ACTIVITY DESCRIPTION This activity supports 1 member of the USG prevention team, and therefore relates directly to all the activities in this Program area.

This activity represents the "fully-loaded" costs of adding a full-time Nigerian program officer for PMTCT activities to the prevention team. This position is being requested for the first time in this COP, as both the dollar amounts to be programmed and the number of partners providing programming in this area has increased over the past year and the ART advisor is no longer able to provide program oversight and supervision for both the ART and the PMTCT partners. The PMTCT will work closely with the ART advisor and as a member of the prevention team will be accountable to the prevention advisor. Oversight, supervision, mentoring, and capacity-building needs are provided by the program officer making twice monthly supervision visits to the field with the new, less experienced partners being visited more frequently than the well established institutional contractors.

The PMTCT program officer's responsibilities include: 1) representing the USG in technical discussions with the GON, 2) overseeing technical aspects of the program, including program management and oversight of partners to ensure high-quality and accountable programs, 3) interfacing with O/GAC Technical working groups, and 4) participating in the USG prevention working group. As USAID has partners with PMTCT programs in both the community and in ART facilities, this program officer will be provide leadership in the community related aspects of PMTCT programming within the USG team. The entire prevention team works together to ensure a harmonized, consistent, and relevant technical approach across USG Agencies and amongst all partners implementing PMTCT prevention programs. This program officer spends 100% of his time in this program area and does not have program responsibilities in any other program area. None of the costs for this position are captured in any other budget category.

Table 3.3.01:

ACTIVITY DESCRIPTION This activity supports 3 members of the USG prevention team, and therefore relates directly to all the activities in this Program area.

This activity represents the "fully-loaded" costs of a full-time Nigerian technical advisor for AB prevention, and the "fully-loaded" costs of his full-time administrative and program support staff which includes 2 program assistants and an administrative assistant. These support positions are being requested for the first time in this COP, as both the dollar amounts to be programmed and the number of partners providing programming in this area has increased dramatically over the past year and is anticipated to continue to increase as the APS identifies additional local faith-based and community-based partners. Oversight, supervision, mentoring, and capacity-building needs are all more intense for these new and inexperienced partners and the entire A&B prevention team contributes to meeting these needs by making regular supervision visits to the field—twice monthly by technical advisors and program officers and monthly by the support staff—with the new, less experienced partners being visited more frequently than the well established institutional contractors. These costs also include provision for training and staff development to keep the technical officers abreast of professional advances in their program area, as well as enhancing their management capabilities.

The prevention advisor's responsibilities include: 1) representing the USG in technical discussions with the GON, 2) overseeing technical aspects of the program, including program management and oversight of partners to ensure high-quality and accountable programs, 3) interfacing with O/GAC Technical working groups, and 4) leading the USG prevention working group. As USAID has the technical lead for this program area within the USG team, this fourth responsibility is key to ensuring a harmonized, consistent and relevant technical approach across USG Agencies and amongst all partners implementing A&B prevention programs. This advisor spends 100% of his time advising in this program area and does not have primary program responsibilities in any other program area. None of the costs for these positions are captured in any other budget category.

ACTIVITY DESCRIPTION This activity supports 1 member of the USG prevention team, and therefore relates directly to all the activities in this Program area.

This activity represents the "fully-loaded" costs of a full-time Nigerian program officer for Medical Transmission prevention activities. This position is being requested for the first time in this COP, as both the dollar amounts to be programmed and the number of partners providing programming in this area has increased over the past year and the prevention advisor is no longer able to provide program oversight and supervision for all the program areas providing prevention activities. The Medical transmission program officer will work closely with the other program areas that provide clinical services and as a member of the prevention team will be accountable to the prevention advisor. Oversight, supervision, mentoring, and capacity-building will be provided by the program officer making twice monthly supervision visits to the field, with the new, less experienced partners being visited more frequently than the well established institutional contractors.

The Medical transmission prevention program officer's responsibilities include: 1) representing the USG in technical discussions with the GON, 2) overseeing technical aspects of the program, including program management and oversight of partners to ensure high-quality and accountable programs, 3) interfacing with O/GAC Technical working groups, and 4) participating in the USG prevention working group. As USAID is the agency with a full-time position dedicated to Medical transmission prevention, this program officer will play a key role in ensuring a harmonized, consistent, and relevant technical approach across USG Agencies and amongst all partners implementing Medical transmission prevention programs. This program officer will spend 50% of his/her time supervising injection safety activities and 50% of his/her time supervising blood safety activities, but will be funded fully in this program area. He/she does not have program responsibilities outside of the Medical transmission program areas and none of the costs for this position are captured in any other budget category.

