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.
ACTIVITY DESCRIPTION This activity also links to PMTCT (#6801), ARV Services (#6798), Laboratory Infrastructure (#6799), OVC (#6808), Blood Safety (#6805), TB/HIV (#6795), Policy and Systems Strengthening (#6809), and Strategic Information (#6800).
The Nigerian Ministry of Defence - US Department of Defense (NMOD-DOD) HIV partnership enters its third year in implementing PEPFAR activities. The US Military HIV Research Program (USMHRP), under the DOD, directly implements with its counterpart, the Nigerian Military, ensuring direct capacity building within an Agency of the Federal Government of Nigeria. Through this partnership, the impact of this program in Nigeria is profound on multiple levels. The partnership is developing a strong USG (United States Government) relationship with another branch of the Nigerian Government, building capacity of the indigenous partner through joint implementation of activities, offering a cost effective model for implementation through a direct USG-GON (Government of Nigeria) collaboration, and supporting both the military and civilian communities, as 80% of patients under ART at military facilities are civilian.
The relationship fostered by PEPFAR and DOD/USMHRP has resulted in an excellent partnership with the MOD and the Nigerian Military. The Program is governed by a Steering Committee, co-chaired by the Minister of State for Defence (MOSD) and the US Ambassador to Nigeria. Membership on this Committee includes senior representatives of both militaries and includes the Federal Ministry of Health (FMOH) and National Action Committee on AIDS (NACA) representation to participation in the Government of Nigeria HIV harmonization process. Thus, the Program fully adheres to all USG and FMOH national treatment guidelines.
COP 2005 PEPFAR funding supported the opening of four facilities: Defence Headquarters Medical Center (Abuja), 44 Nigerian Army Reference Hospital (Kaduna), Navy Hospital (Ojo in Lagos), and 445 Nigerian Air Force Hospital (Ikeja in Lagos). During 2006, the partnership is commencing activities at three facilities: 45 Nigerian Air Force Hospital (Makurdi), 3 Division Nigerian Army Hospital (Jos), and Navy Medical Centre (Calabar). COP 2007 plans expansion to seven new facilities: Naval Medical Centre (Warri), Military Hospital (Benin), 355 Nigerian Air Force Hospital (Jos), 82 Division Nigerian Army Hospital (Enugu), Military Hospital (Port Harcourt), 2 Division Nigerian Army Hospital (Ibadan), and Military Hospital (Maiduguri).
This activity supports DoD in-country and provides extra-country technical support for Emergency Plan PMTCT activities. Funding in this section will be applied directly to developing and training Nigerian Military healthcare officers and staff, quality control and quality assurance and technical support to the DOD USG team members. One experienced Physician will be hired in Nigeria and TDY support will come from USMHRP's sites in Uganda and Kenya, as well as the parent organization, the Walter Reed Army Institute of Research.
The NMoD-DoD HIV partnership focuses on activities that build capacity in the Nigerian military provides a focused, capacity-building instrument designed to ensure a cost-effective, sustainable program.
The Nigerian Military provides care to its service members and the surrounding civilian community (over 80% of the Military's patient load is civilian). By implementing directly with the military, and minimizing the indirect cost of program management, the DoD ensures that Nigerian Government employees are receiving specialized technical training and work experience in implementing the program. Refurbishments and equipment are placed directly in Ministry of Defence facilities. Rigorously trained staff and well-equipped facilities improve overall healthcare to the population. (Costs for equipment and reagents used for non-HIV patients, such as a chemistry analyzer, are borne by the military facilities and non-HIV patients.) The overall benefit of this is that both HIV and non-HIV patients will have access to better-trained staff and facilities.
By training uniformed members and civilian employees at all levels who have invested in a career track in the Government of Nigeria, the DoD fosters a generation of trained workers who are more likely to remain with the Military for the long term. As these employees are promoted, individuals receive technical, management, and oversight training. This
explicitly fulfills PEPFAR program goals for independent operation and preparing personnel for oversight roles. The Military Steering Committee ensures an unprecedented level of cooperation in both national and international policy development and implementation, and follows national guidelines and international military standards.
