Detailed Mechanism Funding and Narrative

Years of mechanism: 2007 2008 2009

Details for Mechanism ID: 6171
Country/Region: Nigeria
Year: 2007
Main Partner: KNCV Tuberculosis Foundation
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: USAID
Total Funding: $200,000

Funding for Care: TB/HIV (HVTB): $200,000

ACTIVITY DESCRIPTION: This TB Control Assistance Program (TB CAP) will be implemented by the KNCV Tuberculosis Foundation. The activity is linked to ensuring uninterrupted drug availability at TB and HIV treatment sites. Currently there are 2219 treatment sites in Nigeria and the National goal is to reach over 3015 sites country wide. As a first activity, the current drug management system will be assessed. Based on the assessment results a prioritized workplan will be developed to address the following technical areas:

• Technical assistance to National and state TB and HIV control programs to develop / revise the national and state forecast, budget and procurement plans for drugs and commodities for the treatment of TB and provision of joint TB/HIV services; • TA on establishment of appropriate logistics systems for 6 zonal stores; • Ensuring appropriate store conditions to accommodate NTBLCP's aim of maintaining buffer stocks of three months at the LGA-level, six months at the state-level, and twelve months at the national level; • A ToT for National, state and local government staff on forecasting, budgeting, procurement, distribution and monitoring of commodities; and, • A mentored roll-out plan targeting the six zonal stores.

It is anticipated that a multi year plan is needed to fully address all these technical areas with appropriate funding.

Contribution to Overall Program Areas: Currently, the supply chain system for drugs and other supplies needed is weak. A central store exists in Lagos which supplies regional stores in Jos and another in the north central zone, but still dependent of the ILEP NGOs. There is insufficient capacity at national, zonal and state levels to effectively manage the drug supply system. A Strategic Framework of Implementing Joint TB/HIV Activities in Nigeria has been promulgated in 2005-06. This strategy includes WHO-recommended interventions aimed to reduce the burden of HIV among TB patients, to reduce the burden of TB among PLWHA and to establish the mechanisms for coordination between the TB and HIV programs as well as with other partners. There was a dramatic acceleration of TB/HIV planning and programming in the 2005-2006 period. This activity will contribute to strengthening and expanding the capacity of the Government of Nigeria's response to the treatment of TB among patients living with HIV. This activity will also contribute to the strengthening and scale up of the national drug logistics and management systems, especially as it relates to TB drugs for TB/HIV co-infected patients. This activity will ensure that program policies and guidelines as well as training curricula reflect the planned changes.

Subpartners Total: $200
Management Sciences for Health: $200
World Health Organization: NA
FHI 360: NA