Table 3.3.05: Program Planning Overview Program Area: Condoms and Other Prevention Activities Budget Code: HVOP Program Area Code: 05 Total Planned Funding for Program Area: $ 9,277,500.00

Program Area Context:

The 2005 ANC survey in Nigeria indicated a similar HIV prevalence to the 2003 survey (4.4% versus 5.0% in 2003, with rates highest in the East and South-East and in the middle belt of the country, and lower rates in the North and South-west. State-specific prevalence ranges from 1.2% in Osun in the south-west to 12% in Cross River in the southeast. Antenatal HIV rates peak at 5.6% among women aged 20-24 years.

The HIV sentinel surveillance data for sex workers shows an increasing trend from 1.71 to 30.50 from 1989 to 1996 for urban areas and 0.37 to 54.7 from 1987 to 1996 outside urban areas (UNAIDS, 2004). HIV prevalence in patients with sexually transmitted infections rose from 0.67 to 8.35 between 1992 to 2000 in urban areas and 0.49 to 13.65 from 1987 to 2000 outside of urban areas (UNAIDS, 2004). Estimated HIV prevalence for males in the armed forces is between 5-10% (US DOD/Nigeria, 2006; military population 100,000).

Preliminary results from the 2005 Behavioral Surveillance Survey show an average of 87% of Female Sex Workers (FSW) reported using condoms 100% of the time during their last five sexual acts. Additionally, of the 4% of FSW with STI symptoms in the last two months, 67% reported receiving appropriate STI treatment. Among FSW who know about HIV but had never been tested, 73% reported a desire to know their HIV status. Of major concern is that 46% of brothel based sex workers reported using oil based lubricants.

Sixty-four percent of male transport workers reported using a condom in last high risk sex (BSS, 2005). On average 2.9% of males reported sex with a FSW in the last 12 months with a range of 0.7% in the north central, 3.8% in the South-South zone, and 6.3% in the north east (DHS 2003).

The USG supported condoms and other prevention program provides an important mix of programming to reach at risk populations in Nigeria. Nigeria's mixed epidemic requires state specific tailoring of the ABC sexual prevention program to target the specific risky behaviors in both the general and most at risk populations. Emphasis is placed on correct and consistent condom messages for risky sex and distribution of condoms to people at risk. Programming also reinforces faithfulness and partner reduction messages as an effective means to reduce HIV transmission in sexually active populations.

The USG continues to collaborate with the United Kingdom's Department for International Development (DfID) for the provision of condoms through the Nigerian Society for Family Health, the country's largest indigenous NGO and distributor of over 80% of Nigeria's national condom supply. DfID supplied SFH with funds to purchase condoms, and the USG supported SFH in its condom marketing and distribution efforts.

The GHAIN program received approximately 30% of USG funds for Other Prevention (OP). Its programming focused on female sex workers, long distance truck, and taxi drivers as well as peer education programs focused on safer sex that complemented prevention efforts to promote faithfulness. The program also provides sex workers and transporters referrals to quality CT centers, STI treatment, AIDS treatment, care and support services through a network of health providers.

The USG programmed 34% of its OP programming to its collaborative program with the Nigerian Ministry of Defense. This is a successful prevention program reaching both military and civilian populations at and near military bases. Programming focuses on teaching the military condom skills and ensuring condom availability complementing other DOD programming on faithfulness and linkages to CT, treatment, care and support, prevention for positives and work with discordant couples through military medical centers.

USG funded OP activities will continue to respond to state specific epidemiological priorities. Within the current focus states a larger share of OP funding and program effort will be allocated to states with HIV

prevalence below the national average, i.e., those with more concentrated epidemics to increase the scale of programming to reach high risk populations.

Work with FSW will be expanded to non brothel settings. FSW interventions will include referral and access to STI and C&T services. The programs will provide skills on negotiating safer sex with their non commercial partners and importance of using non oil based lubricants. SFH will procure lubricants for partners with C&OP programs to distribute. Efforts to train FSW in vocational skills and financial literacy will enable them to leave or reduce sex work activities.

Interventions with transporter workers will be continued through successful peer education models and condom promotion activities in motor parks, along selected transport corridors and in or near bars where transport workers may recreate. Transport workers will receive complementary messages on fidelity and partner reduction. There will be additional efforts to bring mobile VCT to motor parks to meet the need of highly mobile transporters to know their status, receive behavioral counseling on risk reduction and referrals if necessary.

