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.
1. ACTIVITY DESCRIPTION AND EMPHASIS AREAS
This activity will build the organizational and technical capacity of health care providers and community
health workers to support counseling on infant and young child nutrition, and to build support groups of HIV
positive mothers to strengthen exclusive breastfeeding as an important strategy in PMTCT. The activity will
continue to support the training of 120 health care providers (HCP) in lactation management and infant and
young child nutrition, and will form support groups from mothers who are HIV positive who have passed
through a PMTCT program and have already disclosed their status. Such identified mothers will provide
support both at facility and community levels. IEC materials on infant and young child feeding will be
distributed to pass the correct information on to both health workers and the mothers concerning
appropriate feeding options from birth, at 6 weeks when early infant diagnosis is done, and at 6 months
when weaning starts. This project will be implemented in the two 2 districts of Nyando and Kisumu. The key
activities will be to develop the organizational and technical capacity of local HCP to provide nutrition
guidance and counseling and supportive supervision and mother support groups to provide actual support
on how to operationalize exclusive breastfeeding for 6 months, and to demonstrate correct infant
attachment and positioning during breastfeeding. Funds granted through CDC TBD will be used to provide
a standard package including training of HCP and some incentives for mothers used in the support groups
both at facility level and the community level. All mothers testing HIV positive who do not meet AFASS
criteria will be encouraged to do exclusive breastfeeding for 6 months, in line with the WHO latest
consensus statement. This activity will be critical especially following early infant diagnosis at 6 weeks or
first contact where currently there is confusion on the correct information to give when a child of a positive
mother tests negative. Nutrition guidelines will be used to pass the right information. Capacity building
activities will include both strengthening of administrative operations and strengthening community linkages
and technical capacity. Documentation of how many mothers practiced exclusive breastfeeding for 6
months will be encouraged. This activity includes emphasis in the areas of local organization capacity
development, development of community support networks, logistics, human resources, and supportive
supervision.
2. CONTRIBUTIONS TO OVERALL PROGRAM AREA
These activities will contribute to the establishment of nutrition/ exclusive breastfeeding support groups for
mothers with HIV, strengthened human resource capacity to deliver infant and young child nutrition
counseling and strengthened mother to mother breastfeeding support groups. This partner has a key role in
building the organizational and technical capacity of local organizations so that these activities can be
sustained over the long term.
3. LINKS TO OTHER ACTIVITIES
This activity relates to PMTCT services supported by the University of Nairobi, Department of Obstetrics
and Gynecology.
4. POPULATIONS BEING TARGETED
The primary target population is HIV- infected mothers and their exposed infants, including HIV-infected
children. The program will reach out to mothers testing positive in the antenatal or postnatal period, and to
infants receiving EID at 6 weeks or first contact, and at 6 months when complementary feeding starts. The
activity will also target training and capacity building of health care workers, mainly doctors, clinical officers,
nutritionists and nurses. The activity also aims to include community-based health care providers and
mothers living positively with HIV.
5. KEY LEGISLATIVE ISSUES ADDRESSED
This activity addresses legislative issues related to stigma and discrimination through involvement of
PLWAs in service provision and community sensitization activities. Stigma will be avoided by encouraging
all mothers, HIV positive or negative, to practice exclusive breastfeeding for 6 months.
6. SECONDARY CROSS-CUTTING BUDGET ATTRIBUTIONS
This activity supports key attributions in human capacity development through the training of health care
service providers on, Infant and young child nutrition and lactation management and other HIV prevention
and care topics in order to equip them with knowledge and skills to support exclusive breastfeeding in the
first 6 months of life.
New/Continuing Activity: New Activity
Continuing Activity:
Emphasis Areas
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.01:
