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: 2008 2009
ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:
In COP08, 7D PMTCT services expanded to 16 sites in Benue, FCT, Plateau, Cross River, Lagos, Kogi,
Osun, Edo and Niger states. Given the reduced testing targets in COP09, 7D PMTCT will not expand to
further sites and will instead focus on increasing access to PMTCT services for pregnant women by building
community support for PMTCT and increasing the capacity of supported health facilities to provide PMTCT
services. The 16 centers activated in COP07 and COP08 required extensive financial and technical
investment for startup; therefore cost per beneficiary was comparatively higher. Overall PMTCT costs will
be slightly reduced in COP09, as there will not be significant investment in expansion of sites. However,
investments in PMTCT demand creation and establishment of referrals, ANC and HIV counseling and
testing (HCT) networks will be undertaken more intensively in COP09 and there will be associated costs
with this effort.
This project seeks to increase access to PMTCT services for pregnant women by building community
support for PMTCT and increasing the capacity of health facilities to provide PMTCT services. 7D will use
existing diocesan AIDS structures and Parish AIDS Volunteers (PAVs) to create demand for PMTCT
services through social mobilization campaigns in two ways. Firstly, PMTCT Points of Service (POS) will
establish a network of Primary Health Care Centers that will provide basic ANC and Counseling and Testing
Services for everyone including pregnant women. Secondly, educational sessions on PMTCT followed with
HCT will be done during outreach activities. The uniqueness of this structure is the linkage of community-
based PMTCT with health facility-based PMTCT. This synergy will facilitate effective tracking of HIV-positive
pregnant women throughout the course of their pregnancies and after delivery. This tracking is essential to
support women to make informed infant feeding choices as well as early testing of exposed children and
linkage to pediatric care and treatment (if needed), adult care and treatment, and OVC services.
Individual/group grants and the promotion of Savings and Internal Lending Communities (SILCs) - a CRS
program that works with groups to leverage internal savings as a mechanism for raising loan capital for
group members - is expected to be extended to PAVs in COP09. A key component of the SILC program is
the training of participants in basic business management skills to ensure that beneficiaries who may not
have strong educational backgrounds can fully participate in basic commercial activities. In COP09, CRS
will expand this program and will seek to identify PAVs who can be trained to serve as SILC group leaders
and thus act as agents to further promote PAV's access to credit through community-based internal/rotating
savings.
The PMTCT package will include group counseling and testing using an opt-out strategy with same day
results in ANC as well as labor and delivery. Services will also include partner counseling and testing, OI
treatment and prophylaxis (like malaria, Pneumocystis Jiroveci and cotrimoxazole) and management of
diarrhea. Free baseline hematology, STD screening, CD4 count to assist with determining need for
immediate therapy and viral loads where needed for monitoring HIV progression will be conducted on all
pregnant women accessing PMTCT in 7D-supported sites. Infant feeding counseling during first and
subsequent ANC visits will be provided with key messages like exclusive breast feeding for the first 6
months or exclusive replacement feeding if Acceptable, Feasible, Affordable, Sustainable and Safe
(AFASS).
For clients with CD4 count >350 and not requiring ART, the nationally recommended prophylaxis course will
be available. ART prophylaxis for pregnant women using zidovudine at 28 weeks or a combination of
zidovudine/lamivudine at 34 weeks with single dose nevirapine at onset of labor will be given; this will be
followed by a zidovudine/lamivudine tail as part of their regimen after delivery. The infant will receive single
dose nevirapine and six weeks of zidovudine. All HIV-exposed infants will be provided cotrimoxazole from 6
weeks to 18 months or until HIV infection has been ruled out. ARV treatment when indicated during
pregnancy improves the health of the woman and decreases the risk of HIV transmission to the infant;
where these services are not available, they will be referred to facilities including AIDS Relief (AR) ART
sites and other IP-supported ART sites.
7D-supported PMTCT sites are positioned within AIDS Relief, GON and other IP-supported ART networks
to which women who need ART will be referred. Since 7D and AIDS Relief (AR) PMTCT teams function as
a unit and are co-located in 90% of sites, seamless transition of patients between the two will be initiated.
This will happen in two ways. The first way is through the existing co-location in facilities. Since 7D's
PMTCT and AR's ART sites are already located in the same facilities in current 7D-supported PMTCT sites,
women determined by a lower CD4 count (<350) to be eligible for ART in accordance with the national
PMTCT guidelines will be referred to AR-supported ART for full HAART. Secondly, for co-location in
geographic areas, 7D PMTCT attendants who qualify for HAART will be referred to nearby AR-supported
treatment sites. This referral mechanism will function since 7D and AR PMTCT teams currently function as
an integrated team that plans and executes tasks as one unit. To prevent double counting or loss of clients
to AR, all clients from 7D that access services from AR sites are required to provide proper documentation
(like a referral note) before the client is taken up by AR; the same will apply for AR clients seeking treatment
at 7D-supported sites. 7D will also ensure that all supported PMTCT sites have the approved PMTCT
registers.
7D will refer clients for HIV infant diagnosis testing in line with the nationally recommended early infant
diagnosis (EID) initiative from 6 weeks of age using dried blood spots (DBS). Infants will also be linked to
immunization services to access the WHO/UNICEF and GON recommended set of vaccines. This will be
done in health facilities that provide immunization services in areas where 7D operates.
7D will continue to collaborate with traditional birth attendants (TBAs) through trainings using nationally
recommended curricula and provision of PMTCT home-based care kits and information packs for effective
support of pregnant women who choose to give birth outside health facilities. Trained TBAs are expected to
work in partnership with the health center with back and forth linkages. Two TBAs from each PMTCT site
will be trained and 1 TBA from 13 partner arch/dioceses will also be trained resulting in 45 trained TBAs.
The expected outcome of the TBA training will be improved obstetric practices and awareness of key
Activity Narrative: PMTCT issues.
Counselors from 7D and supported PMTCT sites will be trained as Trainers of Trainers on infant feeding
using the adapted WHO/UNICEF infant feeding tool for Nigeria. Two counselors per PMTCT site (32) and 1
per partner arch/diocese (13) will be retrained giving a total of 45 staff trained (not included in targets as this
is infant feeding rather than PMTCT provision). Each of these trained people will reach about 14 mothers
adequately targeting the 600 mothers that will be linked to services.