Programming with the military will be maintained while further efforts to reach the police with strong BC messages will be expanded. Prevention programming opportunities for uniformed services will nclude interventions in or near bars where they recreate. COP07 will build on the efforts of the Nigerian military collaboration with the Nigerian police through Armed Forces Partner for AIDS Control (AFPAC).

Work with high risk youth will be refined to develop gender sensitive programming to meet the prevention needs of young, unmarried out-of-school females and males - topics of high priority are addressing the risk behaviors of multiple partnerships and transactional sex. Messages will include education on the protective role of abstinence.

Work place prevention programming was identified as a gap in the COP06 portfolio and efforts will be made to address workers' need to know about safer sex and access to condoms in COP07. In particular, public private partnerships that provide appropriate prevention services to small and medium enterprise employees will be developed. These efforts will complement workplace programs which promote fidelity and abstinence.

A strategic investment has been made in Prevention-for-Positives (PfP) programming, which was identified as a gap in the COP06 portfolio. Several hundred thousand HIV infected individuals will receive PEPFAR services during COP07. Counselor and provider interactions with these HIV+ individuals presents an opportunity to promote risk reduction strategies and behavior change for these clients. Several partners will engage in PfP activities during COP07. The majority of costs associated with PfP are offset by care and treatment area funding, which typically fund counselors, establish clinical sites, and provide inputs that allow for these interventions to be added. The total Condoms and Other Prevention target for individuals reached is 899,535 through 543 outlets. Training targets are 5,533 workers for this program area. OP will cost share integrated ABC programs targeting adults with comprehensive messages with a focus on B and clear messages on C.

The MARP behavioral survey undertaken in COP06 will provide data that will help partners to make evidenced based decisions in regards to their prevention programs for these communities. Programs and target populations will be modified as necessary in response to these findings.

USG Nigeria will address the need for improved coordination of National prevention efforts. The USG will support the National Action Committee on AIDS (NACA) to facilitate harmonization of prevention activities and messages for high risk populations, and will support the newly instituted Prevention Working Group in the Expanded Theme Group co-chaired by the UN and NACA.

Program Area Target: Number of targeted condom service outlets 543 Number of individuals reached through community outreach that promotes 899,535 HIV/AIDS prevention through other behavior change beyond abstinence and/or being faithful Number of individuals trained to promote HIV/AIDS prevention through other 5,533 behavior change beyond abstinence and/or being faithful

Table 3.3.05:

ACTIVITY DESCRIPTION: This activity supports 1 member of the USG care team, and therefore relates directly to all the activities in this Program area.

This activity represents the "fully-loaded" costs of a full-time Ugandan technical advisor for palliative care. This position is continuing unchanged from earlier COP requests. The dollar amount to be programmed and the number of partners working in this program area have increased modestly, and the team believes that this experienced manager and technical expert will be able to cover these increased responsibilities without additional staff required to support her. The palliative care advisor continues to liaise with all the other program area managers and ensure that a strong network is developed to provide for the wide variety of needs of the people living with HIV/AIDS and their families. Oversight, supervision, mentoring, and capacity-building will be provided by the palliative care advisor making twice monthly supervision visits to the field, with the new, less experienced partners being visited more frequently than the well established institutional contractors.

The palliative care advisor's responsibilities include: 1) representing the USG in technical discussions with the GON, 2) overseeng technical aspects of the program, including program management and oversight of partners to ensure high-quality and accountable programs, 3) interfacing with O/GAC Technical working groups, and 4) leading the USG palliative care working group. As USAID has the technical lead for this program area within the USG team, this fourth responsibility is key to ensuring a harmonized, consistent and relevant technical approach across USG Agencies and amongst all partners implementing palliative care programs. This advisor spends 100% of her time advising in this program area and does not have primary program responsibilities in any other program area. None of the costs for this position are captured in any other budget category.

ACTIVITY NARRATIVE This activity supports 1 member of the USG Care and Support team, and therefore relates directly to all the activities in this Program area.

This activity represents the "fully-loaded" costs of a full-time Nigerian technical advisor for TB/HIV. This position is continuing unchanged from earlier COP requests. The dollar amount to be programmed and the number of partners working in this program area have increased modestly, and the team believes that this experienced manager and technical expert will be able to cover these increased responsibilities without additional staff required to support her. The TB/HIV advisor continues to liaise with the other program area managers and ensure that a strong network is developed to provide for the needs of the people living with HIV/AIDS and their families. Oversight, supervision, mentoring, and capacity-building will be provided by the palliative care advisor making twice monthly supervision visits to the field, with the new, less experienced partners being visited more frequently than the well established institutional contractors.

