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.
Years of mechanism: 2007 2008 2009
ACTIVITY DESCRIPTION:
This activity relates to the Strategic Information (3.3.13) and Other Policy/Systems Strengthening (3.3.14)
Program Areas. During COP 08 the Leadership, Management and Sustainability (LMS) Project will
continue and build upon those activities initiated in COP 07 in these program areas.
In COP 08 the LMS Program will provide institutional capacity building support to up to 24 Nigerian Non
Governmental Organizations (NGOs) and Faith Based Organizations (FBOs). LMS will develop leadership
and management skills at all levels of health service organizations and programs and strengthen
management and operational systems in order to optimize organizational capacity to efficiently and
effectively address change and improve health outputs and outcomes. The target is to train 200 individuals
in AB related to institutional capacity building.
Located throughout the country, Nigerian CSOs provide prevention, OVC and palliative care services and a
select few also provide HIV AIDS treatment and HIV AIDS/TB integrated care. The Emergency Plan gives
special recognition to Civil Society Organizations (CSOs) in its five year HIV/AIDS strategy because of their
longstanding involvement in responding to the pandemic. Their contribution to the Emergency Plan is
pivotal given their leadership and legitimacy in communities. However, there are a number of challenges for
these local CSOs as many of them are nascent organizations with low technical and organizational
capacity. Many reputable FBOs and NGOs, capable of contributing significantly to achievement of
Emergency Plan goals, have been identified by the USG team in Nigeria. However, the organizations'
limited experience with receiving USG funds—or indeed any external grants whatsoever—along with their
limited management and accountability systems has made it difficult to add these organizations to the
Emergency Plan portfolio. Even those organizations that have been successful in the initial concept paper
rounds of the CSO/FBO APS, have struggled to remain competitive in later rounds and almost all have
stalled at the pre-award audit stage.
With its expertise in strengthening management and leadership, and its ability to build sustainable and
accountable systems, LMS will continue to support the development and maturation of these organizations
and assist them to contribute to the Emergency Plan in a significant way. In conjunction and coordination
with its AB Prevention efforts, in COP 08 LMS will continue to address OVC, TB HIV, policy, condoms and
other prevention, and SI program areas by supporting these new and indigenous partners. LMS's capacity
building targets for all these program areas are captured in the Systems Strengthening portion of its COP
submission.
Building on its COP 07 success in assisting NGOs to develop successful program concept papers and
competitive proposals, LMS will continue during COP 08 to be active at all points throughout the solicitation
and procurement process, developing potential partners' ability to present themselves and their programs in
a comprehensive and competitive manner. LMS will continue to assist organizations selected for award
throughout the award process, assisting them to put accountable systems in place, or where necessary
managing the award in the interim while systems are being built. This will allow provision of services to
commence immediately while capacity is being built. LMS will support new awardees during their
implementation and will assure that accountable and sustainable programs are built, and that awardees are
capable of maintaining their new relationships with the USG. An important part of this phase will be
supplying technical assistance, particularly in the AB program area where most FBO/CBOs are active, to
ensure sound technical practices, sharing of lessons learned, and integration into the wider USG and GON
strategy. LMS will give preference to working with NGOs that are multiplier organizations that will broadly
distribute sound technical practices, institutional capacity building skills and capabilities among their network
of organizations, so that the 24 organizations targeted will in fact result in improved organizational skills,
management capacities and sustainable practices being widely used throughout the NGO community.
During COP 07 LMS provided technical assistance to indigenous national and regional multiplier NGOs and
FBOs in Nigeria. In COP 08 funds will be used to provide support in areas of organizational development
such as: development and maintenance of constructive, informed working relationships with USG in the
Emergency Plan context; project management, monitoring and evaluation; financial management; strategic
and annual planning; leadership development and sound governance structures. These skills and
organizational management and operational systems are necessary to both carry out the terms of USG
funding agreements as well as to achieve improved organizational development and sustainability.
