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: 2010 2011
Since 2003, the World food program's (WFP) urban HIV/AIDS project "Supporting households, women and children infected and affected by HIV/AIDS", has been addressing the food and nutrition needs of people living with HIV/AIDS (PLWHAPLWHAA), women attending prevention of mother-to-child transmission (PMTCT) services and orphans and vulnerable children (OVC). The overall goal of the project is to assist food insecure HIV/AIDS infected and affected households to develop their capacities to cope with the impacts of HIV/AIDS through the provision of food and nutrition assistance.
The general objectives are to: (1) improve the nutritional status and quality of life of food insecure PLWHAPLWHAA on Home Based Care (HBC), Antiretroviral Therapy (ART), and PMTCT, (2) promote adherence to ART and compliance to PMTCT services, (3) to contribute to the improvement of school attendance of OVC and (4) develop the economic capacities of beneficiaries graduating from the project to meet their nutritional needs. The life saving nutritional support will assist PLWHAPLWHAA to adhere to ART contributing to the better outcome of their treatment. By adding a food component to PMTCT services, WFP aims to encourage the enrollment and compliance to the service packages and assist HIV positive pregnant women and nursing mothers to meet their nutritional requirements for better pregnancy and birth outcomes.
The project targets food insecure and malnourished adult PLWHAPLWHAA on pre ART follow up and on ART with a body mass index of < 18.5, women from food insecure households attending PMTCT services and OVC, prioritizing double orphans, child-headed and women-headed households that are food insecure. PLWHAPLWHAA needing food assistance will be identified at a community level by home-based care providers and referred to the project where nutritional and clinical assessment will be conducted for food assistance and referral to health institutions. On the other hand, malnourished PLWHAPLWHAA who had already undergone nutritional and clinical assessments at health institutions but still requiring food assistance will be directly referred to the project. PMTCT service providers will refer clients requiring food assistance to the project while OVC will be selected for assistance at kebele level through a coordination committee established to undertake beneficiary selection and graduation process. The food ration provided by WFP will complement the food contribution provided by other multilateral and bilateral donors and that received from PEPFAR Ethiopia for individuals infected and affected by HIV/AIDS.
The three categories of beneficiaries will be graduating from the project based on their respective graduation criteria. Graduating beneficiaries will be linked to complimentary sustainable livelihood initiatives. In addition, they will be provided with opportunities to meet and discuss on issues related to HIV/AIDS and provided with services to meet their emotional and information needs. These meetings and discussions will be held every month at food distribution sites and will be facilitated by trained facilitators and invited resource persons to transfer key nutrition, prevention, positive living and reproductive health messages.
The project will be implemented in selected most populous towns in Ethiopia that are food insecure and with a high rate of adult HIV prevalence. These towns include Axum, Adwa, Mekele in the Tigray region, Bahirdar, Gondar, Dessie, Debremarkos, kombolcha, Woldya and Debrebirhan in Amhara region, Debreziet, Adama, Mojo, Shashemene, Jimma and Nekemte in Oromia region, Dilla, Wolayta Sodo, Awassa and Arbaminch in Southern Nation Nationalities region, Harar in Harari region, Addis Ababa city administration and in DireDawa City administration. The project is designed to build upon and compliment existing care, support and treatment services, hence is linked to home based care, ART, PMTCT, pediatric AIDS care and OVC care for maximum impact. Linkages to the upcoming food by prescription and to projects that promote nutritional well being through sustainable community interventions will be created and strengthened. WFP will implement the intervention through a range of government, non government organizations (NGO) and community-based organizations (CBOs) in each project area. Each town has a coordination committee that is composed of representatives of town HIV/AIDS Prevention and Control Offices, health bureau, health service providers, NGO partners, CBOs, PLWHAPLWHAA associations and kebele HIV/AIDS committees. The coordination committee members are also members of their catchment health networks in which PEPFAR partners are participating to further strengthen complimentarity and coordinate service delivery. Home-based care providers of partners working on the food and nutrition assistance project will be trained on nutrition counseling while nutrition assessment and results-based management trainings will be provided to home care supervisors to develop their capacity in appropriate targeting and results-based implementation. In partnership with the World Health Organization (WHO) WFP's existing training manuals will be reviewed to upgrade and keep the quality of the trainings. This project will be monitored through WFP's Results Based Management (RBM) system, the Action Based monitoring (ABM) system and through town level and regional review processes.