By enabling this cohesive environment, the NMoD-DoD Partnership fosters a learning environment where international and local organizations may synergize with the Nigerian Ministry of Defence. In addition, the program facilitates identification of best practices and implementation of evidence-based interventions in a sustainable manner.
By the end of COP07, the DoD will support 14 NMoD sites in Benin, Benue, Borno, Cross Rivers, Delta, Enugu, FCT, Kaduna, Lagos, Oyo, Plateau, and Rivers (11 states and FCT). AB activities will also be administered on a national forcewide level.
CONTRIBUTION TO OVERALL PROGRAM AREA Additional personnel and support will provide the synergistic effect needed for optimal program development, as well as support to the USG team in all its clinical and clinically-related activities.
LINKS TO OTHER ACTIVITIES This activity is linked to other program areas, in particular, PMTCT (#6801), ARV Services (#6798), Laboratory Infrastructure (#6799), OVC (#6808), Blood Safety (#6805), TB/HIV (#6795), Policy and Systems Strengthening (#6809), and Strategic Information (#6800).
POPULATIONS BEING TARGETED This activity targets military personnel, civilian employees, dependents and the general population in the communities surrounding 14 sites and, in particular, pregnant women and girls, infants, partners and family members.
KEY LEGISLATIVE ISSUES This activity will address gender equity in HIV/AIDS programs, by specifically targeting pregnant women and girls for testing, counseling and treatment, male norms and behaviors, through the encouragement of partner notification and on bringing other family members in for counseling and testing.
EMPHASIS AREAS This activity has a major emphasis on building local organizational capacity and minor emphasis on community mobilization, logistics, policy and guidelines and training.
Table 3.3.02: Program Planning Overview Program Area: Abstinence and Be Faithful Programs Budget Code: HVAB Program Area Code: 02 Total Planned Funding for Program Area: $ 17,594,781.00
Program Area Context:
Epidemiological and Social Context The 2005 ANC survey in Nigeria indicated a similar HIV prevalence to the 2003 survey (4.4% versus 5.0% in 2003. HIV rates are highest in the east and south-east and the middle belt of the country, and lower in the north and south-west regions of the country. State-specific prevalence ranges from 1.6% in Ekiti to 10% in Benue. Prevalence is slightly higher on average in urban areas, but is disturbingly high in some rural sites. Antenatal HIV rates are less variable by age-group, although young adults appear most affected.
With HIV prevalence at 3% or higher in 31 of 37 states, the epidemic appears to have generalized to some degree in most states. Especially in higher prevalence areas, many new infections are likely taking place outside groups considered at highest-risk, such as sex and transport workers; informal transactional sex may be a key driver of the Nigerian epidemic.
Services: As of the March 31, 2006 semi-annual report, USG Nigeria was on track to exceed its COP 05 and COP 06 AB program area targets. AB partners reported reaching over 1.5 million people through community outreach activities.
USG-supported Abstinence and Be Faithful (AB) prevention programs are experiencing a period of transition in COP06. AB activities under the bilateral GHAIN project which were slated to be phased out in COP 06 have been extended with 6 selected local AB implementing agencies targeted for additional capacity-building to allow them to apply for direct funding under the Annual Program Statement (APS) at the end of their transition year in COP07. AB funds originally budgeted for GHAIN are being reprogrammed through this APS which will not only allow the 6 strongest organizations to be funded directly, but also identify new prime partners that can pick up many of the remaining NGOs, CBOs and FBOs previously funded by GHAIN. CEDPA, previously a GHAIN sub-partner, now receives prevention funding directly from USG Nigeria, and Christian Aid has picked up many of GHAIN's previous activities and local partners. Many other AB projects resulting from the APS are expected to be awarded in the next six months.
Due to the challenges associated with adding this number of new local partners as prime partners, and in response to a recommendation from the Prevention TA visit in July 2006, a major new capacity-building mechanism, Leadership, Management, and Sustainability (LMS), has been added to the portfolio to support the scale-up of AB programming through indigenous NGOs, CBOs and FBOS, while reducing management and financial oversight burdens on the USG team. LMS will also harmonize AB messaging, perform quality assurance activities,and provide A&B technical assistance for current and potential AB partners.
