ACTIVITY DESCRIPTION:

This activity represents the "fully-loaded" costs of a full-time Nigerian technical program officer for PMTCT.

This is a continuing position.

The PMTCT 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) interfacing with the USG/Nigeria team's prevention and treatment technical working groups.

This person will work to ensure a harmonized, consistent, and relevant technical approach across USG

Agencies and amongst all partners implementing PMTCT programs. The officer will also provide a

significant level of in-field technical and monitoring support, as the PMTCT program area will be expanding

greatly over the coming year, both in terms of dollar value and in terms of numbers of service delivery

points. This advisor spends 100% of the time advising in the PMTCT program area.

The budget represents the loaded costs for this staffer, with the exception of ICASS costs (see another

submission in this program area) and IT Tax costs, which are captured under the USAID Agency M&S line.

ACTIVITY DESCRIPTION:

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 one

program officers, three program assistants and an administrative assistant. The program officer for sexual

transmission and one program assistant 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 have

increased dramatically over the past year and are anticipated to continue to increase as the APS identifies

additional local faith-based and community-based partners. The strategic shift undertaken by the

Prevention TWG to mandate a minimum package of prevention services will also require a significant level

of programmatic reorientation by the partners, and a robust prevention team will provide the technical

leadership required for an appropriate response. 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.

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.

The budget represents the loaded costs for this AB prevention team, with the exception of ICASS costs (see

another submission in this program area) and IT Tax costs, which are captured under the USAID Agency

M&S line.

ACTIVITY DESCRIPTION:

This activity represents the "fully-loaded" costs of a full-time Nigerian program officer for medical

transmission. This is a continuing position.

The program officer for medical transmission provides technical and programmatic support to the USG

partners in the areas of safe injection, blood safety, and generalized health care waste management. The

program officer's responsibilities include: 1) representing the USG in technical discussions with the GON

with guidance from the Prevention Senior Advisor, 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) interfacing with the USG/Nigeria prevention team.

This officer spends 50% of his time advising in the safe injection program area and 50% of his time advising

in the blood safety program areas, however all his direct costs are captured in this program area. The

budget represents the loaded costs for this staffer, with the exception of ICASS costs (see another

submission in this program area) and IT Tax costs, which are captured under the USAID Agency M&S line.

ACTIVITY DESCRIPTION:

This activity represents the "fully-loaded" costs of a full-time third-country national technical advisor for

Basic Care and Support. This is a continuing position.

The Care and Support 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 HBHC working group. As USAID has the technical lead for the

HBHC program area within the USG team, this last responsibility is key to ensuring a harmonized,

consistent and relevant technical approach across USG Agencies and amongst all partners implementing

care and support programs.

The budget represents the loaded costs for this staffer, with the exception of ICASS costs (see another

submission in this program area) and IT Tax costs, which are captured under the USAID Agency M&S line.

ACTIVITY DESCRIPTION:

This activity represents the "fully-loaded" costs of USAID's TB/HIV team, which includes the TB/HIV

Advisor, a TB/HIV Program Officer, and a program assistant. The program officer and the program

assistant are new positions, requested for approval in this COP, as there is a need for increasing

specialized support for the fuller range of TB/HIV activities throughout the interventions supported by

PEPFAR. The dollar amounts to be programmed and the number of partners providing programming in this

area have increased dramatically over the past year and are anticipated to continue to increase. The

implementing partners in this area are also diversifying their geographic coverage and provision of services

throughout all levels of the health care system, all of which will require increases in the USG technical team.

Oversight, supervision, mentoring, and capacity-building needs are all more intense for these new and

inexperienced partners and sites, and the entire TB/HIV 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. In addition, the team will also be working closely with the

logistics, laboratory and HCT technical teams, as these supports will also be required for the appropriate

level of service delivery and program implementation for the TB/HIV activities.

The TB/HIV team, working with the wider PEPFAR TB/HIV team and with Government of Nigeria and

Implementing Partner counterparts, provides oversight, supervision, capacity-building and technical

assistance and leadership for the TB/HIV interventions and services. The team will also be managing

several new mechanisms and providing oversight to a wider geographic range of service delivery points, as

well as participating in some resistance monitoring evaluation/surveillance activities. The team'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) interfacing

with the USG TB/HIV Technical Working Group headed by CDC.

These three positions are all local Nigerian hires. The budget represents the loaded costs for these

personnel, with the exception of ICASS costs (see another submission in this program area) and IT Tax

costs, which are captured under the USAID Agency M&S line.

ACTIVITY DESCRIPTION:

This activity represents the "fully-loaded" costs of USAID's OVC team, which includes the OVC Advisor, an

OVC Program Officer, a Program Officer for Nutrition, two program assistants and an administrative

assistant. The program officer for nutrition, a program assistant and the administrative assistant are new

positions, requested for approval in this COP, as there is a need for increasing specialized support for the

fuller range of OVC activities throughout the interventions supported by PEPFAR. The dollar amounts to be

programmed and the number of partners providing programming in this area have increased dramatically

over the past year and are anticipated to continue to increase as the APS and other solicitation mechanisms

identify 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

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. In addition, there

will be increased emphasis on two elements of the OVC package of services - nutrition and education -

and wraparound activities in these sectors will also require substantive coordination.

