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.
Subdivisions of Program Areas, these track general higher level sub-classifications of expenditure.
Subdivisions of Major categories, these are the most detailed expenditure data.
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
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
ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:
In spite of the reduced amount allocated (US$517,000k less than COP08) it is expected that the same
target of 22,500 OVC will benefit from nutritional food supplements during COP09. As the economic
strengthening activities of the FNSP kicks off it is expected that not all OVC who are provided food
supplements will require it for a period of 6 months.
COP08 ACTIVITY DESCRIPTION
This is a new activity which relates to other activities in the USG OVC portfolio. As part of a renewed effort
to improve comprehensive services offered to orphans and vulnerable children (OVC) in Nigeria, the USG is
procuring services for a new wrap-around nutrition project and food-related income generation activity
(IGA). Family Nutritional Support Program (FNSP) will target the immediate nutritional needs of the most
vulnerable children being supported by USG IPs throughout Nigeria and address the long-term livelihood
support needs of OVC and their caregivers in four states (Bauchi, Kano, Lagos and Cross River).
The Food Consumption and Nutrition Survey (FCNS) conducted by the International Institute of Tropical
Agriculture (IITA), which looked at the nutritional status of women and children under 5 in rural and urban
populations across Nigeria, showed a steep increase in the incidence of wasting between 6 and 12 months,
which corresponds with an end to exclusive breastfeeding and the introduction of complementary foods for
some children. Across the agro-ecological zones, 42% of children surveyed were stunted and 25% were
underweight, with the largest proportions in the dry savanna. The onset of the three forms of malnutrition
(stunting, wasting, and underweight) appears to occur most often between 6 and 24 months of age.
Malnutrition causes reduced resistance to infectious diseases, diminished learning capacity, and ultimately
leads to low productivity, incomes and national development
The PEPFAR Report on Food and Nutrition for People Living with HIV/AIDS (2006) notes that many parts of
the world most severely affected by HIV have long been plagued by systemic and chronic food insecurity,
and that there is a complex interrelationship between AIDS and food insecurity. Within this context, children
orphaned or made vulnerable by HIV/AIDS are more likely to experience compromised nutrition with
resulting negative impact on health. The FNSP will provide access to nutritional support services to all OVC
who are in need as identified by the Child Status Index, with a particular focus on under-fives.
FNSP has two components. The objective of the first component, which addresses immediate nutritional
needs, is to formulate, produce and distribute fortified, nutritious, locally available dietary supplements as
ready-to-prepare packaged products to OVCs and their caregivers through PEPFAR IPs. Some examples
of potential products are: cowpea flour with good shelf life and robust packaging; ready-to-cook, balanced
porridge for morning meals; and nutritious, ready-to-eat energy bars, packaged to distribute or sell. The
project will engage the services of a nutritionist with experience in food supplementation and fortification
using locally available foods to develop different formulations based on CDC and WHO nutritional
recommendations. In order to ensure sustainability and acceptability of the supplement used in the FNSP
activity, locally available grains and legumes (e.g. cowpea and millet) will be used to formulate the
Once the products have been developed and tested, they will then be produced, packaged and branded in
collaboration with selected processors in Kano and Lagos that are already partnering with MARKETS under
other USAID funded projects. Packaging would contain essential nutritional content and preparation
instructions, as well as expiration date. Shelf life will be at least 6 months. Marketing such products will be
done under NAFDAC registration, which will ensure quality standards which are in compliance with WHO
and CDC specifications for nutritional supplements.
The prepackaged nutritional supplement will be distributed to the OVC families by PEPFAR IPs
(FHI/GHAIN, UMD/ACTION, Harvard/APIN+, CRS/AIDS-Relief, CU/ICAP, CEDPA-PL, CRS-SUN, Christian
AID, CCN and AIM Projects, etc. and the US DOD), based on an average of 150 grams of supplement per
recipient per day. The exact amount of supplement per day will be determined by the weight of the child
and the nutritional recommendations for the particular supplement being distributed. This activity will target
approximately 22,500 OVC recipients whom are considered to be the "most vulnerable" as determined by
the frequency or number of days in which the OVC household does not have adequate food to provide
The objective of the second component, Household Nutrition and Income, will address the longer-term
household nutrition and income generation needs of 7,500 OVC households through a program to promote
home gardening. Home gardens have several direct benefits: they 1) provide access to a diversity of
nutritionally-rich foods; 2) increase purchasing power from savings on food bills and income from sales of
garden products; and 3) provide fall-back food provision during seasonal lean periods. Three activities are
proposed under the second component.
1. Establishment of demonstration sites: The main purpose will be to demonstrate improved home
gardening techniques which will diversify the dietary intake of OVCs and their caregivers. Demonstrations
will be conducted in central locations on best horticultural practices including use of improved seeds and
seedlings, affordable irrigation equipment, agronomic practices, integrated pest management etc. The
demonstrations will be managed by extension agents who will be engaged by the project on a sub-contract
2. Training through Farmer Field Schools: The project will use a Farmer Field School approach, which is a
community-based, practically-oriented, extension field strategy, that is usually time-bound (generally one
agricultural production cycle), involving a group of about 25-30 farmers, facilitated by an extension agent.
These activities will target already existing OVC support groups and will integrate agricultural production
into the wider package of services provided for OVC and their caretakers.
3. Development of training brochures, manuals and pamphlets: The project intends to develop brochures in
Activity Narrative: the local languages on nutrition and home-based preparation of foods in rural areas. Additionally, training
manuals will be developed on best horticultural practices to be handed to trainees in other settings.
To further enrich the IGA capacity of this component, the project will identify OVC families that have the
capability to produce ingredients that are used in the packaged supplements to bolster family livelihood and
income. OVC caregivers can also be involved as retailers in marketing the supplements thereby generating
income to support the household. In urban settings, OVC care providers will be engaged in informal
distribution networks (on bicycle or motorcycle), being paid a small margin depending on the number outlets
served. Such an approach would create a new niche market for the processors, which could be expanded
on a nation-wide basis in following years. Developing this activity on a commercial basis will provide a
sustainable platform to continue the effort even in the absence of PEPFAR resources. Developing a highly
nutritious, easily prepared quality food supplement could provide a nutritional safety net for a wide range of
vulnerable social groups, including those with HIV/AIDS.
New/Continuing Activity: Continuing Activity
Continuing Activity: 18902
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
18902 18902.08 U.S. Agency for Chemonics 8295 8295.08 USAID Track $3,517,881
International International 2.0 MARKETS
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $240,000
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Estimated amount of funding that is planned for Food and Nutrition: Commodities $1,800,599