Prevention partners that address HIV-related issues in specific, hard-to-reach vulnerable populations (for example Population Council which specifically address the vulnerabilities of young married girls in Northern Nigeria) have been added to the portfolio in COP06 and these programs will be scaled up in COP 07. AB behavior change interventions for the general population will seek to delay sexual initiation, reduce multiple and concurrent partnerships, and increase knowledge of the type of behaviors that increase the risk of HIV infection, with special emphasis on girls, young women, and adult men. Activities undertaken in these programs will include skills-based HIV education for girls and young women as well as efforts to engage "influencers" of youth—parents, teachers, religious and community leaders. Special attention will be given to younger, out-of-school adolescent girls who are especially vulnerable. The USG will also work with the Ministry of Education to strengthen school-based HIV education by continuing to promote the Family Life Health Education curriculum accepted by the GON.
Mass media activities carried out by the Society for Family Health (SFH) will also support normative
change. SFH will continue to build on the successful Zip-Up abstinence campaign for youth. In COP 07, SFH will launch a parallel mass media campaign for adults, especially men, addressing the importance of mutual fidelity and avoidance of multiple and concurrent partners. These mass media campaigns will be closely linked and harmonized with interpersonal communications and community-based outreach activities.
Referrals and Linkages: USG Nigeria will expand efforts to reach adult men as a key bridge from high-risk groups to the general population, with programs that promote marital fidelity, address male norms and behaviors that put both men and women at risk, and increase the understanding of the relationship between risky behavior and HIV infection. Coverage of current prevention activities targeting AB messages to the military, other uniformed services, and other male audiences will be expanded, with appropriate linkages to activities in the Condoms and Other Prevention program area for individuals engaging in high-risk behavior.
Catholic Relief Services 7 Dioceses, CEDPA, SFH and other USG partners will undertake broad-based community mobilization to create a more supportive normative environment for the practice of abstinence and fidelity, working through grassroots structures such as churches and mosques. New mechanisms will be developed to reach men and women in the formal labor force with AB messages through expanded workplace interventions, again with linkages to condom education and distribution.
The newly formed Partnership Office at USAID will support the USG team to establish public/private partnerships that will leverage private funds to institute well-integrated workplace programming that reinforces key prevention messages.
Policy: Strong leadership from President Obasanjo has energized the national HIV/AIDS response, stimulating a proliferation of community-based prevention activities across the country and increasing awareness of HIV. The government of Nigeria's 2003 National Policy and 2005-2009 Strategic Framework for Action provide a strong and comprehensive framework for prevention efforts, including a balanced "ABC" approach. Prevention activities are supported by DfID, the World Bank MAP program, the Gates Foundation, CIDA and the Federal and state governments, in addition to the USG. At the national and state level, prevention activities could benefit from enhanced coordination and harmonization. Technical working groups or Task teams exist for information sharing and coordination in many other program areas, however these interagency, intergovernmental bodies have been notably lacking in the Prevention program areas. The addition of a full-time Prevention advisor to the USAID team in COP 06 along with the highly collaborative interagency Prevention technical assistance visit in July 2006 has resulted in a proposal to the Expanded Theme Group (ETG) co-chaired by the UN and NACA to initiate such a group. The acceptance of this national level technical working group has jump-started coordination and harmonization of prevention activities in Nigeria and left opportunities for continued strengthening and growth in this key area in COP07.
Program Area Target: Number of individuals reached through community outreach that promotes 1,028,370 HIV/AIDS prevention through abstinence (a subset of total reached with AB) Number of individuals reached through community outreach that promotes 3,653,144 HIV/AIDS prevention through abstinence and/or being faithful Number of individuals trained to promote HIV/AIDS prevention programs 35,249 through abstinence and/or being faithful
Table 3.3.02:
ACTIVITY DESCRIPTION This activity also links to AB (#6803), Other Prevention Activities (#6804), CT (#6796) and Care and Support (#6802).