Constraints will be addressed by utilizing qualified Nigerian staff and US Short Term Technical Assistance
to train and support the CSOs. Support will be offered through regularly scheduled on-site technical
assistance in organizations and through training workshops, both face-to-face and virtual (the latter if
capacity exists). Necessary organizational materials including manuals, policies, norms and procedures and
systems will be developed. All LMS management trainings will be based on tools that have been developed,
tested, and employed by MSH in countries throughout Africa. All training materials and curriculum related
to AB programs and sound technical practices are consistent with GON and USG guidelines. All sites will
use a standard data collection tool to assist with monitoring and evaluation of their community-based
service delivery activities.
CONTRIBUTIONS TO OVERALL PROGRAM AREA:
Activities will contribute to the result of strengthened NGO/ FBO capacity to deliver more efficient and
effective care and reach their established targets. In addition, technical assistance relating to best practices
in Abstinence and Faithfulness programming will be provided for these organizations in order to assist them
to maintain high-quality AB programs that are achieving measurable results.
LINKS TO OTHER ACTIVITIES:
Activities will improve financial management, human resource management, MIS, quality assurance,
strategic planning, and leadership and governance of partner organizations. LMS activities in Nigeria also
relate to the Strategic Information and Other Policy/Systems Strengthening program area. Under a
separate funding stream, LMS has been selected to provide capacity-building support for the Country
Coordinating Mechanism (CCM) for the Global Fund grants. In addition to strengthening the capacity of
Nigeria to manage these grants, LMS should be able to facilitate linkages to the NGO/FBO community that
they are also supported, and by so doing build synergies and enhance prospects for sustainability.
TARGET POPULATIONS:
Activity Narrative: This activity targets up to 24 Nigerian FBOs and NGOs, including national and regional multiplier
organizations and local NGOs/FBOs, which will be targeting a wide array of populations with AB activities.
EMPHASIS AREAS:
This activity includes emphasis on local organization capacity development and human capacity
development, quality assurance and strategic information (M&E) as detailed in the activity description
above. This activity will also support the NGOs and FBOs to increase gender equity in programming and
also help to decrease stigma and discrimination through prevention and counseling messages provided by
them in targeted communities
TARGETS:
The targets set for LMS for COP08, 24 units and 200 individuals, and captured in the Systems
Strengthening program area, refer to multiplier NGOs, CBOs, and FBOs that LMS will mentor and assist to
develop effective organization structures, improved management capabilities, and efficient systems, which
in turn will enable them to dramatically expand quality prevention services, and to empower and enable
other organizations within their multiplier network to improve and expand services.
This activity relates to AB (9758.08), SI (15649.08) and the Other Policy/Systems Strengthening (12449.08)
Program Areas. During COP08 the Leadership, Management and Sustainability (LMS) Program will
continue the activities initiated during COP07.
In COP08 the LMS Program, across its different PEPFAR program areas, will provide institutional and
human capacity building to 24 Nigerian Non Governmental Organizations (NGOs) and Faith Based
Organizations (FBOs) and to 200 individuals. LMS will develop leadership, management and monitoring
and evaluation skills at all levels of health service organizations and programs and strengthen management
and operational systems. These efforts will optimize organizational capacity to efficiently and effectively
address change and improve health outputs and outcomes.
select few will also provide HIV AIDS treatment and HIV AIDS/TB integrated care. The Emergency Plan
gives special recognition to Civil Society Organizations (CSOs) in its five year HIV/AIDS strategy because of
their longstanding involvement in responding to the pandemic. Their contribution to the Emergency Plan is
stalled at the pre-award audit stage. With its expertise in strengthening management and leadership, and
its ability to build sustainable and accountable systems, LMS will continue to support organizations working
in the Condoms and Other Prevention and AB program areas and help them contribute to the Emergency
Plan in a significant way. These efforts will also be supportive of and coordinated with LMS work in the
OVC, TB HIV, Policy, and SI program areas. Targets for activities that occur in other program areas that
overlap with condoms and other prevention are described in the narratives for those other program areas.