The project will address the food and nutrition needs of 18,719 malnourished and food insecure PLWHAPLWHAA, to improve their nutritional status and quality of life. This will address 33% of the National Multi Sectoral Plan for Universal Access. The project targets food insecure and malnourished adult PLWHAPLWHAA with a body mass index (BMI) of <18.5 on ART and on pre ART follow up. The project is designed to build upon and compliment existing care, support and treatment services establishing linkages to projects promoting nutritional well being and food by prescription. Beneficiaries are identified both at community and health institution level. After six months on food assistance beneficiaries will be nutritionally assessed and those with a BMI of 18.5 and above will start receiving half rations for additional three months before graduating while those with BMI of < than 18.5 will continue to receive food support till they meet graduation criteria. Beneficiaries will be linked to sustainable livelihood initiatives before graduation. The food ration is a supplementary household ration where WFP employs the contribution from other donors to cover the household part. 3,993 metric tons of food will be procured for the food basket which contains cereals to supplement carbohydrate requirements, pulses to supplement proteins, blended foods to supplement micronutrients and vegetable oil to provide energy. Provisions are made for beneficiaries to discuss issues on nutrition and positive living to meet their information needs. The project will be implemented in selected most populous towns in Ethiopia that are food insecure and with a high rate of adult HIV prevalence. These towns are Axum, Adwa, Mekele, Bahirdar, Gondar, Dessie, Debremarkos, kombolcha, Woldya, Debrebirhan, Debreziet, Adama, Mojo, Shashemene, Jimma, Nekemte, Dilla, Wolayta Sodo, Awassa, Arbaminch, Harar, Addis Ababa and Dire Dawa City administrations. WFP implements the intervention through a range of partners. Equipment for nutritional assessment and trainings on nutrition counseling and assessments will be provided to partners. This project is monitored through WFP Results Based Management (RBM) system and project reviews.
The project will address the food and nutrition needs of 20,875 food insecure OVC to contribute to the improvement of school enrollment and attendance. Food and nutrition assistance for OVC has a profound impact in reducing school drop-out rates and promoting enrolment. OVC are selected for assistance at kebele level through a coordination committee established to undertake beneficiary selection and graduation process. Double orphans, orphans in child headed and women headed households and female orphans in food insecure households are given priorities. The project is designed to build upon and compliment existing OVC care and support services for maximum impact. The project is implemented in partnership with a range of government, non government and community-based organizations (CBOs) providing a range of OVC care and support services that include mental, physical, emotional, social and spiritual support. A 2008 annual survey indicated that the percentage of OVC on food and nutrition assistance, in addition to other psychosocial support, enrolled in school had increased from 80.1% to 97.4% while the percentage of those attending 80% of the school days increased from 90% to 98%. 4,453 Metric tons of food will be procured for the monthly food basket which contains cereals, pulses, blended foods and vegetable oil. Provisions are made for older OVC and guardians to discuss issues on HIV/AIDS to address their information needs through beneficiary discussions held at food distribution sites. These discussions are facilitated by trained facilitators and invited resource persons to transfer key messages on nutrition, prevention and OVC psychosocial support needs. The project will be implemented in selected most populous towns in Ethiopia that are food insecure and with a high rate of adult HIV prevalence. These towns are Axum, Adwa, Mekele , Bahirdar, Gondar, Dessie, Debremarkos, kombolcha, Woldya , Debrebirhan, Debreziet, Adama, Mojo, Shashemene, Jimma, Nekemte, Dilla, Wolayta Sodo, Awassa, Arbaminch, Harar, Addis Ababa and DireDawa City administrations. This project is monitored through WFP Results Based Management (RBM) system and project reviews.
This activity will continue to address the food and nutrition needs of 2,500+ food insecure women attending ANC/PMTCT services to promote compliance for better pregnancy and birth outcomes. This will address a small part of the national Multi Sectoral target for universal access. Beneficiaries are identified at the community level by home care givers and linked to PMTCT service providers who will screen and refer to the project those requiring food assistance. Each quarter, beneficiaries must present medical certificates issued by PMTCT service providers indicating their compliance. In COP 2008, this demonstrated 100% compliance by all recipients - but a small number. The nationally agreed criteria for inclusion excludes several Pregnant women who may otherwise bnefit from this project. At 18 months, mothers will have their children tested and after a period of 24 months, mothers of HIV negative children will graduate from the project while mothers with HIV positive children will be reassessed for further assistance. The food ration is supplementary a household ration where WFP employs a contribution from other donors to cover the household part. several metric tons of food will be procured for the food basket which contains cereals to supplement carbohydrate requirements, pulses to supplement proteins, blended foods to supplement micronutrients and vegetable oil to provide energy. Beneficiaries will be linked to sustainable livelihood initiatives before graduation. Opportunities are created for beneficiaries to discuss issues on PMTCT to meet their information gaps.
The project will continue to be implemented in selected most populous towns in Ethiopia that are food insecure and with a high rate of adult HIV prevalence. These towns are Axum, Adwa, Mekele in the Tigray Region, Bahirdar, Gondar, Dessie, Debremarkos, Kombolcha, Woldya and Debrebirhan in Amhara Region, Debreziet, Adama, Mojo, Shashemene, Jimma and Nekemte in Oromia Region, Dilla, Wolayta Sodo, Awassa and Arbaminch in Southern Nation Nationalities Region, Harar in Harari Region and in Addis Ababa and DireDawa City administrations. It will also expand into other areas jointly identified with the GOE using a set criteria. WFP implements the intervention through a range of partners. Trainings on nutrition counseling and nutrition in PMTCT will be provided to partners in collaboration with the World Health Organization (WHO). This project is monitored through WFP's Results Based Management system and project reviews.