The Nigerian Ministry of Defense - US Department of Defense (NMOD-DOD) HIV partnership enters its third year in implementing PEPFAR activities. The US Military HIV Research Program (USMHRP), under the DOD, directly implements with its counterpart, the Nigerian Military. Implementation in this manner ensures direct capacity building within an Agency of the Federal Government of Nigeria. Through this partnership, the impact of this program in Nigeria is profound on several levels. This includes developing a strong USG (United States Government) relationship with another branch of the Nigerian Government, building capacity of the indigenous partner through joint implementation of activities and offering a cost effective model for implementation through a direct USG-GON (Government of Nigeria) collaboration.
The relationship fostered by PEPFAR and DOD/USMHRP has resulted in an excellent partnership with the MOD and the Nigerian Military. The Program is governed by a Steering Committee, co-chaired by the Minister of State for Defence (MOSD) and the US Ambassador to Nigeria. Membership on this Committee includes senior representatives of both militaries and includes the Federal Ministry of Health (FMOH) and National Action Committee on AIDS (NACA) representation to participation in the Government of Nigeria HIV harmonization process. Thus, the Program fully adheres to all USG and FMOH (Federal Ministry of Health) national treatment guidelines.
The NMOD-DOD HIV partnership focuses on activities that build capacity in the Nigerian military provides a focused, capacity-building instrument designed to ensure a cost-effective, sustainable program.
The Nigerian Military provides care to its service members and the surrounding civilian community (over 80% of the Military's patient load is civilian). By implementing directly with the military, and minimizing the indirect cost of program management, the DOD ensures that Nigerian Government employees are receiving specialized technical training and work experience in implementing the program. Refurbishments and equipment are placed directly in Ministry of Defence facilities. Rigorously trained staff and well-equipped facilities improve overall healthcare to the population. (Costs for equipment and reagents used for non-HIV patients, such as a chemistry analyzer, are borne by the military facilities and non-HIV patients.) The overall benefit of this is that both HIV and non-HIV patients will have access to better-trained staff and facilities.
By training uniformed members and civilian employees at all levels who have invested in a career track in the Government of Nigeria, the DOD fosters a generation of trained workers who are more likely to remain with the Military for the long term. As these employees are promoted, individuals receive technical, management, and oversight training. This explicitly fulfills PEPFAR program goals for independent operation and preparing personnel for oversight roles. The Military Steering Committee ensures an unprecedented level of cooperation in both national and international policy development and implementation, and follows national guidelines and international military standards.
By enabling this cohesive environment, the NMOD-DOD Partnership fosters a learning environment where international and local organizations may synergize with the Nigerian Ministry of Defence. In addition, the program facilitates identification of best practices and implementation of evidence-based interventions in a sustainable manner.
This activity supports DoD in-country and provides extra-country technical support for Emergency Plan AB activities. Funding in this section will be applied directly to developing and training advocates of Abstinence and Be Faithful activities, quality control and quality assurance and technical support to the DOD USG team members.
LINKS TO OTHER ACTIVITIES These activities will be linked to AB (#6803), Other Prevention Activities (#6804), CT (#6796) and Care and Support (#6802), and, indirectly, to all other program areas, including those of the GoN and other USG partners.
POPULATIONS TARGETED This activity targets the military, civilian employees, dependents, and the communities surrounding military sites, in particular, PLWHAs, young adults, youths generally and, in particular, young women and girls, out of school youths, their parents and other significant adults, such as religious leaders.
KEY LEGISLATIVE ISSUES This activity will increase gender equity in programming through interventions targeting youths and, in particular, young girls and on male norms and behaviors.
EMPHASIS AREAS This activity includes major emphasis on information education and communication and minor emphasis on local organization capacity development, community mobilization, links with other sectors and training.
ACTIVITY DESCRIPTION This activity also links to Condoms and Other Prevention (#6804), ART Services (#6798), Care and Support (#6802), PMTCT (#6801) and CT (#6796).
