ACTIVITY DESCRIPTION This activity also relates to HIV/AIDS care and support programs (3.3.06), OVC programs (3.3.08), and counselling and testing services (3.3.09) provided by PEPFAR partners.

Community Care in Nigeria (CCN) will support the scale-up of OVC and HBC service provision in seven States (FCT, Edo, Anambra, Adamawa, Lagos, Benue and Niger) and development indigenous multipliers and CSOs capacities. It will develop a community and family based approach in which communities design and implement their own OVC protection and care. Although the provision of direct benefits is a central part of OVC programming and is included here, attention is also given to longer term developments that will create an enabling environment for OVC and that will ensure services continue to be provided after program close out. A key element of this OVC program will be to integrate Abstinence and Faithfulness messages into all levels to reduce the heightened vulnerability to HIV that this population faces.

All program elements will contribute to the national HIV response and will be based on relevant aspects of both the National OVC Plan of Action and local plans developed by SACAs and LACAs as they relate to orphans, but also closely linked the National Strategic Framework as it relates to prevention. Liaison with SACAs, LACAs, the Ministry of Health, and the Ministry of Women Affairs will be integral to the program. CCN will address all six objectives included in the OVC National Plan of Action, will specifically target Objective 3 of the HIV/AIDS National Strategic Framework for Action 2005 - 09, and will complement and be integrated into other USG funded and Government of Nigeria AB prevention programs. It will contribute to the development of networks of learning that can develop best practices for youth programming with a special emphasis on OVC

Activities will be accomplished through a consortium made up of Christian Aid (CA) and the Association of Women with HIV/AIDS in Nigeria (ASWHAN) along with a range of implementing partners that includes five Anglican Church Dioceses. The consortium approach utilizes the added value of each partner and provides a combination of competencies that will address the Emergency Plan's goals to expand HIV/AIDS service delivery and facilitate a greater management role for Nigerian organizations. CA will provide internationally proven technical, management and capacity development experience.

CA is currently implementing a Track 1 program which aims to improve the quality of life for 25,000 Orphans and Vulnerable Children (OVC) affected by HIV, through community-based responses. Additional funding through Track 2 will allow for growth and expansion of the program. The program offers comprehensive models of prevention, care and support, to meet both the psychological and material needs of OVC, and promotes advocacy and learning on issues affecting OVC. A key need that will be addressed in this program is older OVC's sexual development and offering them both roles models and skills to allow them to choose to delay initiation of sexual activity and to avoid sexual exploitation.

Support groups composed of women clearly offer a particular added value in terms of supporting OVC and this is one of the main areas that will be targeted by ASWHAN. In the context of this program ASWHAN are ideally placed to ensure that program design reflects the needs of OVC. They are also well placed to assist the rest of the program adopt a gender sensitive approach that addresses the unique needs of women and female OVC.

Among the organizations that will be ASWHAN supported are six support groups previously supported under the GHAIN program. CA will work with the USG team to ensure smooth transition and avoid gaps in services for children served under these programs. In addition LMS, which is providing AB technical assistance for the new local partners joining the AB portfolio, will also provide guidance to CA and ensure that they are well integrated into the portfolio and benefiting from best practices and lessons learned in this program area.

Consistent with the goals of the APS award, CA will provide technical support to ASWHAN to develop the capacity to directly access USG funds in the future. Christian Aid will act as the prime for three years of this program. However a key principle implemented over the course of the program will be a transfer of management and granting responsibilities from

CA to ASWHAN. By the end of the program ASWHAN will have the capacities necessary to receive direct US funding through several mechanisms. The process and timeframe for this will be determined by an Executive Committee responsible for the management of the program and comprising the two consortium members. The Committee will review program progress, make decisions regarding the allocation of program resources, develop work plans and assess opportunities for further program expansion.

CONTRIBUTIONS TO OVERALL PROGRAM AREA: The program will provide age-appropriate AB prevention messages to 11,000 OVC by the end of the 3 year program. In the first year, the program expects to reach 3,000 OVC with these messages.

