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
The goals of this activity are to improve and harmonize strategies, guidelines, manuals and plans for food and nutrition interventions for PLHIV; strengthen food and nutrition interventions, and in particular improve treatment for moderate and severe acute malnutrition, for PLHIV and OVC in USG-supported HIV care and treatment services; and; improve coordination among USG-supported HIV care and treatment services, OVC and food security programs.
This activity contributes to objectives 5.1 and 5.2 of the Partnership Framework, strengthening national capacity to increase access to a continuum of HIV care services and promote referrals systems. This activity is also key to improving nutritional status of PLHIV and HIV affected households.
FANTA II technical assistance to PEPFAR clinical and TITLE II partners, and GOM will target adults and children living with HIV; HIV-positive pregnant and lactating women; infants and young children (0-24 months) born to HIV-positive mothers; OVC and their caregivers. FANTA II operates at the central-level to improve national-level coordination of the GOM and its partners through the MOH Nutrition and HIV Technical Working Group and development of national guidelines for nutrition and HIV. Fanta II operates at the provincial-level in Manica, Gaza, Nampula, Sofala and Zambezia to strengthen the Provincial Health Directorates (DPS) and its partners capacity to provide nutrition assessment, counseling and treatment of acute malnutrition among children, adolescents and adults with HIV.
FANTA II will strengthen the health system through establishing national level protocols for nutrition and HIV and training of health service providers as well as community based health workers.
FANTA II will support I-TECH in the improvement of pre-service and in-service training of health professionals in respect to nutritional aspects of the care and treatment of individuals with HIV. Contingent on MOH priorities and timelines, FANTA II will support the development of nutrition and HIV
modules for MOH Community Health Worker (CHW) Program and the development of nutrition and HIV modules for the curriculum used in the national nutrition technician training program.
FANTA II will support the MOH Nutrition and HIV Technical Working Group (TWG) to ensure partner coordination among MOH and its partners. Support to the TWG will also be to develop an implementation plan for the national strategy document Components of a Nutrition Intervention Package in HIV and TB through the National Health System. FANTA II will support the printing of the national strategy document. FANTA II will also support the Department of Nutrition to host three regional meetings to launch the national strategy and solicit participation in the development of an implementation plan.
FANTA II will also support the Mozambique Nutrition and Food Security Association (ANSA) and the Mozambique National Association of Nurses (ANEMO) to develop nutrition and HIV training materials for home-based care volunteers and community health workers. The project will support ANSA and ANEMO to conduct regional trainings in Gaza, , Nampula, Sofala and Zambezia Provinces. They will also update and improve a flipchart and counseling guide on nutrition and HIV developed in Mozambique.
FANTAII will support the development of training materials on nutrition and HIV for facility-based health staff and HBC workers. The training materials include modules on Nutrition Care and Support of HIV- Positive Pregnant and Lactating Women, Infant Feeding in the Context of HIV and Feeding HIV-Positive Infants and Children.
FANTA II partners with other organizations and local institutions in Gaza, , Nampula, Sofala ,Zambezia and Maputo Provinces to complete its activities in order to maximize coordination, coverage and avoid duplication of activities. For example, FANTA II and UNICEF are jointly supporting Save the Children to provide training to the DPS in Nampula Province to strengthen capacity to treat acute malnutrition. Partnering with local institutions also builds local capacity in nutrition and HIV. For example, FANTA II is supporting the ANSA and the ANEMO to train HBC workers in nutrition and HIV.
FANTA II will support the ANSA and ANEMO to conduct regional trainings in Gaza, Manica, Nampula,
Sofala and Zambezia Provinces. The trainings will target Trainers-of-Trainers in carrying out community-
based nutrition assessment, education and counseling of PLHIV. FANTA II will support the cost of the
training venues, food for participants during the trainings, and travel and accommodation for participants
from the Provincial Health Directorates (DPS) and central level MOH for all of the trainings listed above.
USG partners will be responsible for the travel and accommodation costs of USG partner participants.
FANTA II will support the cost of printing of training materials and associated job aids. This TA to
partners and DPS will be done with partners providing HIV treatments services, not ARV sites (ANC,
PMTCT, and primary health care) will also improve their nutritional assessment and treatment capacity
as the GOM moves towards integrated services.
FANTA II will continue to support the MOH Nutrition and HIV and the Mozambique Nutrition Website to facilitate coordination among MOH and its partners in the area of nutrition and HIV. Support to the MOH nutrition technical working group (TWG) will also be to develop an implementation plan for the national strategy document, Components of a Nutrition Intervention Package in HIV and TB through the National Health System. FANTA II will support the printing of the national strategy document and support the Department of Nutrition to host three regional meetings (North, Center, South) to launch the strategy and solicit participation in the development of an implementation plan. The meetings will include the Provincial Health Directorates (DPS) and its partners.
FANTA II will continue to support I-TECH in the improvement of pre-service and in-service training of health professionals in respect to nutritional aspects of the care and treatment of individuals with HIV.
Contingent on MOH priorities and timelines, FANTA II will support the development of nutrition and HIV modules for the curriculum used in the national nutrition technician training program. The training program has not been in operation since 2006. The Department of Nutrition has expressed intentions to restart the program and update the curriculum which FANTA II will support if approved.
FANTA II will conduct training in two phases. Phase 1 will focus on training of trainers in the areas of nutrition assess, counseling and treatment of malnutrition; supply chain management; and monitoring and evaluation. Phase 2 will focus on community-level interventions for health workers in nutritional counseling and assessment with a specific focus on PLHIV. FANTA II will support the cost of the support team, training venues, travel and accommodation for participants from Provincial and District Health Directorates in Nampula and Zambezia. (UNICEF will cover costs of participants from Gaza and Sofala), associated job aids and training materials. USG-partners will be responsible for the travel and accommodation costs of USG-partner participants.
Starting August 2010, all USG-supported care and treatment partners will assign a dedicated individual on their staff to be responsible for nutrition activities. The cost of the nutrition staff person will be supported by the USG partner to ensure adequate supervision and implementation of activities.