LMS will be active at all points throughout the procurement process, developing potential partners' ability in
their work to promote condoms, STI management, messaging to reduce injection drug use and programs to
reduce other risks of persons engaged in high-risk behaviors. More specifically, LMS will work with these
organizations and help them present themselves and their programs in a comprehensive and competitive
manner. In addition, LMS will assist organizations selected for award throughout the award process to put
accountable systems in place or, where necessary, managing the award in the interim while systems are
being built. This will allow provision of services to commence immediately while capacity is being built.
Finally, LMS will support new awardees during their implementation and will assure that accountable and
sustainable programs are built, and that awardees are capable of maintaining their new relationships with
the USG. An important part of this phase will be supplying technical assistance to ensure sound technical
practices, sharing of lessons learned, and integration into the wider USG and GON strategy.
COP07 marked the first year that LMS provided technical assistance to indigenous national and regional
multiplier NGOs and FBOs in Nigeria, although LMS and its predecessor project Management &Leadership
(M&L) have provided this support in other countries. COP08 funds will be used to provide support in areas
of organizational development such as: development and maintenance of constructive, informed working
relationships with the USG in the Emergency Plan context; project management; monitoring and evaluation;
financial management; strategic and annual planning; leadership development and sound governance
structures. These skills and organizational management and operational systems are necessary to both
carry out the terms of USG funding agreements as well as to achieve improved organizational development
and sustainability.
systems will be developed. All sites will use a standard data collection tool to assist with monitoring and
evaluation of their community-based service delivery activities.
in Condoms and Other Prevention programming will be provided for these organizations in order to assist
them to maintain high-quality Condoms and Other Prevention programs that are achieving measurable
results.
Nigeria to manage these grants, LMS has been able to facilitate linkages to the NGO/FBO community that
they are also supporting and by so doing build synergies and enhance prospects for sustainability.
POPULATIONS BEING TARGETED
This activity targets up to 12 Nigerian FBOs and NGOs, including national and regional multiplier
organizations, and local NGOs/FBOs, which will be targeting a wide array of populations with Condoms and
Other Prevention and AB activities.
This activity includes an emphasis on local organization capacity development and human capacity
development.
Activity Narrative: This activity will support the NGOs and FBOs to increase gender equity in programming and also help to
decrease stigma and discrimination through prevention and counseling messages provided by them in
targeted communities.
TARGET:
Targets will be captured in the Other Policy and Systems Strengthening program area.
This activity relates to OVC (12414.08), TB/HIV (17023.08), and Other Policy/Systems Strengthening
(12449.08) Program Areas. In COP08 the Leadership, Management and Sustainability (LMS) Program will
continue the activities initiated during COP 07.
During COP08 LMS will continue its work with the National TB and Leprosy Control Program (NTBLCP) in
the Federal Ministry of Health. Activities initiated with COP07 plus-up funds to develop leadership and
management skills at national and state levels for the NTBLCP leadership and focal person in the Federal
and State Ministries of Health respectively will be continued and expanded. On-going support will include
strengthening organizational and programs management capacity to efficiently and effectively address the
National TB response and to coordinate the huge increase in activities as a result of the award of a Global
Fund TB grant.
In COP08 LMS will continue to provide technical assistance to governmental agencies and NGOs engaged
in the coordination and implementation of services to HIV/AIDS affected individuals in Nigeria as related to
TB diagnosis and treatment in this population. LMS will focus on building financial, governance, planning,
coordination and human resources systems in NTBLCP. Using a variety of tools and techniques, including
virtual programs, workshops, and one-on-one instruction and mentoring, LMS will work with the NTBLCP
to improve their organizational structure, financial management, human resource management,
management information systems, monitoring and evaluation, quality assurance, strategic and project
planning, leadership, and governance systems. Building on its assessment of the NTBLCP's status in
management and governance areas, LMS will develop a work plan that is designed to quickly build on
areas of strength, eliminate weaknesses, and improve overall organization capacity and performance. The
focus of LMS will be to enhance the ability of the NTBLCP to clearly understand and meet its responsibilities
and to continually improve its operations to meet a changing environment.