The Nigerian Ministry of Defense - US Department of Defense (NMOD-DOD) HIV partnership enters its third year in implementing PEPFAR activities. The US Military HIV Research Program (USMHRP), under the DOD, directly implements with its counterpart, the Nigerian Military. Implementation in this manner ensures direct capacity building within an Agency of the Federal Government of Nigeria (GON). Through this partnership, the impact of this program in Nigeria is profound on several levels. This includes developing a strong USG (United States Government) relationship with another branch of the Nigerian Government, building capacity of the indigenous partner through joint implementation of activities and offering a cost effective model for implementation through a direct USG-GON collaboration.
COP 2005 PEPFAR funding supported the opening of four facilities: Defence Headquarters Medical Center (Abuja), 44 Nigerian Army Reference Hospital (Kaduna), Navy Hospital (Ojo in Lagos), and 445 Nigerian Air Force Hospital (Ikeja in Lagos). During 2006, the partnership is commencing activities at three facilities: 45 Nigerian Air Force Hospital (Makurdi), 3 Division Nigerian Army Hospital (Jos), and Navy Medical Centre (Calabar). COP 2007 plans expansion to seven new facilities (Naval Medical Centre (Warri), Military Hospital (Benin), 355 Nigerian Air Force Hospital (Jos), 82 Division Nigerian Army Hospital, (Enugu), Military Hospital (Port Harcourt), 2 Division Nigerian Army Hospital (Ibadan), and Military Hospital (Maiduguri).
This activity supports DoD in-country and provides extra-country technical support for Emergency Plan Other Prevention activities. Funding in this section will be applied directly to developing and training advocates of Abstinence and Be Faithful activities, quality control and quality assurance and technical support to the DOD USG team members.
By training uniformed members and civilian employees at all levels who have invested in a career track in the Government of Nigeria, the DoD fosters a generation of trained workers who are more likely to remain with the Military for the long term. As these employees are promoted, individuals receive technical, management, and oversight training. This explicitly fulfills PEPFAR program goals for independent operation and preparing personnel for oversight roles. The Military Steering Committee ensures an unprecedented level of cooperation in both national and international policy development and implementation, and follows national guidelines and international military standards.
By the end of COP07, the DoD will support 14 NMoD sites in Benin, Benue, Borno, Cross Rivers, Delta, Enugu, FCT, Kaduna, Lagos, Oyo, Plateau, and Rivers (11 states and FCT).
CONTRIBUTION TO OVERALL PROGRAM AREA An effective Other Prevention management program will support DOD's efforts to reduce the impact of HIV/AIDS on military communities in Nigeria. Additional personnel and support will provide the synergistic effect needed for optimal program development, as well as support to the USG team. Links To Other Activities
This activity will be linked to all the other HIV and AIDS services, including Condoms and Other Prevention (#6804)ART Services (#6798), Care and Support (#6802), PMTCT (#6801) and CT (#6796). The DoD will establish referral linkages with community-based programs and other implementing partners to ensure that HIV+ individuals have access to the full range of appropriate, quality prevention services.
POPULATIONS BEING TARGETED This activity is targeted at the military population, civilian employees, their dependents and the communities surrounding military sites, including men and women of reproductive age, health care workers and community- and faith-based organizations.
KEY LEGISLATIVE ISSUES These activities will focus on gender issues, including prevailing male norms and behaviors, reducing violence and coercion, and reducing stigma and discrimination.
EMPHASIS AREAS This activity has a major emphasis on training. A minor emphasis is placed on information, education and communication, capacity development, community mobilisation, links with other sectors and establishment of referral linkages and community networks.
Table 3.3.05:
ACTIVITY DESCRIPTION This activity will also link to ARV Services (#6798), CT (#6796), PMTCT (#6801), Basic Care and Support (#6802), OVC (#6808) and TB/HIV (#6795) activities.
By training uniformed members and civilian employees at all levels who have invested in a career track in the Government of Nigeria, the DoD fosters a generation of trained workers who are more likely to remain with the Military for the long term. As these employees are promoted, individuals receive technical, management, and oversight training. This explicitly fulfills PEPFAR program goals for independent operation and preparing personnel
for oversight roles. The Military Steering Committee ensures an unprecedented level of cooperation in both national and international policy development and implementation, and follows national guidelines and international military standards.