To ensure quality, supervisory visits will be made by diocesan staff monthly to each site. CRS staff will visit
each site quarterly and visits with USG/GON/IP will occur bi-annually. These will continue in COP09.
Monitoring tools will be improved and standardized with national tools and disseminated to all arch
dioceses. Volunteers will continue to be sensitized on PMTCT, maternal nutrition and safe infant feeding
practices for correct PMTCT service provision. Volunteers will support mothers' infant feeding choices
through on-going counseling.
Support and capacity building given to Abuja, Ibadan and Makurdi provincial structures in COP08 will
continue in COP09. This support has encompassed engagement of key points of staff including PMTCT and
financial management specialists.
Targets for COP09 include HIV counseling and testing for 14,500 pregnant women with 14,000 receiving
results, 600 pregnant women placed on ARV and retraining of 30 health care workers using national
PMTCT curriculum in 16 sites. Test kits will be procured centrally through the USG supply chain
management system.
COP07 Plus Up funds were used for hiring PMTCT specialists to respond to immediate and long term
PMTCT needs. It also enabled 7D collaboration with AR in leveraging resources and expertise through
forming a PMTCT team that plans and responds to 7D, AR and sub-partner PMTCT needs coherently. Sub-
partner PMTCT capacities have been enhanced through training of POS staff and archdiocesan PMTCT
cordinators. Site antenatal clinic refurbishment and laboratory support have also been done.
CONTRIBUTIONS TO OVERALL PROGRAM AREA
PMTCT services will continue to contribute to several of the PEPFAR goals. The goal of preventing new
infections by offering HCT services to pregnant women, as well as providing PMTCT prophylaxis to prevent
infecting in the newborn child is already contributing to prevention of new infections.
Issues of violence against women after disclosure of HIV status are a grim reality, which will be tackled
during couple counseling sessions as a preemptive measure. It is the goal to reduce the incidence of acts
of violence against women as their partners are engaged in these exercises.
PMTCT-specific home-based care is being provided to pregnant women by PAVs. Support groups provide
participants with coping mechanisms for addressing stigma and discrimination towards PLHWA.
LINKS TO OTHER ACTIVITIES
PMTCT activities will be linked to HCT, adult and pediatric care and treatment services, TB/HIV and OVC
services. 7D has established referral linkages with TB DOTs centers and other health care facilities to
ensure that PMTCT clients are treated for TB, STIs and other opportunistic infections. However, there will
also be STI and opportunistic infection treatment in 7D-supported health facilities. 7D will work closely with
AR for ART services where project activity areas overlap. Referral coordinators have been employed to
ensure timely referrals to services offered by other implementing partners. This area has been identified as
a "best practice" that needs support both at state and national levels. 7D will continue linking with the GON
by sending reports to them and attending PMTCT task team meetings on a regular basis. Also there are
plans to link the sites to the GON drug program as it is strengthened for sustainability.
POPULATIONS BEING TARGETED
Pregnant women and HIV-positive pregnant women, HIV-exposed infants, caregivers, partners, religious
leaders and all HIV exposed infants are the populations being targeted.
KEY LEGISLATIVE ISSUES ADDRESSED
Gender-based activities have been organized with the aim of addressing inequalities between men and
women and subsequent behaviors that increase the vulnerability to and impact of HIV/AIDS. Women's
legal rights and access to income and productive resources will be carried out through linking care and
support programs to income generating activities within 7D SUN programs.
Work has been done to reduce the stigma associated with HIV status and discrimination faced by PMTCT
mothers and their families through support group membership. This aspect will be enhanced in COP09.
EMPHASIS AREAS
The major emphasis area is developing the capacity of partners to effectively manage the PMTCT program
with a focus on sustainability. The minor emphasis areas are: improving linkages /networks/referral
systems between the communities and the 7D-supported PMTCT sites.
New/Continuing Activity: Continuing Activity
Continuing Activity: 13005
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
13005 5348.08 U.S. Agency for Catholic Relief 6366 3689.08 USAID Track $1,200,000
International Services 2.0 CRS 7D
Development
6685 5348.07 U.S. Agency for Catholic Relief 4163 3689.07 7 Dioceses $1,200,000
International Services
5348 5348.06 U.S. Agency for Catholic Relief 3689 3689.06 7 Dioceses $805,000
Emphasis Areas
Gender
* Addressing male norms and behaviors
* Increasing gender equity in HIV/AIDS programs
* Reducing violence and coercion
Health-related Wraparound Programs
* Child Survival Activities
* Family Planning
* Safe Motherhood
* TB
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $164,771
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.01:
ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS: Peer educators will be trained within
support groups to support prevention for positive (PwP) strategies and within communities to deliver "peer
education plus" strategies for youth and adults using role models and dramas, games and quizzes. The
"Choose Life" curriculum will be used for peer education for in- and out-of-school youth. Four individuals per
diocese from the 13 diocese will be trained as peer educators centrally. Step down training will be
conducted at diocesan level for 20 people per diocese. The peer educators trained per diocese (24 each)
will reach 10 out-of-school youths through the Catholic Youths Organization of Nigeria (CYON) structure in
the churches and 10 in-school youths using the curriculum. In all, 12,480 youths will be reached using this
activity with A messages only. Trainings will be conducted for 20 individuals per diocese from the 13
arch/dioceses (260 individuals) to deliver accurate Prevention messages. They will reach 422 people at
masses on Sunday per month during the COP year. Thus, 65,832 individuals will be reached with
prevention messages from trusted advisors continuously over the year.
Faithful house training will be conducted for 195 couples (390 individuals); 15 couples per diocese. Those
trained will be supported to provide training for 5 couples each. 975 couples or 1950 individuals will be
trained in this step-down. Each couple trained will reach out to 5 other couples over a five month period. A
total of 4,875 couples or 9,750 individuals will have undergone training in one year. Faithful House
participants will also serve as role models and peer mentors to 2 individuals monthly to provide these
individuals with prevention messages through interpersonal communication.