LMS will work with the NTBLCP to develop and train and a team of management facilitators in the national
TB training center to provide management support and mentoring at the state level, and to develop a model
for TB control management teams that can be replicated at the state level. LMS will work with the NTBLCP
to develop SOPs to strengthen management systems which can be rolled out to state control programs.
LMS will provide continuing support to the NTBLCP and the national TB training centre to roll out SOPs to
state control programs. The LMS targets for COP08 will be a combined total of ten federal and state
organizations, and fifty individuals trained in TB/HIV-related institutional capacity building and capable of
assisting additional organizations and individuals to develop and improve their management and
institutional capabilities. These targets are captured in the Systems Strengthening program area.
The national and state TB control programs will have an improved organizational structure with a clear
mission, more efficient governance, effective internal and external communications, M&E systems, and
improved management. There will be strengthened leadership practices and competencies at national and
state levels to coordinate TB control activities and manage competing demands of multiple funding
agencies.
Targets are captured in the systems strengthening program area.
This activity relates to OVC (3.3.08), TB/HIV (3.3.07), and Other Policy/Systems Strengthening (3.3.14)
Program Areas. In COP 08 the Leadership, Management and Sustainability (LMS) will continue those
activities initiated in COP 07.
LMS is presently working with one organization within the Federal Capital Territory. By the end of COP07,
LMS will have expanded to build capacity in two more organizations within the FCT. In COP08, LMS will
train 250 individuals in OVC-related institutional capacity and provide 20 local organizations with technical
assistance for OVC-related institutional capacity building. (These targets are captured in the Policy program
area.)
During COP08 the LMS Program will continue its institutional capacity building support to selected
Government Institutions to increase their abilities to provide nationwide coordination, thereby increasing
synergies and effectiveness of the PEPFAR programs. One of the institutions that will be strengthened in
the expansion is the National OVC Coordinating unit in the Federal Ministry of Women's Affairs. LMS will
develop leadership and management skills at national and state levels for the OVC units and focal persons
of the Federal and State Ministries of Women Affairs respectively. Support will also include strengthening
organizational and programs management capacity to efficiently and effectively address the National OVC
response.
LMS will continue to provide technical assistance to governmental agencies and NGOs engaged in the
coordination and implementation of services to HIV/AIDS affected orphans and vulnerable children in
Nigeria. Although this is a new initiative in Nigeria, LMS and its predecessor project the Management &
Leadership (M&L) Project provided this support in other countries. COP08 funds will be used to provide
support in areas of organizational development such as: development and maintenance of constructive,
informed working relationships with all OVC stakeholders including the USG, their IPs and other donor
organizations; project management; monitoring and evaluation; financial management; strategic and annual
planning; leadership development; and sound governance structures.
During COP07 LMS completed an assessment of the organizational structure and management capabilities
of the Ministry of Women's Affairs, Department of Child Development. Building on a plan for appropriate
interventions and assistance based on that assessment, LMS will continue during COP08 to work with the
national OVC leadership, and will also begin working with other units within the Department of Child
Development that provide or have impact on services for OVC. In COP 08 LMS will also expand its focus to
include working with state and local OVC units to increase the cooperation and coordination of services to
OVC and to building improved organizational structures and more efficient management in those state and
local units. The expanded LMS targets include both units within the Federal Ministry of Women's Affairs,
Child Development Department and State and Local OVC units. These targets include two units within the
Federal Ministry of Women's Affairs, and State or Local OVC units (within four states, one state unit and two
local units--both government and NGOs—which are counted against targets for other program areas will not
be included in the tally for these OVC targets.
Constraints will be addressed by utilizing qualified Nigerian staff and US short term technical assistance to
train and support the National OVC coordinating units. Technical support will be offered through developing
a nationally approved training curriculum for OVC program management in collaboration with the OVC unit
of the Federal Ministry of Women Affairs, and zonal training workshops for master trainers, as well as
regularly scheduled on-site technical assistance in organizations implementing OVC activities.