LINKS TO OTHER ACTIVITIES This activity will link to ARV Services (#6798), CT (#6796), PMTCT (#6801), Basic Care and Support (#6802), OVC (#6808) and TB/HIV (#6795) activities. All NMoD sites will be supported to routinely counsel and test patients that access general medical care at the center.
POPULATIONS BEING TARGETED The ART services will target all people in the 14 military communities served, and the civilian population in the surrounding communities, diagnosed as HIV+ and clinically assessed as suitable for treatment.
KEY LEGISLATIVE ISSUES ADDRESSED The ART services will focus on gender issues, through seamless PMTCT/ART/TB services in NMoD sites and in collaboration with neighboring PMTCT sites and in improving women's access to services, particularly in previously underserved communities.
Wrap-around issues are also addressed through links with reproductive health services.
EMPHASIS AREAS This activity will include major emphasis on capacity development and minor emphasis on infrastructure development, linkages with other sectors, quality assurance and improvement, and development of networks, linkages, and referral systems.
ACTIVITY DESCRIPTION This activity also links to Laboratory Infrastructure (#6799), ARV Services (#6798), Care and Support (#6802), PMTCT (#6801), Counseling and Testing (#6796), Blood Safety (#6805), TB/HIV (#6795), OVC (#6808) and Strategic Information (#6800).
The relationship fostered by PEPFAR and DOD/USMHRP has resulted in an excellent partnership with the NMOD. The Program is governed by a Steering Committee, co-chaired by the Minister of State for Defence (MOSD) and the US Ambassador to Nigeria. The MOSD has directed the Emergency Plan Implementation Committee to harmonize with all other partners and funding streams of the Nigerian Military. This will ensure complete synergy among programs, and the coordinated and complementary use of resources.
COP 2005 PEPFAR funding supported the opening of four facilities: Defence Headquarters Medical Center (Abuja), 44 Nigerian Army Reference Hospital (Kaduna), Navy Hospital (Ojo, Lagos), and 445 Nigerian Air Force Hospital (Ikeja, Lagos). During 2006, the partnership is commencing activities at three facilities: 45 Nigerian Air Force Hospital (Makurdi), 3 Division Nigerian Army Hospital (Jos), and Navy Medical Centre (Calabar). COP 2007 plans expansion to seven new facilities: Naval Medical Centre (Warri), Military Hospital (Benin), 355 Nigerian Air Force Hospital (Jos), 82 Division Nigerian Army Hospital, (Enugu), Military Hospital (Port Harcourt), 2 Division Nigerian Army Hospital (Ibadan), and Military Hospital (Maiduguri).
This activity supports DOD in-country and provides extra-country technical support for the Emergency Plan. Funding in this section will be applied directly to developing and training Nigerian Military laboratory officers and laboratory staff, quality control and quality assurance and technical support to the DOD USG team members. One laboratory officer will be hired in Nigeria and TDY support from USMHRP's sites in Uganda and Kenya, as well as the parent organization, the Walter Reed Army Institute of Research.
By training uniformed members and civilian employees at all levels who have invested in a career track in the Government of Nigeria, the DoD fosters a generation of trained workers who are more likely to remain with the Military for the long term. As these employees are promoted, individuals receive technical, management, and oversight training. This explicitly fulfills PEPFAR program goals for independent operation and preparing personnel for oversight roles. The Military Steering Committee ensures an unprecedented level of
cooperation in both national and international policy development and implementation, and follows national guidelines and international military standards.
By the end of COP07, the DoD will support 14 NMoD sites in Benin, Benue, Borno, Cross River, Delta, Enugu, the Federal Capital Territory (FCT), Kaduna, Lagos, Oyo, Plateau, and Rivers (11 states and FCT).
CONTRIBUTION TO OVERALL PROGRAM AREA Local laboratory technical support has been identified as a necessary item for the DOD Program in the Laboratory Technical Assistance Visit. Additional personnel and support will provide the synergistic effect needed for optimal program development, as well as support to the USG team. Activities will be closely coordinated with CDC laboratory personnel.