Christian Aid and partners will assist, through advocacy and support to lesson learning with State and Local Government stakeholders, the roll out of activities supported at national level by ENHANSE. Priorities are likely to include the ratification of the Child Rights Bill in the two States and the roll out of the National OVC Plan of Action. In addition the participation of State Ministry of Women Affairs representatives and SACAs and LACAs in programme activities will be used to share lessons and support local coordination.

LINKS TO OTHER ACTIVITIES Linkages will be established with HIV/AIDS treatment centres and community adherence activities (3.3.11) care and support programs (3.3.06) and TB/HIV programs (3.3.07) to ensure that OVC and carers stay alive and in good health, to counselling and testing centers (3.3.09) to enable family members to receive necessary support and to PMTCT providers (3.3.01) to reduce the increase in numbers of HIV+ children. Special links will be made with income generating activities for OVCs so that when they choose to act on the AB messages that they are provided they will have potential sources of income to support those choices.

4. POPULATIONS BEING TARGETED This program targets girl and boy OVC and families affected by HIV/AIDS. It will integrate prevention messages into the services provided to OVC and family members in community settings using existing established and accepted community organizations as service providers.

KEY LEGISLATIVE ISSUES ADDRESSED Stigma and Discrimination: Religious leaders, including priests, bishops and leaders of women's organizations, will be trained to combat stigma in their work and will be supported to engage productively and openly with PLHA, OVC, and other vulnerable groups. Wrap Arounds: Increased access to micro-finance for households will be provided by existing rural development programs of ADDS (Benue State only). Christian Aid will encourage greater access to income generation opportunities through advocacy to regional branches of institutions such as NAPEP and will encourage provision of UBE through advocacy to local and State Government stakeholders. Gender: The program will aim to a) support equal numbers of male and female OVC and address cultural and economic factors that limit access to services of either gender; b) develop opportunities for women to increase their access to economic resources.

EMPHASIS AREAS: This program includes a major emphasis on Local Organization Capacity Development and minor emphases on community mobilization, nutrition and training as outlined in Section 1.

ACTIVITY DESCRIPTION This activity also relates to HIV/AIDS treatment centres and community adherence activities (3.3.11), care and support programs (3.3.06), TB/HIV programs (3.3.07), and counselling and testing services (3.3.09) provided by PEPFAR partners.

Community Care in Nigeria (CCN) will support the scale-up of OVC and HBC service provision in seven States (FCT, Edo, Anambra, Adamawa, Lagos, Benue and Niger and development of the capacity of indigenous multipliers and CSOs. It will develop a community and family based approach in which communities design and implement their own OVC protection and care. Although the provision of direct benefits is a central part of OVCprogramming and is included here, attention is also given to longer term developments that will create an enabling environment for OVC and that will ensure that services continue to be provided after the close out of the program. Part of this will be support to the strengthening of coordination structures for OVC activities at State and Federal Government levels.

All elements of the program will contribute to the national response to HIV and will be based on relevant plans such as the National OVC Plan of Action, the NSF and local plans developed by SACAs and LACAs. Liaison with SACAs, LACAs and the Ministry of Women Affairs will be integral to the program. CCN will address all six objectives included in the OVC National Plan of Action, will specifically target Objective 3 of the HIV/AIDS National Strategic Framework for Action 2005 - 09, and will complement and be integrated into other USG funded and Government of Nigeria programs. It will contribute to the development of networks of learning that can develop best practice for OVC work and stimulate the expansion of quality HIV related services

Activites will be accomplished through a consortium made up of Christian Aid (CA) and the Association of Women with HIV/AIDS in Nigeria (ASWHAN) along with a range of implementing partners that includes five Anglican Church Dioceses. The consortium approach is based on utilizing the added value of each partner and provides a combination of competencies that will address the Emergency Plan's goals to expand HIV/AIDS service delivery and facilitate a greater management role for Nigerian organizations. CA will provide internationally proven technical, management and capacity development experience.