Anti-AIDS clubs will be initiated in two primary and two secondary schools as part of a school-based
approach, with each club having 20 members. Each member will reach 10 individuals per quarter. Post-test
clubs will be formed that will offer AB information through interpersonal communication (IPC) and focus
group discussions to all who have undergone counseling and testing services. Prevention services will be
integrated into existing home based care delivery. 26,000 people will be reached with AB information
during home-based care and counseling conducted by Parish AIDS Volunteers (PAVs). In each of these
households, 2 individuals will be reached with AB messages; thus, 52,000 people will receive prevention
services through IPC and group discussion approaches. 20 youth and adults will access AB services in
established health information centers for a total of 3120 youth and 3120 adults reached. A total of 65,682
individuals will receive AB services through outreach programs; 33,280 of whom will benefit from A-specific
activities through clergy, catechists and peer educators. 1,001 individuals will be trained in AB program
areas.
COP 09 ACTIVITY DESCRIPTION:
During COP09, CRS 7 Dioceses (7D) will support in capacity building of Catholic Secretariat of Nigeria
(CSN) to conduct workshops and trainings for clergy and laity who will provide marital counseling, deliver
accurate and consistent prevention messages as well as partner with 13 Archdioceses. CSN will be enabled
to continue developing accurate, target-specific and "faith sensitive" information, education, communication
(IEC) and behavioral change communication (BCC) materials and to sensitize clergy, catechists, and laity,
including Imams and other Muslims leaders on AB prevention in six additional archdioceses. CRS 7D will
tailor its AB activities to be in line with the National Prevention Plan using behavioral change strategies to
ensure that individuals are reached with an overlap of at least three (3) AB strategies. The strategies
include: peer education model, community awareness campaigns, the "peer education plus" model, work
place programs, messages targeting vulnerability issues, and a school based approach.
The key anchors will be: (a) community awareness where AB messaging will be given during mass; (b) peer
education model using the "Faithful House" curriculum for married couples, "Choose Life" curriculum for in
and out of school youths and support group under prevention for positives; (c) a peer education plus model
using drama, games, and quiz activities to give prevention messages; and (d) a school based approach
through the formation of anti-AIDS clubs in schools.
AB messages will continue to be delivered during Sunday mass services. Trainings will be conducted for
20 individuals per diocese from the 13 archdioceses (260 individuals) on delivery of targeted and accurate
Prevention messages. They will be expected to reach 422 people at masses on Sunday per month during
the COP year. Thus, 65,832 individuals will be reached and will be receiving prevention messages from
trusted advisors, continuously over the year.
The 13 partner archdioceses will each be supported to conduct Faithful House training for 15 couples each
(195 couples or 390 individuals) using existing trainers in the diocese. Those trained during a five day
training program will be followed up over a period of 6 months. These couples will each subsequently
conduct step down training for five more couples. 975 couples (1950 individuals) will be reached during the
step down training. These 975 couples will reach out to five new couples each in a period of 5 months
totaling 4,875 couples who in turn will reach out to another five couples. Thus 4,875 couples (9,750
individuals) will receive comprehensive marital counseling training. The faithful house approach has a goal
to build happy and lasting marriages that prevent HIV infection using the concept of a "Faithful House." The
same couples within the ‘faithful house cluster' will regularly attend Sunday mass where the message of
"Faithful House" will be reinforced through guided prevention messages promoted by trained parish priests.
Each of the 1950 individuals (or 975 couples) trained within the first six months will become role models to 2
peers per month for the rest of the year. They will reach them with comprehensive prevention messages.
23,400 individuals will be reached with this model. Husbands will play an active role in educating their
children and friends on AB. CRS 7D will encourage each of the 4875 couples (9,750 individuals) enrolled in
the program to dialogue with at least four of their children on "A"-specific messages. In this way, 19,500
children will be reached with A-specific prevention messages and tips to prevent sexual abuse. This will be
an activity under peer education plus model. Thus the minimum package for those within the faithful house
cluster will include peer education approach, peer education plus and sermons from the pulpit during
Sunday mass.
Anti-AIDS club will be initiated in two primary and two secondary schools per diocese with a membership of
20 persons per club. 1,040 individuals will be club members, each of whom is expected to reach additional
Activity Narrative: peers through interpersonal communication. Individuals in secondary schools will be trained in primary and
secondary abstinence and those in primary schools will be trained in primary abstinence. These
pupils/youth will also be reached through activities such as games, drama, and quiz/information
competitions between schools in the parishes and communities, and at quarterly meetings as part of peer
education plus strategies. The "Choose Life" curriculum will be used for peer education for both in- and out-
of-school youth. 4 individuals per diocese from the 13 diocese will be trained as peer educators centrally.
Step down training will be conducted at diocesan level for 20 people per diocese. The peer educators
trained per diocese (24 each) will reach 10 out of school youths through the CYON structure in the churches
and 10 in school youths using the curriculum. The curriculum has 5 modules, one module per month for five
(5) months. This will be repeated for the next 5 months for another set of youths by the peer educators.
12,480 youths will be reached using this activity with A messages only.
Trainings will be conducted centrally on AB Prevention for two PLWHA support group leaders per diocese.
They will conduct a step down training for 20 PLWHA (SG+ leaders) in each of their diocese and these
people will in turn counsel and communicate information about AB Prevention in support groups,
households, and communities. Each individual trained will reach 50 people in the various support groups.
26,000 individuals would be reached with AB messages. Status disclosure will be encouraged and those
willing will be supported with additional training and logistics.
Vulnerability reduction strategies will also be utilized to support 50 PLWHA per diocese through income
generation activities and other sources of micro finance. Active recruitment and involvement of 1 PLWHA
per diocese will be encouraged among the 13 partner dioceses.
HCT will form an entry point for AB prevention through the HCT centers with formation and management of
Post Test Clubs for those tested. These post test clubs will offer messages on AB during pre- and post-test
counseling through interpersonal communication (IPC) and focus group discussions. Refreshment and
transport subsidies will be offered to participants plus Post Test Information Packs and materials. 40 people
will become member of the Post Test clubs per quarter in each diocese.
Home-based care and counseling conducted by Parish AIDS Volunteers (PAVs) will include AB information
sessions for 26,000 palliative care clients (from SG+ members) and their households. These sessions will
include correct and accurate information about condoms. PAVs will reach two people in each household
with AB information for an anticipated 52, 000 people reached.
The 13 partner dioceses will be supported to manage Health Information Centers that provide AB services
to youth and adults. This support will include provision of refreshments and visual media materials, such as
projector and laptop for AB education purposes. Periodic "Youth Days" and "Couples Days" (one per
quarter) will be conducted at these centers for ongoing outreach to youth, adults and couples. 20 youth and
a similar number of adults will access AB services monthly in each center giving a total of 3,120 youths and
3,120 adults reached. 6,240 people will be reached. It is hoped that these couples or youth will then enroll in
one of the more intensive AB programs and become more involved.