LINKS TO OTHER ACTIVITIES The DoD Laboratory Program relates to Laboratory Infrastructure (#6799), ARV Services (#6798), Care and Support (#6802), PMTCT (#6801), Counseling and Testing (#6796), Blood Safety (#6805), TB/HIV (#6795), OVC (#6808) and Strategic Information (#6800) activities (essentially all HIV and AIDS program areas). Links will be created with other implementing partners to optimize resources and strengthen the comprehensive networks of care across all sites, including centralized laboratory training and establishing high level laboratory services for pediatric diagnosis.
POPULATIONS BEING TARGETED This activity targets the military, civilian employees, dependents and the communities surrounding military sites. In particular, PLWHAs, orphans and vulnerable children, HIV+ pregnant women and HIV+ infants will be targeted. Further specific targets will be co-infected individuals for TB and STIs.
KEY LEGISLATIVE ISSUES ADDRESSED Support to laboratory infrastructure will impact on gender issues by improving equitable access to efficient and cost-effective services, some in previously under-served areas and wrap around by developing linkages with other sectors (such as reproductive health).
EMPHASIS AREAS This activity involves major emphasis on infrastructure development and minor emphasis on training, commodity procurement, capacity development, and quality assurance and improvement.
ACTIVITY DESCRIPTION This activity also links to Prevention activities (#6801, #6803, #6804, #6805), HIV/AIDS/TB Care Services (#6802, #6795, #6808, #6796), Treatment Services (#6797, #6798, #6799), and Other Services (#6800, #6809).
The Nigerian Ministry of Defense - US Department of Defense (NMOD-DOD) HIV partnership enters its third year in implementing PEPFAR activities. The US Military HIV Research Program (USMHRP), under the DOD, directly implements with its counterpart, the Nigerian Military. Implementation in this manner ensures direct capacity building within an Agency of the Federal Government of Nigeria (GON). Through this partnership, the impact of this program in Nigeria is profound on several levels. This includes developing a strong USG relationship with another branch of the Nigerian Government, building capacity of the indigenous partner through joint implementation of activities and offering a cost effective model for implementation through a direct USG-GON collaboration.
COP 2005 PEPFAR funding supported the opening of four facilities: Defence Headquarters Medical Center (Abuja), 44 Nigerian Army Reference Hospital (Kaduna), Navy Hospital (Ojo in Lagos), 445 Nigerian Air Force Hospital (Ikeja in Lagos). During 2006, the partnership is commencing activities at three facilities: 45 Nigerian Air Force Hospital (Makurdi), 3 Division Nigerian Army Hospital (Jos), and Navy Medical Centre (Calabar). COP 2007 plans expansion to seven new facilities (Naval Medical Centre (Warri), Military Hospital (Benin), 355 Nigerian Air Force Hospital (Jos), 82 Division Nigerian Army Hospital, (Enugu), Military Hospital (Port Harcourt), 2 Division Nigerian Army Hospital (Ibadan), and Military Hospital (Maiduguri).
This activity supports DoD in-country and provides extra-country technical support for the Emergency Plan SI activities. Funding in this section will be applied directly to developing and training Nigerian Ministry of Defense (NMoD) officers and staff, quality control and quality assurance and technical support to the DOD USG team members. One Software/Database Manager and one Epidemiologist will be hired in Nigeria and TDY support will be provided by the parent organization, the Walter Reed Army Institute of Research.
The Nigerian Ministry of Defence - US Department of Defense (NMoD-DoD) HIV partnership focuses on activities that build capacity in the Nigerian military provides a focused, capacity-building instrument designed to ensure a cost-effective, sustainable program.
CONTRIBUTION TO OVERALL PROGRAM AREA Improvement in SI management capacity will ensure effective data use and management. This activity will contribute towards the GON and USG strategy for the provision of quality and timely information for decision making. This information will serve as a valuable resource in developing corrective action plans that would enhance the efficiency and effectiveness of operations and management of the NMoD.