CA is currently implementing a Track 1 supported program which aims to improve the quality of life for 25,000 Orphans and Vulnerable Children (OVC) affected by HIV, through community-based responses, working with 11 CA partners in Uganda, Kenya, Zambia and Nigeria. The program offers comprehensive models of care and support, to meet both the psychological and material needs of OVC, and promotes advocacy and learning on issues affecting OVC. Expanding this program as an awardee from the APS will increase coverage of PEPFAR focal states, and share experience and best practice approaches.

Support groups composed of women clearly offer a particular added value in terms of supporting OVC and this is one of the main areas that will be targeted by ASWHAN. In the context of this program ASWHAN are ideally placed to ensure that program design reflects the needs of OVC. They are also well placed to assist the rest of the program adopt a gender sensitive approach that addresses the unique needs of women and female OVC.

Among the support groups that will be supported by ASWHAN are six support groups previously supported under the GHAIN program. CA will work with the USG team to ensure smooth transition and avoid gaps in services for children served under these programs.

Consistent with the goals of the APS under which CA was awarded, CA will provide technical support to ASWHAN to develop the capacity to directly access USG funds in the future. Christian Aid will act as the prime for the course of the three years of this program. However a key principle of the consortium will be that over the course of the program, management and granting responsibilities will be transferred from CA to ASWHAN. By the end of the program ASWHAN will be able to directly receive funding from USAID under sub grant programs and will be in a position to apply for grants under umbrella grants programs subject to completion of legal requirements. The process and timeframe for this will be determined by an Executive Committee responsible for the management of the

program and comprising the two consortium members. The Committee will review program progress, make decisions regarding the allocation of program resources, develop work plans and assess opportunities for further program expansion.

CONTRIBUTIONS TO OVERALL PROGRAM AREA: The program will directly benefit 11,000 OVC and 5,000 families who will have accessed OVC services by the end of the 3 year program. In the first year, the program expects to reach 3,000 OVC and 1500 families will have been supported.

Christian Aid and partners will assist, through advocacy and support to lesson learning with State and Local Government stakeholders, the roll out of activities supported at national level by ENHANSE. Priorities are likely to include the ratification of the Child Rights Bill in the two States and the roll out of the National OVC Plan of Action. In addition the participation of State Ministry of Women Affairs representatives and SACAs and LACAs in programme activities will be used to share lessons and support local coordination. Indirect targets of 500 OVC and ten persons trained in OVC are expected additive accomplishments.

LINKS TO OTHER ACTIVITIES Linkages will be established with HIV/AIDS treatment centres and community adherence activities (3.3.11) care and support programs (3.3.06) and TB/HIV programs (3.3.07) to ensure that OVC and carers stay alive and in good health, to counselling and testing centers (3.3.09) to enable family members to receive necessary support and to PMTCT providers (3.3.01) to reduce the increase in numbers of HIV+ children.

POPULATIONS BEING TARGETED This program targets girl and boy OVC and families affected by HIV/AIDS. It will provide services to OVC and family members in community settings using existing established and accepted community organizations as service providers.

KEY LEGISLATIVE ISSUES ADDRESSED Stigma and Discrimination: Religious leaders, including priests, bishops and leaders of women's organizations, will be trained to combat stigma in their work and will be supported to engage productively and openly with PLHA. Wrap Arounds: Increased access to micro-finance for households will be provided by existing rural development programs of ADDS (Benue State only). Christian Aid will encourage greater access to income generation opportunities through advocacy to regional branches of institutions such as NAPEP and will encourage provision of UBE through advocacy to local and State Government stakeholders. Gender: The program will aim to a) support equal numbers of male and female OVC and address cultural and economic factors that limit access to services of either gender; b) develop opportunities for women to increase their access to economic resources.

EMPHASIS AREAS: This program includes a major emphasis on Local Organization Capacity Development and minor emphases on community mobilization, nutrition and training as outlined in Section 1.