The OVC team, working with the wider PEPFAR OVC team and with Government of Nigeria and

Implementing Partner counterparts, provides oversight, supervision, capacity-building and technical

assistance and leadership for the OVC interventions and services. The team will also be managing several

new mechanisms and providing oversight to a wider geographic range of service delivery points. The team'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 Technical 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 activities, in line with national

guidelines.

These six positions are all local Nigerian hires. The budget represents the loaded costs for these

personnel, with the exception of ICASS costs (see another submission in this program area) and IT Tax

costs, which are captured under the USAID Agency M&S line.

ACTIVITY DESCRIPTION:

This activity represents the "fully-loaded" costs of a full-time Nigerian technical program officer advisor for

HCT. The HCT 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) interfacing with the USG/Nigeria HCT team lead by USAID. S/he will As USAID has the

technical lead for the VCT program area within the USG team, this fifth responsibility is key to ensuring a

harmonized, consistent, and relevant technical approach across USG Agencies and amongst all partners

implementing HCT programs.

This position is being requested for the first time in this COP, as the dollar amounts to be programmed and

the number of partners providing programming in this area have increased dramatically over the past year.

The provision of HCT services in other program areas, such as TB/HIV and PMTCT also mean that there is

an increased need for quality assurance and monitoring visits to a much larger and geographically diverse

listing of service delivery points. As Nigeria will be shortly adopting a new testing algorithm, there is also an

increased need to ensure the proper training on the new test protocols, and a dedicated staffer would

provide the necessary guidance for this shift. Oversight, supervision, monitoring and capacity-building

needs are all more intense for new and inexperienced partners and sites, and the HCT officer will contribute

to meeting these needs by making regular supervision visits to the field.

This advisor spends 100% of his time advising in the VCT program area, under the guidance of the

Lab/HCT Advisor. The budget represents the loaded costs for this staffer, with the exception of ICASS

costs (see another submission in this program area) and IT Tax costs, which are captured under the USAID

Agency M&S line.

ACTIVITY DESCRIPTION:

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 for logistics, a program officer for pharmacy and an administrative

assistant. The program officer for pharmacy is being requested for the first time in this COP, as there is

increasing demand for this specialty within the USG team, so as to ensure appropriate technical guidance

for availability of and shifts to new drug regimens (first and second line, development of generics, pediatric

formulations, etc.), advising on alternatives in case of pipeline/procurement issues, and to ensure

compliance with the Nigerian drug regulatory authorities. Moreover, both the dollar amounts to be

programmed and the number of partners providing programming in this area have increased dramatically

over the past year and are anticipated to continue to grow, requiring a larger logistics management team.

The commodities logistics team 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. The commodities logistics team'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 implementing ART programs, as well as compliance with

GON and FDA procurement and import regulations. In addition, the oversight of SCMS and coordination

with other commodity providers, such as the Clinton Foundation and Global Fund, have been added to this

portfolio.

This advisor spends 100% of her time advising in this program area and does not have primary program

responsibilities in any other program area. The three support positions are all local Nigerian hires. The

budget represents the loaded costs for these personnel, with the exception of ICASS costs (see another

submission in this program area) and IT Tax costs, which are captured under the USAID Agency M&S line.

ACTIVITY DESCRIPTION:

This activity represents the "fully-loaded" costs of USAID's ART Services team, which includes the ART

Advisor, a Pediatrics Program Officer, and a program assistant. The program officer for Pediatrics is a new

position, requested for approval in this COP, as there is a need for increasing specialized support for the

fuller integration of pediatric services (clinical and community oriented) throughout the interventions

supported by PEPFAR. The ART Services team, working with the wider PEPFAR ART team and with

Government of Nigeria and Implementing Partner counterparts, provides oversight, supervision, capacity-

building and technical assistance and leadership for the HIV and AIDS clinical interventions and services.

The team will also be managing several new mechanisms and providing oversight to a wider geographic

range of service delivery points.

These three positions are all local Nigerian hires. The budget represents the loaded costs for these

personnel, with the exception of ICASS costs (see another submission in this program area) and IT Tax

costs, which are captured under the USAID Agency M&S line.

ACTIVITY DESCRIPTION:

This activity represents the "fully-loaded" costs of a full-time Nigerian technical advisor for Lab and VCT.

This is a continuing position.

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) interfacing with the USG/Nigeria Lab team lead by CDC, and 5) leading the USG VCT

working group. As USAID has the technical lead for the VCT program area within the USG team, this fifth

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

direct costs are captured in this program area. The budget represents the loaded costs for this staffer, with

the exception of ICASS costs (see another submission in this program area) and IT Tax costs, which are

captured under the USAID Agency M&S line.