The TB/HIV advisor's responsibilities include: 1) representing the USG in technical discussions with the GON, 2) overseeing technical aspects of the program, including program management and oversight of partners to ensure high-quality and accountable programs, 3) interfacing with O/GAC Technical working groups, and 4) leading the USG TB/HIV working group. As USAID has the technical lead for this program area within the USG team, this fourth responsibility is key to ensuring a harmonized, consistent, and relevant technical approach across USG Agencies and amongst all partners. This advisor spends 100% of her time in this program area and does not have primary program responsibilities in any other program area. None of the costs for this position is captured in any other budget category.

ACTIVITY DESCRIPTION This activity supports 3 members of the USG care team, and therefore relates directly to all the activities in this Program area.

This activity represents the "fully-loaded" costs of a full-time Nigerian technical advisor for OVC, and the "fully-loaded" costs of her full-time administrative and program support staff which includes a program assistant and a program officer. These support positions are being requested for the first time in this COP, as both the dollar amounts to be programmed and the number of partners providing programming in this area has increased dramatically over the past year and is anticipated to continue to increase as the APS identifies additional local faith-based and community-based partners. Oversight, supervision, mentoring, and capacity-building needs are all more intense for these new and inexperienced partners and the entire OVC prevention team contributes to meeting these needs by making regular supervision visits to the field—twice monthly by technical advisors and program officers and monthly by the support staff—with the new, less experienced partners being visited more frequently than the well established institutional contractors.

The OVC advisor's responsibilities include: 1) representing the USG in technical discussions with the GON, 2) overseeing technical aspects of the program, including program management and oversight of partners to ensure high-quality and accountable programs, 3) interfacing with O/GAC Technical working groups, and 4) leading the USG OVC working group. As USAID has the technical lead for this program area within the USG team, this fourth responsibility is key to ensuring a harmonized, consistent, and relevant technical approach across USG Agencies and amongst all partners implementing OVC programs. This advisor spends 100% of her time advising in this program area and does not have primary program responsibilities in any other program area. None of the costs for these positions are captured in any other budget category.

ACTIVITY DESCRIPTION This activity supports 3 members of the USG treatment team, and therefore relates directly to all the activities in this Program area. This activity represents the "fully-loaded" costs of a full-time expatriate technical advisor for drugs and commodities logistics, and the "fully-loaded" costs of her full-time administrative and program support staff which includes a program officer and an administrative assistant. These support positions are being requested for the first time in this COP, as both the dollar amounts to be programmed and the number of partners providing programming in this area has increased dramatically over the past year and are anticipated to continue to increase, and as the oversight of SCMS has been added to this portfolio. The commodities logistics manager additionally oversees the system strengthening and institutional capacity building activities related to establishing a National drugs procurement system for Nigeria. Negotiation to both harmonize systems and maximize accountability in this area is intensive. Oversight, supervision, mentoring, and capacity-building for both the GON and USG partners are provided by making regular supervision visits to the field—twice monthly by technical advisors and program officers and monthly by the support staff—with the new, less experienced partners being visited more frequently than the well established institutional contractors. This position requires an expatriot due to the cost of the commodities purchased, the legal implications surrounding drug import, and vulnerabilities related to these issues. The commodities logistics manager's responsibilities include: 1) representing the USG in technical discussions with the GON, 2) overseeing technical aspects of the program, including program management and oversight of partners to ensure high-quality and accountable programs, 3) interfacing with O/GAC Technical working groups, and 4) leading the USG procurement activities. As USAID has the technical lead for this program area within the USG team, this fourth responsibility is key to ensuring a harmonized, consistent, and relevant technical approach across USG Agencies and amongst all partners, as well as compliance with GON and FDA procurement and import regulations. This advisor spends 100% of her time advising in this program area and does not have primary program responsibilities in any other program area. None of the costs for these positions are captured in any other budget category.

ACTIVITY DESCRIPTION: This activity supports 2 members of the USG treatment team, and therefore relates directly to all the activities in this Program area.

