established.
Distribution to PLWHA will occur through processors selling their nutritional products into multiple market channels such as: (1) food assistance and HIV/AIDS household care
networks of NGOs/PVOs, i.e., World Food Programme (WFP), RAPIDS, SUCCESS, and others; (2) retail channels as branded consumer products: markets, kiosks to a limited extent; and (3) institutional sales: clinics, workplace, schools, hospitals, GRZ. It is anticipated that provision of products through channels (1) and (3) only will occur with the funds from this request. As part of the project, the technical staff of NGOs/PVOs will act as advisors, assuring that there is wide distribution when the products become market-ready.
Land O'Lakes will utilize ICB grant resources and FY 2007 PEPFAR funds to help food processors commercialize these products with the hopes of capturing consumer demand. If these products become commercialized, it is anticipated that a percentage of profits earned by processors from sale of retail products will be applied as a "cross-subsidy" to reduce the price to NGOs/PVOs for the products used in food aid.
The food industry will access the best food and nutrition science from the Land O'Lakes network, and apply its experience and know-how on local food tastes and market positioning, creating foods that meet the special needs of many Zambians. Anticipated positive impacts on the people most affected by the HIV/AIDS crisis in Zambia include: (1) The food industry will invest in the development of affordable, nutritiously dense foods that are widely distributed to reach Zambian PLWHA in need of nutritious foods in consultation with NGOs; (2) In Zambia, PLWHAs will have access to safe, microbiologically clean, wholesome, processed food of standardized quality, packaged for safe handling and storage, and labeled will be enhanced; (3) The needs of HIV+ food processing industry employees will be addressed via programs that prevent stigma and offer services to prolong life, and retain people as productive workers.
In FY 2006, 2500 malnourished People Living with HIV/AIDS will be provided with dietary nutritional supplements as a result of RUTF product development and processing. In FY 2007, it is estimated that at a minimum an additional 2500 malnourished PLWHAs will receive dietary supplements and that RUTF will be marketed in a number of provinces.