LMS will continue to refine and utilize its organizational materials including manuals, policies, norms and
procedures and systems developed during COP07. During COP08 LMS will develop these into a tool kit for
OVC capacity building and will guide training in OVC related activities. These materials will also serve as
the basis for the development of a curriculum for training OVC staff.
The OVC systems strengthening targets (below) are added to the policy and systems strengthening
narrative indicator targets.
This activity relates to the AB (9758.08), Condoms and Other Prevention (10197.08) and Other
Policy/Systems Strengthening (12449.08) program areas.
In the COP08, the Leadership, Management and Sustainability (LMS) Program will provide institutional
building to 24 Nigerian Non Governmental Organizations (NGOs) and Faith Based Organizations (FBOs) in
addition to developing human capacity of 200 individuals. LMS will develop leadership, management and
monitoring and evaluation skills at all levels of health service organizations and programs and strengthen
management and operational systems. These efforts will optimize organizational capacity to efficiently and
effectively address change and improve health outputs and outcomes.
COP08 funds will be used to provide support in areas of organizational and human development such as:
development and maintenance of constructive, informed working relationships with USG PEPFAR; project
management; monitoring and evaluation; financial management; strategic and annual planning; leadership
development and sound governance structures. Activities will align with the USG data quality
assessment/improvement (DQA/I) and capacity building plan. These skills and organizational management
and operational systems are necessary to both carry out the terms of USG funding agreements as well as
to achieve improved organizational development and sustainability.
Nigerian Civil Society Organizations (CSOs) have a longstanding involvement in responding to the
HIV/AIDS pandemic. Their contribution to the Emergency Plan is pivotal given their leadership and
legitimacy in communities. However, there are a number of challenges for these local CSOs as many of
them are nascent organizations with low technical, organizational and human capacity. Even those
organizations that have been successful in the initial concept paper rounds of the CSO/FBO APS, have
struggled to remain competitive in later rounds and almost all have stalled at the pre-award audit stage.
accountable systems, LMS will support the development and maturation of these organizations and help
them contribute to the Emergency Plan in a significant way. LMS will do this by developing health
management information systems and strengthen the monitoring and evaluation systems to support
PEPFAR reporting as well as provide data for improving service delivery, providing training through
workshops and individual mentoring to improve the understanding within organizations of the need and
uses of data, improve the efficiency of the data collection, and support the institutionalization of data quality
systems that will ensure the accuracy of data and reporting. The skills of persons at all levels within
organizations for collecting, reporting and use of strategic information will be strengthened.
LMS will be active at all points throughout the procurement process in the development of organizational
and human capacity. In addition, LMS will assist organizations selected for award throughout the award
process, helping them to develop and implement accountable systems and where necessary, and manage
the award in the interim while systems are being built. LMS will also support these groups in the
development of organization wide management information system that has relevant linkages between
financial and programmatic data. New awardees will be supported in the course of their program
implementation and will ensure that accountable and sustainable programs are built, and that awardees are
capable of maintaining their new relationships with the USG. A system for the dissemination of best
practices in program effectiveness will also be provided to the new awardees.
Activities will contribute to strengthened human and organizational capacity to deliver more efficient and
effective care and reach their established targets by using complete and accurate data to drive program
decisions. In addition, technical assistance relating to best practices in Strategic Information programming
will be provided for these organizations in order to assist them to maintain high-quality programs.
relate to the AB, Condoms and Other Prevention, and Other Policy/Systems Strengthening program areas.
Under a separate funding stream, LMS has been selected to provide capacity-building support for the
Country Coordinating Mechanism (CCM) for the Global Fund grants. In addition to strengthening the
capacity of Nigeria to manage these grants, LMS will facilitate linkages to the NGO/FBO community that
they are also supporting, and by so doing build synergies and enhance prospects for sustainability.