CRS 7D will integrate with SUN OVC and collaborate with other projects like AIDSRelief to provide services.
The SUN/OVC project offers IGA to OVC caregivers some of whom are in the SG and receiving other AB
messages, even though they are not being funded directly.
CRS will provide support to 260 parishes on BCC activities. Advocacy to government agencies will be
undertaken to develop partnerships through engagement of LGA and the Catholic Youth Organization of
Nigeria (CYON). Support will be given to 10 LGA leaders and 10 CYON leaders for AB prevention in the
archdioceses. These leaders will each reach 100 people for a total of 13,000 people reached with
Abstinence messages and an equal number with "B" information. Altogether, 26,000 people will be reached
indirectly.
CONTRIBUTIONS TO OVERALL PROGRAM AREA:
AB activities in the 13 Archdioceses will encourage youth to adopt behavior that will reduce the risk of HIV
infection, such as delaying sexual debut until marriage and promoting social/community norms that favor
AB. Correct and accurate information on condoms will be given to adults and to sexually active youth in the
Archdioceses. Adults and youth will be motivated to adopt partner reduction behaviors.
LINKS TO OTHER ACTIVITIES:
AB prevention strategies in the 13 Archdioceses relate to HCT, Prevention of Mother to Child Transmission
(PMTCT), and Orphan and Vulnerable Children (OVC) activities.
POPULATIONS BEING TARGETED:
Target populations of the AB Prevention messages include: adults, children and youths, PLWHA, HIV and
AIDS-affected families, communities and community leaders. Included are both girls and boys from primary
school through university, out-of-school youth, and adults of both genders, with activities specifically tailored
for pregnant women. Men will also be targeted.
Direct targets of AB services will be 65,682 individuals, 33,280 of these will benefit from A-specific
messages and 1,014 individuals will be trained. Coverage areas include Kaduna and Kafanchan
A/dioceses (Kaduna), Minna Diocese (Niger), Jos Archdiocese (Plateau), Lafia Diocese (Nasarawa),
Makurdi and Otukpo Dioceses (Benue), Idah Diocese (Kogi), Benin A/diocese (Edo), Abuja A/diocese (FCT)
and 3 arch/dioceses to be created out of the present arch/dioceses we are working with. 6 additional
arch/dioceses to benefit from AB activities will be indicated by the Catholic Secretariat of Nigeria.
EMPHASIS AREAS:
Emphasis will be on human capacity development. This activity will increase gender equity in programming
through specific targeting of young girls and women. Male norms that encourage reducing multiple partners
will be emphasized while involvement of PLWHA will assist in reducing stigma and discrimination.
Continuing Activity: 13006
13006 5312.08 U.S. Agency for Catholic Relief 6366 3689.08 USAID Track $2,000,000
6684 5312.07 U.S. Agency for Catholic Relief 4163 3689.07 7 Dioceses $1,095,000
5312 5312.06 U.S. Agency for Catholic Relief 3689 3689.06 7 Dioceses $196,000
* Increasing women's access to income and productive resources
Workplace Programs
Estimated amount of funding that is planned for Human Capacity Development $240,000
Table 3.3.02:
In COP09, CRS 7D will provide comprehensive BC&S to 20,000 People Living with HIV (PLHIV) and 60,000
People Affected by HIV/AIDS (PABAs) in 13 arch/dioceses (mega sites) in 8 states of Nigeria. CRS 7D will
continue to provide basic health care services in 5 saturated stand-alone and Primary Health Care (PHC)
facilities and client households across 251 parishes which are sub-sites from the mega sites totaling 65
PHC sites. Program growth in COP 09 will be focused in 5 saturation parishes in each of the 13 dioceses.
The total number of sites (parishes) will not increase in COP09 from COP08.
CRS 7D will continue to involve more PLHIV in the provision of palliative care services through recruitment
of HIV+ volunteers and support groups composed primarily of PLHIV.
Under social support, economic strengthening will be provided to PLHIV and PABAs through
individual/group grants and promotion of Savings and Internal Lending Community (SILC) - a CRS program
that works with groups to leverage internal savings as a mechanism for raising loan capital for group
members. The SG+ members will be expected to pay little intrest for the money they borrow which will
eventually form capital for the groups. This approach has been successfully implemented in South Sudan.
500 PAVs and SGP+ members will be trained to increase their capacity to provide care, support and
prevention in households, communities and PHC facilities.
Staff capacity enhancement will focus on PAV recruitment, motivation and retention. CRS 7D will explore
different mechanism of motivating volunteers in COP 09. These may include extension of economic
strengthening support through formation of SILC groups or through recognition of the best performing
volunteers by offering them awards.
In COP09, CRS 7D will provide comprehensive BC&S to 20,000 People Living with HIV (PLHIV) who were
already tested in the 135 CT service outlets according to FGoN Guidelines in 9 states (Kogi, Benue,
Plateau, Nassarawa, Niger, Kaduna, Edo, Cross River and Lagos states) including the FCT & registered by
sub-partners; and 60,000 People Affected by HIV/AIDS (PABAs) in 13 arch/dioceses. CRS 7D BC&S will
CRS 7D will continue to involve State Ministry of Women Affairs (SMoWA), SMoH, SACA & LGA staff in
M&E visit to partners & training. The total number of sites (parishes) will not increase in COP09 from
COP08. The program will piggyback on activities of other program within 7D, SUN & AIDS Relief (AR) for
delivery of BC&S services to all those that require them. Clients will be linked to nutritional services as
identified including leveraging CHAI's resources.
CRS 7D will continue to support dioceses in developing institutional relationships with at least 5 PHC
facilities to provide basic clinical services to PLHIVs including: basic laboratory monitoring for OIs; urine &
stool analyses; STI & malaria treatment; basic OI prevention (CPT) & management. Management of OIs
will include treating basic OIs including malaria & syndromic management of STIs; LFT for PLHIV,
hemoglobin estimates, CD4 count & other advanced HIV disease laboratory diagnostic tests will be referred
to AIDSRelief (AR), & other USG IP supported sites, HIV+ pregnant women will be prioritized for CD4
testing & linked to HAART if needed. Clients will also receive PwP services at facilities and in the
communities.