LINKS TO OTHER ACTIVITIES Strategic Information activity relates to all Prevention activities (#6801, #6803, #6804, #6805), HIV/AIDS/TB Care Services (#6802, #6795, 6808, 6796), Treatment Services (#6797, #6798, #6799), and Other Services (#6800, #6809).
POPULATIONS BEING TARGETED This activity targets national level policy makers in the military, the GoN and national organizations, such as NACA, as well as CBOs, FBOs and healthcare workers at the national and local levels,
KEY LEGISLATIVE ISSUES ADDRESSED The collection, analysis and dissemination of all data collected by DoD/NMoD will conform to GoN and USG standards and codes of practice. Data collected will be utilised at an organisational and national level to inform policies and guidelines and address issues such as gender inequality.
EMPHASIS AREAS The DoD SI includes major emphasis on health management information systems and minor emphasis on USG database and reporting systems, IT infrastructure, training, monitoring and evaluation and human resources development.
Table 3.3.13:
ACTIVITY DESCRIPTION This activity also links to AB (#6803), Blood Safety (#6805), Condoms and Other Prevention (#6804), Counseling and Testing (#6796), Laboratory Infrastructure (#6799), Policy Analysis and Systems Strengthening (#6809), OVC (#6808), Basic care and Support (#6802), TB/HIV (#6795), PMTCT (#6801), SI (#6800), ARV Drugs (#6797) and ARV Services (#6798).
The Nigerian Ministry of Defence - US Department of Defense (NMOD-DOD) HIV partnership enters its third year in implementing PEPFAR activities. The US Military HIV Research Program (USMHRP), under the DOD, directly implements with its counterpart, the Nigerian Military, ensuring direct capacity building within an Agency of the Federal Government of Nigeria. Through this partnership, the impact of this program in Nigeria is profound on multiple levels. The partnership is developing a strong USG relationship with another branch of the Nigerian Government, building capacity of the indigenous partner through joint implementation of activities, offering a cost effective model for implementation through a direct USG-GON collaboration, and supporting both the military and civilian communities, as 80% of patients under ART at military facilities are civilian.
This activity supports DOD in-country and provides extra-country technical support for the Emergency Plan. Funding in this section will be applied directly to training and compensating existing staff in the positions of: Program Director; Program Manager; Office Manager; Prevention, Counseling and Testing Coordinator; Strategic Information Officer; ART and PMTCT Officer; Laboratory Officer; Prevention Officer; IT Officer; Program Assistant; Administrative Assistant; and Driver.
CONTRIBUTION TO OVERALL PROGRAM AREA The Program Director works in all program areas, and provides specific expertise in the areas of ART Drugs, ART Services, Laboratory, CT, PMTCT, Palliative Care, Safe Blood, and Safe Injection. The Program Manager works across, and manages staff in, all DoD program areas. The Office Manager provides logistical support, and some program advising, for all areas. The Prevention, Counseling and Testing Coordinator works in AB Prevention, Other Prevention, PMTCT, and CT. The Strategic Information Officer contributes to programming and advises on issues related to data collection, monitoring, and evaluation. The Laboratory Officer provides support for laboratory activities. The IT officer provides support related to IT and data collection. The Prevention Officer implements prevention activities harmonized with other partners. The ART and PMTCT officer is responsible for issues relating to those program areas. Other program staff provide logistical support for all areas.
LINKS TO OTHER ACTIVITIES Management and Staffing activities link to all aspects of patient and client services: AB (#6803), Blood Safety (#6805), Condoms and Other Prevention (#6804), Counseling and Testing (#6796), Laboratory Infrastructure (#6799), Policy Analysis and Systems Strengthening (#6809), OVC (#6808), Basic care and Support (#6802), TB/HIV (#6795), PMTCT (#6801), SI (#6800), ARV Drugs (#6797) and ARV Services (#6798).
POPULATIONS BEING TARGETED This activity targets all members of the DOD HIV Program team.
EMPHASIS AREAS This activity includes major emphasis on capacity development and minor emphasis on training and quality assurance.
The DoD ICASS budget is estiamted at $232,000 and CSCS at $32,000