POPULATIONS BEING TARGETED:
This activity targets Nigerian FBOs and NGOs, including national and regional multiplier organizations and
local NGOs/FBOs, which will be targeting a wide array of populations with AB, Condoms and Other
Prevention and other prevention activities.
The emphasis of this activity will be to concentrate on developing local organization capacity development,
building the necessary skills for human resources, and building of systems that ensure quality assurance
and strategic information (M&E). Other emphasis areas include human capacity development and SI.
Targets are captured in the Systems Strengthening program area.
In COP 08 the LMS Program will continue its institutional capacity building support to selected government
institutions to increase their abilities to provide nationwide coordination, thereby increasing synergies and
effectiveness of the PEPFAR programs. In addition, LMS will manage and expand the fellowship program
developed during COP07 to provide recent graduates opportunities to receive on the job training and
mentoring in USG supported HIV/AIDS programs.
During COP08 LMS will continue and expand its work with the National AIDS and STI Control Program
(NASCP) in the Federal Ministry of Health, and the Country Coordinating Mechanism (CCM) for the Global
Fund. LMS is developing leadership and management skills at national and state levels for both
organizations and focal persons in these organizations. Support also includes strengthening organizational
and program management capacity to efficiently and effectively address the national response, with
particular emphasis on coordination issues. LMS will continue to provide support in areas of organizational
development such as: development and maintenance of constructive, informed working relationships with
all stakeholders including the USG, their IPs and other donor organizations; project management;
monitoring and evaluation; financial management; strategic and annual planning; leadership development;
and sound governance structures. The goal of this technical assistance and capacity building is an
improved organizational structure with a clear mission, more efficient governance, effective internal and
external communications, M&E systems, and improved management. LMS will continue to coordinate with
the ENHANSE project (#6392) to appropriately fill identified gaps in the line ministries through TA and staff
supports.
In COP08, LMS will continue to work with the IHV/UMD to administer the fellowship program established in
COP07 to improve health worker service delivery skills in the rapidly evolving HIV/AIDS arena, to foster
these skills in the national health sector workforce, and provide short-term surge capacity to staff in rapidly
expanding HIV/AIDS treatment, care, and support facilities. Fellows for this program are selected from
recent graduates who have a demonstrated interest in the management and provision of HIV/AIDS
prevention, care, and treatment. The program provides an intensive specialized training in HIV/AIDS,
leadership, and management of HIV/AIDS programs. A majority of the fellows program focuses on the
practical application of skills through mentored placement(s) in GON or NGO HIV/AIDS facilities. Graduates
of the fellowship program are expected to effectively contribute to the provision of HIV/AIDS services in
Nigeria and to be future leaders in the field.
LMS assistance to government agencies will improve the capabilities of these agencies to oversee,
coordinate, monitor and support the national OVC response, the national TB/HIV response, and the
coordination and oversight abilities of the CCM.
LMS activities will result in strengthened national capacity to deliver more efficient and effective care and
reach their established targets. The positive effects expected from more coordinated, technically proficient
leadership in the Federal Ministry will provide benefits for all HIV/AIDS programs in Nigeria, not only
PEPFAR programs.
This activity relates to AB (9758.08), OVC (12414.08), TB/HIV (12369.08), and SI (9915.08) Program
Areas. During Cop 08 the LMS project will continue those policy analysis and systems strengthening
strategic planning, and leadership and governance of partner and governmental organizations. LMS
activities in Nigeria will also improve government oversight of national and other donor supported programs,
coordination of national efforts, greater efficiency and improved leadership of governmental programs.
This activity targets leaders within National ministries and government parastatals. This is expected to
quickly lead to direct benefits of individual clients as the system is strengthened and coordinated and
provided oversight and guidance.
This activity includes emphasis on institutional capacity development and on building human resources and
quality services as detailed in the activity description above.
LMS Leader will train 250 individuals in institutional capacity building relating to OVC care and support, AB,
and Condoms and Other Prevention and an additional in TB. LMS will also provide 24 organizations relating
to OVC, AB, and Other Prevention and 10 in TB with technical assistance in institutional capacity building.