For HBC services, CRS 7D will continue to support non-paid PAVs & Support Groups of People Living
Positively (SGP+) in the sites to provide non-clinical BC&S Services. In both cases, CRS 7D will continue to
involve more PLHIV in the provision of palliative care services through recruitment of HIV+ volunteers &
support groups composed primarily of PLHIV. CRS 7D will provide a basic preventive self care package
including, provision of ITN, water guard, water vessels, soap, ORS & basic first aid materials. Prevention for
positives will be incorporated into home visits & support group meetings through targeted messaging on
Abstinence & Be Faithful, counseling for discordant couples, & provision of complete & accurate
information/referrals for other prevention methods.
Under psychological care, 7D will provide psychosocial & spiritual counseling for PLHIV & PABAs, facilitate
SGP+ & adherence counseling. Counseling will address prevention, mental health, disclosure, crisis,
bereavement & adherence to all medication including ART, INH & CPT.
Under social support, economic strengthening will be provided to PLHIV & PABAs through individual/group
grants & promotion of Savings & Internal Lending Community (SILC) - a CRS program that works with
groups to leverage internal savings as a mechanism for raising loan capital for group members. Nutrition &
health education emphasizing personal hygiene & proper disposal of waste will continue to be provided.
Under spiritual care, 7D will be sensitive to the culture and rituals of the individuals & communities it
interacts with. With the 7D stigma & discrimination curriculum, 7D will train more clergy, traditional &
spiritual leaders on how to provide non-stigmatizing care.
7D will collaborate with the CRS SUN & AR programs in planning & providing holistic services to PLHIV &
families with infected individuals or OVCs. Mechanisms will be developed that allow the flow of human,
material & financial resources among the programs for effective leverage of each program's comparative
advantage. Coherently planning centrally and implementation in project sites will ensure seamless
integration for service beneficiaries.
AR & 7D ART & PMTCT sites will also provide palliative care for HIV+ pregnant women, PLHIV & OVC with
back & forth linkages among the 3 programs for ART, health, educational, social support & other services.
Through integrated activities among the three programs, PAVs and SGP+ will be given information that will
increase their capacity to provide care, support and prevention services in households, communities and
PHC facilities. 500 PAVs and SGP+ members will be trained using FGoN C&S providers' manual & CRS
HBC manual to increase their capacity to provide care, support and prevention in households, communities
Activity Narrative: & PHC facilities. Volunteers will continue to use HBC kits with the following contents 2 kidney dishes, a pair
of forceps & scissors, dressings, protective wears - disposable gloves, plastic aprons mackintosh, bleach
e.g. jik, washing materials e.g. plastic bowl, soap, towel soap container, lotions - calamine , ointment -
unscented petroleum jelly & waterguard bottles. Provision will be made to replenish the HBC kit contents
after each home visit. Each PHC facility is expected to reach 300 PLHIV with BC&S services. 7D will
engage SGP+ & PAVs in capacity building that will promote linkages between SGP+, PAVs & PHC facilities
for optimal utilization of health facilities & community resources. Service directories will be placed in
strategic places such as SGP+ meeting places & HCT centers.
In COP08 CRS carried out Training of Trainers (TOT) on food security and nutrition for Diocesan staff, who
will step down the training to the volunteers to increase their service provision to PLHIV. CRS through
collaboration with Clintons Foundation will leverage the supply of fortified nutritional supplements to PLHIV
as appropriate. CRS will continue to encourage food security & advocate to the dioceses to support food
supplementation to PLWHA, as this has been the practice for the past two years.
Staff capacity enhancement will focus on Partner Staff training, PAV recruitment, motivation & retention
FGoN Providers' manual and CRS HBC C&S manual. CRS 7D will explore different mechanisms of
motivating volunteers in COP 09. These may include extension of economic strengthening support through
formation of SILC groups or through recognition of the best performing volunteers by offering them awards.
For hard to reach areas, CRS 7D will carry out advocacy with diocesan authorities to facilitate PAVs with
motorbikes & fuel on days when they carry out home visits. Site hiring practices will be encouraged to draw
from experienced PAVs & SGP+. HBC Kits & other necessary tools will continue to be given to volunteers.
One PAV or SGP+ member will be assigned to a PHC center to triage with the PHC facilities & PLHIV &
SGP+ to facilitate access to clinical services. S/he will work with Diocesan Action Committee on AIDS
(DACA) staff to develop effective patient follow-up & referral mechanisms that bridge the health facility-
community gap. 7D will leverage 7D PMTCT & AR sites in the provision of advanced clinical services.
Organizational development support including administration & financial accounting will be given to PHC,
SGP+ & partners to position them for effective participation in BC&S service delivery. Transportation &
health care costs for caregivers & clients requiring specialized care not obtainable in immediate PHC will be
incorporated.
PAVs are trained to effectively collect data using stardardized M&E tools & are monitored by DACA staff
during home visits and as they fill the forms using the information generated. PLHIV are only counted as
direct beneficiaries when they access 1 clinical & at least 2 services from the other domains (psychological,
social, spiritual) then supplemental direct if they access only 1 service. Given the diversity of the package of
services PLHIV receive from different IPs, double counting of services will be highly probable. To avoid this,
7D in collaboration with other USG IPs will develop a tracking mechanism that follows the different services
from AR and other USG supported IPs.
These BC&S services will contribute to several of the PEPFAR goals. The goal of mitigating the impact of
HIV/AIDS will be achieved by the provision of BC&S services. This activity will also contribute to the goal of
providing treatment to HIV+ individuals, as adults who are eligible for ART will be referred for these
services.
BC&S relates to other HIV/AIDS activities to ensure continuity of care for persons accessing BC&S through
the 7D. This activity links with Prevention of Mother to Child Transmission (PMTCT) (#5448.08), Voluntary
Counseling & Testing (#5422.08), Abstinence & Be Faithful (#5312.08) and OVC (5407.08) and SI activities
(#9913.08) being undertaken by CRS 7D. Given the increased integration of CRS programming, there will
also be close links to the activities across program areas being undertaken by CRS AIDSRelief especially
their ART activities (#6678.08).
The populations to be served include children & youth, PLHIV & their families, caregivers &
widows/widowers within the 13 Arch/dioceses, LGA staff, clergy and lay people & health workers. Through
linkages with other program areas (PMTCT, VCT, ART), recently diagnosed HIV positive adults (including
TB-HIV) in these communities in need of BC&S are also targeted. Pediatric C&S clients will be assisted
through a family care approach and referred to the SUN program for additional child-centered services.
