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: 2007 2008
and equipping PMTCT partners/sites for nutritional assessment and counseling, as well as prescription and monitoring of food supplements. VALID International will provide TA and training on therapeutic feeding and on the formulation, production, distribution and monitoring of the various food supplements, including weaning and complementary foods).
Recent research has confirmed the value of exclusive breast feeding for PMTCT clients and their infants. This approach will afford PMTCT partners (ZPCT and ZEBS) an option to improve maternal and infant survival and mortality, through strengthened nutritional assessment, counseling and support, beyond the first six months of life. It will also determine the value of community-based promotion of EBF and appropriate weaning and feeding practices linked to a network of clinical PMTCT and ART services.
This approach is based in part on the USAID Kenya "Food by Prescription" model, as well as on experience with nutrition assessment and supplementation in Zambia (activities #9000, #9180 ). The model offers opportunities for replication and expansion. It also draws on the private sector to defray the cost of producing and distribution food products.
VALID International, or other subcontractors, will work with private sector food processing companies in Zambia to produce appropriate foods for HIV+ pregnant/lactating women, and for infant weaning and complimentary feeding. It is important for sustainability purposes to note that by using existing food processing companies, the USG does not have to invest in food processing plant and equipment.
We anticipate that we will be able to provide a full range services including nutritional assessment and counseling, and as required, nutritional supplements to approximately 10,000 HIV positive women and infants at 10 carefully selected sites. This assumes that the women and children will benefit from supplements on average for six months each. The training in nutritional assessment and counseling will benefit additional women and infants. This would include women and infants at the same sites who are not in need of supplements, as well as women and infants at other nearby sites.
This activity has a strong capacity building aspect for both clinical sites (PMTCT, ART and well-child/MCH clinics), and for the community caregivers, who will acquire and make use of valuable nutritional assessment and counseling skills.
The initial investment in production and distribution of appropriate food supplements for mothers and weaning foods for infants will stimulate the private sector investment in appropriate food supplements, as well as to attract wrap-around funding, such as income-generation, other appropriate forms of food aid for malnourished PLWHA and their infants, or support to increase agricultural yields.
If successful, the model can be replicated/expanded to serve more sites, and to serve all under-five children of HIV positive mothers through better nutrition guidelines, and training in nutritional assessment and counseling for clinical and community based caregivers. This will depend on funding availability. Demonstration of the effectiveness of this approach may facilitate future access to further funding from a variety of sources.