This activity represents the "fully-loaded" costs of a full-time Nigerian technical advisor for ART services, and the "fully-loaded" costs of her full-time administrative and program support staff which includes 1 program officer. This support position is being requested for the first time in this COP, as both the dollar amounts to be programmed and the number of partners providing programming in this area has increased substantially over the past year and is anticipated to continue to increase, and as ART services move from the secondary level out into the primary level. The number of sites in which ART care is being provided will triple, and the need for robust supervision during this scale up is crucial. Oversight, supervision, mentoring, and capacity-building is provided by making regular supervision visits to the field—twice monthly by the technical advisor and monthly by the support staff—with the new, less experienced partners being visited more frequently than the well established institutional contractors.

The ART advisor's responsibilities include: 1) representing the USG in technical discussions with the GON, 2) overseeing technical aspects of the program, including program management and oversight of partners to ensure high-quality and accountable programs, 3) interfacing with O/GAC Technical working groups, and 4) participating in the USG ART technical working group. Although CDC has the technical lead for this program area within the USG team, the USAID ART has by far the longest historical ties to this program and as such will share the responsibility in ensuring a harmonized, consistent, and relevant technical approach across USG Agencies and amongst all partners' ART programs. This advisor spends 100% of her time advising in this program area and does not have primary program responsibilities in any other program area. None of the costs for these positions are captured in any other budget category.

HHS/HRSA Partner, Harvard University is placing $200,000 in the USAID Agency budget for the proposed renovation and construction of the ABUTH ART clinic will include the expansion of an existing building on the ABUTH grounds. Waiting room, counseling and consultation rooms will be re-configured. Sufficient secure space for pharmacy and medical records will result from moving two existing walls to increase the space for proposed activity. The construction will allow for all ART services and drug pharmacy to take place in a single building. Other construction costs will include modification to currently plumbing and electrical configurations.

The FMOH and the UMTH hospital administration plan to build a second floor on top of the current ART service. The additional floor will allow us to increase consultation rooms and add rooms for medical record storage, data entry, and providing a clinic pharmacy for ART pickup. We would propose $250,000 construction costs for the ABUTH and UMTH projections and an additional $50,000 for site staff for coordination.

ACTIVITY DESCRIPTION This activity supports 1 member of the USG treatment team, and therefore relates directly to all the activities in this Program area. This activity represents the "fully-loaded" costs of a full-time Nigerian technical advisor for Lab and VCT. This position is being requested for the first time in this COP, as both the dollar amounts to be programmed and the number of partners providing programming in this are increasing. The need for oversight of both new partners and old partners now programming in a new area has become too much for the ART advisor to manage in addition to the growing needs in that program area, and has required an additional team member that is able to devote full time to VCT and Lab activities. Oversight, supervision, mentoring, and capacity-building will be provided by the VCT/Lab advisor making twice monthly supervision visits to the field, with the new, less experienced partners being visited more frequently than the well established institutional contractors. The Lab/VCT advisor's responsibilities include: 1) representing the USG in technical discussions with the GON, 2) overseeing technical aspects of the program, including program management and oversight of partners to ensure high-quality and accountable programs, 3) interfacing with O/GAC Technical working groups, and 4) participating in the USG lab working group, and leading the USG VCT working group. As USAID has the technical lead for the VCT program area within the USG team, this fourth responsibility is key to ensuring a harmonized, consistent, and relevant technical approach across USG Agencies and amongst all partners implementing VCT programs. This advisor spends 50% of his time advising in the VCT program area and 50% of his time advising in the lab program areas, however all his costs are captured in this program area. None of the costs for this position are captured in any other budget category.

HHS/HRSA Partner, Harvard University is placing $100,000 in the USAID Agency budget for planned expansion of The University College Hospital Laboratory in order to accommodate the additional workload and laboratory activities required for the scale-up of activities at the site and the support laboratory work provided to satellite and networked ART sites. We propose $150,000 construction costs from this activity and an additional $50,000 for site staff cost sharing for construction coordination.

Table 3.3.12:

This activity supports 5 members of the USG SI team, and therefore relates directly to all the activities in this Program area.

This activity represents the "fully-loaded" costs of a full-time expatriate technical advisor for SI, and the "fully-loaded" costs of her full-time technical, administrative and program support staff which includes an information and database manager, an HMIS manager, a program assistant and a program officer. Two of these positions—the HMIS manager and the program officer--are being requested for the first time in this COP, as both are required to meet the needs identified in the updated SI strategy and to support the increasing needs for data and information management by O/GAC, the GON, and the USG/Nigeria team. Oversight, supervision, mentoring, and capacity-building needs are met by making regular supervision visits to the field—twice monthly by technical advisors and program officers and monthly by the support staff—with the new, less experienced partners being visited more frequently than the well established institutional contractors. There is a growing need for support to the nascent GON systems and oversight of the new integrated data management system being managed jointly the GON and USG. The team will work together to provide this support and oversight, as well as the support and oversight that will be necessary to effect the nationwide outcome level surveys that will take place over the coming year. There is a heavier expat presence in this program areas compared to the other program areas due to the level of technical expertise that has not been available locally, as well as the intense and high-level representation activities that will be required of this team over the coming year.