The emphases of the BC&S Program activities are local organization capacity development, training,
developing networks, linkages & referral systems.
These activities will include an emphasis on reducing stigma associated with HIV status and the
discrimination faced by individuals with HIV/AIDS & their family members.
HIV prevention will include gender sensitive activities which will address behaviors, social norms & resulting
inequalities between men & women that increase the vulnerability to & impact of HIV/AIDS.
Continuing Activity: 13007
13007 5366.08 U.S. Agency for Catholic Relief 6366 3689.08 USAID Track $610,000
6686 5366.07 U.S. Agency for Catholic Relief 4163 3689.07 7 Dioceses $610,000
5366 5366.06 U.S. Agency for Catholic Relief 3689 3689.06 7 Dioceses $600,000
Estimated amount of funding that is planned for Water $178,268
Table 3.3.08:
HIV counseling and testing (HCT) strategies for COP09 will be to lay emphasis on providing HCT services
in the following testing models: home-based counseling and testing of family members of PLWHA, provider
initiated testing and counseling (PITC), and specific most at risk populations (MARPS) (long distance truck
drivers, in and out of school youths and OVCs), linking those found to be HIV-positive to care, treatment
and other appropriate services. In COP08, nutrition training was done for Diocesan partners and PMTCT
sites; in COP09 this trainings will be used by partner sites using fortified nutritional supplements provided by
Clinton Foundation to leverage access to pediatric HCT. HCT activities in mobile and outreach models of
testing will be reduced.
In COP09, CRS 7D will collaborate with Aids Relief (AR) in a wraparound nutrition program to provide
pediatric HCT for identified malnourished children in addition to access to fortified nutritional supplements
provided by Clinton Foundation. Such malnourished children identified to be HIV-positive will be linked to
basic care and support within the CRS 7D program and referred for ARV services in co-located AR-
supported sites, government of Nigeria (GON) ART programs, or other implementing partners' (IP)
programs. CRS 7D and its sub-partners will focus provision of HCT services primarily in 5 parishes per
diocese through a household approach to testing family members of PLWHA and other parish sites, primary
healthcare centers (PHCs) and private hospitals within each diocese. The number of service outlets will be
reduced from 135 to 130 by merging 10 contiguous sites into 5 testing sites. Thus support will be provided
to HCT sites in 59 PHCs, 68 stand-alone, and 3 private health facilities. In COP09 HCT site and community
level activities will stress: (1) providing technical assistance, particularly in identifying most at risk persons in
need of HCT, and (2) working with sites to identify and obtain additional resources (from the GON, other
donors, Global Fund, etc.) to provide commodities and increase uptake of HCT services.
Refresher training will be conducted for 185 service providers using the GON nationally approved HCT
curriculum and adapted WHO/CDC HCT curriculum: 130 will be Parish AIDS Volunteers (PAVs) from 130
testing sites, 39 will be Diocesan staff from 13 partner arch dioceses and 16 PMTCT sites. The trainings will
focus mainly on HCT services, medical waste disposal and quality assurance. The refresher training will be
conducted over a period of 3 days and follow up monitoring will be done regularly by CRS 7D program
managers through on-the-spot assessments and mentoring. In COP09, 7D HCT services will be linked to
basic care and support (BC&S) to continue to integrate home-based HCT into care and support activities in
households.
COP09 ACTIVITY DESCRIPTION:
The CRS Seven Diocese Project will provide HCT in stand-alone, mobile, health facility-based and
household settings. Service promotion of HCT activities will continue by including the national "Heart to
Heart" logo on sign posts at all 7D-supported HCT sites. The HCT will be provided within the Catholic
Church's health facilities, parishes and in the clients' households during the home-based care (HBC)
activities conducted by trained PAVs. The health facilities in service areas will be supported in providing
routine HCT through Provider Initiated Testing and Counseling (PITC) for expanded reach of inpatients and
outpatients. The requested funding will be used primarily to provide technical assistance to sites, support
the procurement of associated medical supplies (exclusive of test kits), the provision of various HCT
services, training of staff, and quality assurance and strengthening of post-test counseling services offered
to clients.
The procurement of test kits will be through the USG-SCMS supply chain mechanism. In COP08, by
collaboration with SCMS, supply chain staff of CRS 7D was trained in forecasting and ARV Access Supply
Chain Management. Any additional testing may be done using leveraged test kits from GON, Global Fund,
and/or the facilities. CRS will distribute the rapid test kits (RTKs) to partners according to partner-developed
testing forecasts based on these trainings. The kits and associated commodities will be replenished based
on forecasted targets. Partners will be supported by CRS program managers, CRS health supply chain
specialists and other technical staff to manage the inventory of test kits and associated commodities. The
test kits shall be consistent with the GON approved testing algorithm. CRS will continue to support and
participate in the harmonization process led by GON with regard to management information systems, ICS
(Inventory Control Systems) and HCT for non-laboratory staff. CRS will work through the HCT TWG to
leverage RTKs procured by GON. The leveraged RTKs will be used to strive for universal access to HCT for
the communities served and to contribute to reaching national testing targets.
The GON-approved serial testing algorithm will be used for all testing. To provide technical support in this
program, external quality assurance and technical assistance on internal quality controls will be provided by
laboratory scientists identified through linkages with standard USG-supported laboratories to the partner
dioceses. Couple counseling and testing services shall be continued in collaboration with the BC&S,
Abstinence/Be Faithful (AB), and PMTCT program areas. Pediatric HCT will be increased with access to the
pediatric clients through CRS OVC program, children of individuals with HIV and PMTCT clients. In some
7D-supported PMTCT sites, blood donors will continue to benefit from HCT services. HIV-positive clients
will be linked to basic care and support services in 7D and referred for ARV services in co-located AR-
supported sites, GON treatment programs, or other IP-supported sites.
In COP09, CRS 7D mobile HCT services will be strategized to reach MARPS, especially long distance
drivers at motor parks, in school and out-of-school youths, and OVC in each service area. Post-test
counseling will include counseling on AB and other prevention strategies. Formation and management of
post-test clubs, development of post-test prevention information packages, materials and curriculum
development for prevention activities as part of post-test counseling will link the AB program area to HCT.