ACTIVITY DESCRIPTION:

This activity represents the "fully-loaded" costs of USAID's SI team, which includes the USG/PEPFAR SI

Liaison, an information manager, a Health Management Informations System (HMIS) advisor, a

monitoring/evaluation and financial advisor, a program officer for M&E, and a program assistant. The

program officer for M&E is a new position, requested for approval in this COP, as the level of support, M&E

coordination activities, and PEPFAR evaluations are expanding. The team, working with the wider PEPFAR

SI team and with Government of Nigeria and Implementing Partner counterparts, provides oversight,

supervision, capacity-building and technical assistance and leadership for the HIV and TB monitoring and

evaluation activities. There will be a range of national level and targeted surveys and evaluations planned

during COP 08, and the expanded team will support the collection, analysis, use and dissemination of data

for programming and policy purposes.

Two of the positions are Fellows; the others are local Nigerian hires. The budget represents the loaded

costs for these personnel, with the exception of ICASS costs (see another submission in this program area)

and IT Tax costs, which are captured under the USAID Agency M&S line.

ACTIVITY DESCRIPTION:

The USG Nigeria team's M&S goal, through the USAID office in Nigeria, is to have appropriate oversight for

the 27 bilateral agreements worth $120M and the 13 field support agreements worth $24M (this does not

include the management of SCMS, which is an additional $41M); to deliver quality results and responsible

and transparent use of USG funds. Given the highly technical nature of ART services, and the need for

broad expansion for community- and home-based care services, the need for on-site monitoring is

substantial. The rapid expansion of the portfolio, including new and inexperienced indigenous partners and

a planned national coverage by the end of COP08, increases the management demands on the team. In

addition to the contractual responsibilities for the USAID-managed agreements and contracts, the USAID

team plays a vital technical and strategic role in integrating the Emergency Plan programming across

partners. The interagency technical teams are also involved in the joint oversight and monitoring of all

Implementing Partners, and in coordinating and collaborating with the GON and bilateral and multilateral

donors, including Global Fund and the Clinton Foundation, and with other stakeholders. The technical team

members also play key roles in the development of national guidelines and in advocacy efforts around their

areas of technical expertise. This leadership builds significant national capacity and is developing the

caliber of HIV services across the country.

To perform this mandate, USAID/Nigeria has planned for a staff of 60 staff to directly and indirectly support

the HIV/AIDS and TB activities in COP08, an increase of 18 technical, specialist and administrative support

positions (see USG Nigeria staff matrix COP08). All of the 42 approved positions under COP07 are filled or

are under recruitment. This scale up plan has been developed as part of the interagency process, in order

to ensure strategic growth and appropriate technical coverage in line with agency comparative advantage.

The new core staff will be integrated into the technical working groups in line with the respective expansions

of the subgroups' portfolios to ensure appropriate technical oversight and administrative support.

The COP08 USAID staffing plan within the core technical team includes three USDH that fill the positions of

HIV Team Leader, Deputy Team Leader, and a Procurement Manager. On the wider support team, there

are seven USDH, including the PEPFAR Coordinator, two Program Officers, a Contracting Officer, the

Deputy Controller, the General Development Officer, and the PEPFAR Lawyer. Of the remaining 49

positions, 34 work within the technical office providing direct HIV/AIDS programs support and 15 are

Mission support positions that reside in the Finance, Contracts, Partnership, and Executive Offices. The

detailed listing is presented in the Staffing Matrix. In the attached supporting documents is a full USG

PEPFAR Nigeria organizational chart that indicates the interagency complementarities of staffing designs.

M&S costs are inclusive of ‘fully loaded' costs for the 28 personnel supported via M&S (the other staff are

covered under their program funding areas), rent for offices and warehouse space, utilities, travel and

training for M&S staff, two new vehicles, IT taxes for all USAID staff, parking fines, and IT equipment. The

funds also include provisions for required technical assistance efforts or surge capacity needs as well as

program audit/costing assessment support. General ICASS charges are addressed under another budget

line, split out by program area.

The USAID M&S budget in COP08 supports the USG interagency team process of providing technical

guidance and monitoring of PEPFAR activities across a significant array of implementing partners

throughout Nigeria, the second largest PEPFAR country based on established 2009 end targets. The

HIV/AIDS office within the USAID/Nigeria Mission is committed to the precepts of GIPA efforts, and includes

GIPA language in all recruitment announcements to encourage models of positive living within the USG

team, an effort enhanced by the within-Mission workplace policies and activities.

Through an interagency agreement, USAID is the technical working group lead in several program areas,

including: AB prevention, Medical transmission prevention, Condoms and Other prevention, Basic Care and

Support, OVC, C&T, Commodities Logistics, SI and Systems Strengthening. USAID also has staff

designated for the CDC-led technical working groups in the areas of TB/HIV, Lab and ART. 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 PEPFAR management

team on programmatic progress and on developments in those technical 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 FY08 is estimated at $450,000 and IRM Tax at $331,000.