The SI advisor's responsibilities include: 1) representing the USG in technical discussions with the GON, 2) overseeing technical aspects of the program, including program management and oversight of partners to ensure high-quality and accountable programs, 3) interfacing with O/GAC Technical working groups, and 4) leading the USG prevention working group. As USAID has the technical lead for this program area within the USG team, this fourth responsibility is key to ensuring a harmonized, consistent, and relevant technical approach across USG Agencies and amongst all partners—both those implementing specific SI activities as well as those contributing to regular program monitoring, evaluation, and reporting. This advisor and her team spend 100% of their time in this program area and do not have primary program responsibilities in any other program area. None of the costs for these positions are captured in any other budget category.

ACTIVITY NARRATIVE The USG Nigeria team's M&S goal, through the USAID office in Nigeria, is to have adequate oversight for the 12 bilateral agreements worth $91M, and the 7 field support agreements worth $20M, to ensure achievement of results and responsible and accountable use of USG funds. Given the highly medical technical nature of ART services, and the need for broad expansion for community- and home-based services, the need for on-site monitoring is substantial. The rapid expansion of the portfolio, especially with new and inexperienced local organizations, increases this oversight burden substantially. In addition to contractual responsibilities to the USAID-funded agreements and contracts, the USAID team also plays a vital role in integrating the Emergency Plan programming across partners. The interagency technical teams play an important role in the joint oversight and monitoring of all the Emergency Plan partners and in coordinating and collaborating with the GON and bilateral and multilateral donors and other stakeholders.

To achieve this goal, the HIV/AIDS Office in USAID/Nigeria has planned for full staffing at 49 positions in FY2007, an increase of 19 technical and administrative support staff (see USG Nigeria Staff Matrix COP07). Presently all of the 30 approved COP06 positions have been filled and USAID is preparing for another major round of hiring to support the budget and program increases in COP07 and significant program expansion in COP08. This scale up is closely coordinated with the larger USG team to avoid duplication or overlap in technical areas, and to take advantage of the various agencies core competencies.

The COP07 staffing plan includes 9 USDH that fill the positions of HIV/AIDS Team Leader, Deputy Team Leader, PEPFAR Coordinator, 2 Program Officers, Contracting Officer, Controller and an IDI to lead procurement activities. Of the remaining 37 positions, 27 work within the technical office providing direct HIV/AIDS program support and 10 are Mission support positions that reside in the Finance, Contracts, Partnership, and Executive Offices. The complete breakdown is detailed in the Staffing Matrix. In the attached supporting documents a full USG PEPFAR Nigeria organizational chart is attached. The specific disciplines of technical staff to be recruited were determined through an interagency staffing process that allows for complementary staffing across agencies.

M&S costs are inclusive of "fully loaded" costs for M&S personnel, rent for offices and warehouse space, utilities, travel for M&S staff, training for M&S staff, general ICASS charges, 1 new vehicle, IT taxes, parking fines and a port-a-kabin in which to house the new technical staff.

The USAID M&S budget in COP07 supports the USG interagency team process of providing technical assistance and monitoring of PEPFAR activities across a significant array of implementing partners in the Nigeria, which is the second largest PEPFAR country based on established 2009 end targets.

Through an interagency agreement, USAID will take the technical working group lead in several program areas including: AB prevention, Medical transmission prevention, Condoms and other prevention, Palliative care, OVC, C&T, Commodities Logistics, SI and Systems Strengthening. USAID also has staff designated for TB/HIV, ART, and Lab but will support CDC team leads in these TWG areas. Technical staff members from all PEPFAR implementing agencies are viewed as USG team staff and the designation of "lead" indicates primary responsibility for coordination and reporting to the joint USG Nigeria PEPFAR management team on programmatic progress and policy issues in these areas. Policies and resource allocation decisions are made through weekly interagency PEPFAR management meetings, weekly PEPFAR senior management meetings with the Ambassador, and regularly scheduled meetings with the Ministry of Health and NACA.

The USAID ICASS budget for FY07 is estimated at $394,823 and IRM Tax at $232,000.