CRS will provide accurate and correct information about condoms and referrals to other IPs for those who
choose the option. 7D will work with the USG technical team to develop appropriate curricula and adapt
post test information packages. Post-Test Clubs and Support Groups of People Living with HIV/AIDS
(SGP+) will carry out continuous counseling to encourage individuals to disclose their status to partners and
family members. When necessary, individuals encountering difficulties with disclosure will be referred for
spiritual and psychosocial counseling for added support which will be provided by parish priests.
Activity Narrative: Refresher training will be conducted for 185 people using the GON nationally approved HCT curriculum and
adapted WHO/CDC HCT curriculum: 130 will be PAVs from 130 testing sites, 39 will be Diocesan staff from
13 partner arch dioceses; and 16 from PMTCT sites. The training will focus on HCT services, medical waste
disposal and quality assurance. The refresher training will be conducted over a period of 3 days and follow-
up monitoring will be done regularly by CRS program managers through on-the-spot assessments and
mentoring. Counselor supervisor HCT training will be conducted in collaboration with AR and other IPs by
adapting the National HCT Training Curriculum. Refresher training of counselors in couples counseling and
testing (CCT) will be done in collaboration with USAID/CDC and other IPs and ensure step down to all
partner sites to mitigate the challenges of discordant couples counseling.
Monitoring and Evaluation (M&E) of HCT activities will be on a monthly basis by arch diocesan staff,
primarily the HCT coordinator, referral coordinator, M&E officer and CRS program managers. Internal
quality control will be done through working with identified standard USG-supported laboratories using
samples of test kits supplied on a monthly basis for quality control purposes in determining and
guaranteeing the potency of test kits used. As part of HCT monitoring and supervision, quarterly proficiency
testing of community testers in the presence of DACA or CRS staff will be done. This will ensure that correct
results are delivered to people who are tested. Data collection will continue to be done using the national
HCT registers and worksheets. In COP09 quality improvements will be achieved by using the GON client
intake forms with standardized questionnaires for TB and STI screening.
Activities will include direct support to 130 service outlets to provide HCT according to GON guidelines.
Diocesan staff will support HCT services in 9 states, Kogi, Benue, Plateau, Nassarawa, Niger, Kaduna,
Edo, Cross River, Lagos states, plus the FCT. 10,500 individuals, 10% (1,050) of which will be pediatric
clients, will be counseled and tested for HIV and will receive their test results. Other targets will include
provision of HCT in households by PAVs through the BC&S component of the 7D project by leveraging
funding. Training, capacity building, and working within existing church structures lay the foundation for
sustainable programming.
In COP08, CRS 7D Project provided training for partners in collaboration with MMIS/JSI, and in COP09 will
continue to provide access to safe injections and biomedical waste management in all sites where HCT
services are made available; in stand-alone, mobile, health facility-based and household settings. The
requested funding will be used to support the procurement of injection safety commodities and health care
waste management commodities (e.g., rubber gloves, face masks, waste handlers' overalls, reporting
forms, disposable gloves, medical waste bags, bin liners, and cost of linkages to incinerators or construction
of "burn and bury" sites), training of staff in safe injection practices, and biomedical waste management. The
procurement of injection safety commodities will be through MMIS/JSI and other institutions providing such
commodities when necessary. The other related biomedical waste commodities will be sourced locally. CRS
will distribute the injection safety commodities and sharps bins to partners according to partner-developed
projections while other commodities will be procured directly. The injection safety commodities will be
replenished periodically.
The HCT services will contribute towards the National HCT goal and universal access to HCT services. In
addition HCT has been shown to be an important entry point of access to prevention, care, and treatment
services. This project will strengthen testing, psychosocial and spiritual support services. 7D will continue to
support post-test clubs at the parishes which will decrease stigma and discrimination experienced by
PLWHA. In addition, it will feed into care and treatment services that further refer HIV positive individuals to
comprehensive care and support services being provided by CRS and other PEPFAR IPs.
Linkages exist between HCT and adult and pediatric care and treatment, PMTCT, OVC and AB. 7D aims to
continue to strengthen linkages between HCT services and PMTCT as well as OVC specifically. Adults who
undertake a test will be invited to become volunteers and/or post-test club members. Youths who undertake
a test will be invited to become active members of the Abstinence Diocesan Youth Groups, as well as
referred to OVC services, if positive. Adults testing positive will also be referred to post-test clubs, SGP+
(Support Groups for Positives), PMTCT (for pregnant women), and to co-located AR ART centers, GON
hospitals and other IP-supported sites for ART services. Youth testing positive will be linked to pediatric
care and treatment as well as OVC services.
This activity will target adults and youths accessing health care services, in and out of places of work, in and
out of institutions of learning, HIV/AIDS affected families, intending couples (for pre-marital CCT), Faith-
Based Organizations, private health care facilities, healthcare workers, and mobile populations such as
traders and long distance drivers. The 90 Parish communities with stand alone HCT centers target the most
at risk of the general population which includes: long-distance truck drivers, out-of-school youth, and
orphans and vulnerable children. HCT centers are designed as places that will bring all members of the
community together in order to provide services to and reduce HIV/AIDS-related stigma in communities.
KEY LEGISLATIVE ISSUES ADDRESSED:
Stigma and discrimination against PLWHA will be addressed through PACA and community mobilization.
Post-test clubs will be designed to decrease stigma in the local communities. Issues of stigma and
discrimination will also be addressed such as assisting in the provision of legal services to deal with
inheritance issues.
The Parish stand alone HCT centers will primarily focus on development of network/linkages/referral
systems, with the following minor focus areas, which include training, community mobilization/participation
and commodity procurement. Focus on provision of HCT services will be primarily in 5 parishes per
diocese through a household approach to testing family members of PLWHA and specific MARPS by
mobile outreaches. PITC will be provided in PHCs, private hospitals and in some 7D PMTCT sites within
Activity Narrative: each diocese for clients accessing health services and linking those found positive to care, treatment and
other appropriate HIV/AIDS services.
In COP09, CRS 7D will collaborate with ARin a wraparound nutrition program to provide pediatric HCT for
identified malnourished children and also provide access to fortified nutritional supplements provided by
Clinton Foundation. Such malnourished children identified to be HIV positive will be linked to basic care and
support within the CRS 7D program and referred for ARV services in co-located AR-supported sites, GON
health facilities and other IP-supported sites.
