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
PHE CONTINUING STUDY:
Project Title: Randomized controlled evaluation of the impact of food supplements on malnourished HIV-
infected adult ART clients and malnourished, HIV-infected adult pre-ART adults in Kenya.
Name of Local Co- Investigator: Dr. David L. Mwaniki, Kenya Medical Research Institute (KEMRI), Nairobi
Project Description:
The PHE investigates the impacts of food supplementation on nutritional and clinical status of
malnourished, adult ART and pre-ART clients. HIV-infected adults with BMI<18.5 at six sites in Kenya are
randomized to receive either a micronutrient-fortified blended food and nutritional counseling, or nutritional
counseling alone during their initial six months of ARV treatment (ART clients) or during six months of
cotrimoxazole treatment (pre-ART clients). Data on subjects' nutritional status, clinical status, quality of life,
and drug adherence are collected for six months of supplementation and six months of follow-up. Those
receiving food are compared to those who are not.
Timeline:
FY 2008 = Year 3 of activity
Year started: FY 2006
Expected year of completion: FY 2008
Funding:
Funds received to date: $680,000[Note: These are funds from USAID/Nairobi; other funds for this PHE are
listed below.]
Funds expended to date: $413,005
Funds requested to complete the study:
FY 08: None requested.
Beyond FY08: None requested.
Describe funds leveraged/contributed from other sources:
The USAID Office of HIV/AIDS provided $100,000 to supplement the funds provided by USAID/Nairobi.
Status of Study:
Currently the PHE is being implemented in the field and data collection is ongoing.
Lessons Learned:
Data collection is still ongoing and results are not yet available. One initial lesson learned is that default
rates are a significant problem among both ART and pre-ART clients. This appears to be a problem both
among those receiving food and those not receiving food, and based on discussion with the Government of
Kenya and analysis of other site data, it appears to be a problem at many sites in the country. Formative
assessment is needed to identify the reasons for default and actions to address this.
Information Dissemination Plan:
When the PHE is completed, the FANTA Project and KEMRI will disseminate results through a meeting in
Nairobi for national and international stakeholders; presentation of results to the Government of Kenya;
sharing of the final report electronically with OGAC, USAID offices, WHO, UNICEF, and other stakeholders;
presentation at international forums; and publication in a peer-reviewed journal.
Planned FY08 Activities:
During FY08, the field work will be completed, data will be analyzed, and results will be written up.
Following review of initial results and the draft report, FANTA and KEMRI will produce a final report. It is
planned to hold a meeting in Nairobi to present and disseminate the results of the study.
Budget Justification for FY2008 Budget (USD):
N/A. We have not included a FY2008 budget because no FY 2008 funds are required or requested for this
PHE.