Continuing Activity: 13008
13008 5422.08 U.S. Agency for Catholic Relief 6366 3689.08 USAID Track $365,000
6687 5422.07 U.S. Agency for Catholic Relief 4163 3689.07 7 Dioceses $365,000
5422 5422.06 U.S. Agency for Catholic Relief 3689 3689.06 7 Dioceses $365,000
Estimated amount of funding that is planned for Human Capacity Development $44,000
Table 3.3.14:
ACTIVITY DESCRIPTION
CRS Seven Dioceses (7D) will provide SI activities to strengthen capacity in 11 States of Nigeria where the
projects are located (Lagos, Osun, Edo, Kogi, Benue, Nassarawa, Cross-River, Plateau, Niger, Kaduna and
FCT). The SI activities will focus on the following; Strengthening Monitoring & Evaluation (M & E) systems,
Health Management Information Systems (HMIS) and Quality Assurance (QA). The M&E strengthening will
focus on program level reporting, data auditing and ongoing data quality assessment/improvement to
contribute to national efforts in HIV/AIDS response. HMIS will be strengthened and aligned with harmonized
reporting to support the third "one." Quality assurance activities will be carried out in collaboration with CRS
OVC (SUN) and State M&E officer(s), and will include quarterly on-site mentoring and supportive
supervision in M&E. M&E support includes mentoring in improved data collection, management, and
utilization (by M&E and program staff at all levels), in line with the USG SI data quality
assessment/improvement (DQA/I) plan.
Based on the integrated nature of the 7D and SUN project, the new monitoring and reporting system
established in COP08 will be strengthened in COP09 by intensive training and mentoring of staff, 7D SUN
Volunteers and Diocesan M&E staff. Quarterly reviews of the M&E system will be conducted through
participatory processes involving partners and relevant program stakeholders at the community level such
as State Action Committees on AIDS (SACA) and the Government of Nigeria (GoN) to assess progress,
identify gaps and ensure proper use of the tools. Mentoring of partners will be done during quarterly visits
by the CRS M&E officers for the Diocesan M&E staff. Efforts will be made to ensure that tools conform to
the harmonized GoN registers and reporting formats for the different program areas and to
demonstrate/show program performance in the 7D 4 program areas which include PMTCT, Basic Care and
Support, HIV Counseling and Testing (HCT) and AB Prevention. A continuous review of data collection
tools, with the involvement of Parish AIDS Volunteers (PAVs) will focus on achieving simplified and user-
friendly formats to ensure accurate data collection toward provision of efficient and effective service.
Capacity building to strengthen the state level M&E system in the 11 project states will be conducted
through the training of 2 State M&E officers, M&E officers from CSN and SUCCOR project, at least 1
Facility M&E officer from each PMTCT site and 1 Diocesan M&E officer. Training will focus on Data
Collection & Management, Data Auditing and Data Quality assessment and improvement to enable partners
to develop the capacity to evaluate existing data and use such information in programmatic decision
making. The training curriculum to be used will be adapted from available national GoN and USG M&E
systems. The M&E Specialist will collaborate with the Training Coordinator to enhance both quality and
technical depth of trainings. Across the 7D and SUN projects, a total of 13 organizations will be provided
with TA and 53 individuals trained in SI-related activities. These targets have been divided between the two
projects, which provide joint TA and training in SI. The 7D project has targeted 7 organizations and 27
individuals.
Systems strengthening with regards to HMIS will focus on ensuring that the data collection tools feed into a
database system in the Dioceses which will be linked to CRS 7D database system. This will feed into the
national M&E system such as LHPMIP (Logistics and Health Program Information Platform) and the
Nigerian National Response Management Information System (NNRIMS). Mapping of network and referral
linkages from the community to health institutions (PHCs and Private hospitals) and SUN program and
PMTCT sites to ART sites will be documented and such databases maintained at Diocesan and Program
levels. The databases will be password protected for safety and security of client HIV information at all
levels and access to such database will be restricted to authorized personnel.
In the 11 project states, the program will monitor and evaluate HIV prevention programs for most-at-risk
populations (MARPS) especially long distance truck drivers at truck stops, in/out of school youths and
orphans & vulnerable children (OVC) to determine population size estimations, monitor program uptake and
coverage.
Quality Assurance measures will include quarterly on-site mentoring and supportive supervision by the CRS
M&E Specialists in collaboration with State M&E officer(s) to provide technical support to the Diocesan and
PMTCT project sites to ensure effective data collection and management. Data quality assessments will be
done quarterly and data triangulation techniques will be used to ensure the quality of data being used.
Continuous quality improvements of data will be reinforced by establishing systems for documenting best
practices and use of technical SOPs for the different program areas. Efforts targeted at reducing double
counting in all program areas will include coordination meetings with other IPs at the community level in our
project areas. The database systems will also guarantee reduction in errors.
Volunteer motivation strategies will include incentives to volunteers such as reimbursement of
transport/communication costs, awards, capacity building opportunities and creation of opportunities for
economic empowerment. The project will examine the motivation of volunteers and identify factors affecting
attrition and satisfaction and information derived will be used to further enhance volunteer motivation.
SI resources will also be used to support low cost formative and applied research to keep the HIV/AIDS
infection in the national agenda in view of competing priorities. In particular the cost effectiveness of using
PAVs in care and prevention initiatives will be explored. Other desk research work will include cost
effectiveness of different approaches to services provisions such as PMTCT and ART.
Improvement in SI management capacity of existing and new partners will ensure effective data use and
management and 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 7D
project. By strengthening the capacity of local partners, SI activities will further increase the sustainability of
HIV/AIDS programs in Nigeria.
Activity Narrative: LINKS TO OTHER ACTIVITIES
SI activity relates to PMTCT, Abstinence and Be Faithful Prevention, Palliative Care: basic health care and
support, and counseling and testing. In addition, links with the GoN and other USG IPs will be
strengthened.
This activity targets Parish Action Volunteers (PAVs), State M&E staff, CRS program Staff, relevant
decision makers in the Dioceses, public health care workers, community-based organizations, and faith
based organizations.
This activity provides program and QA/QC staff the opportunity to analyze data and identify key areas that
require improvement, such as gender imbalance. SI activities and output are useful in identifying not only
gender issues, but ways in which gender imbalance may be corrected.
This activity includes a major emphasis of health management information systems. Minor emphasis areas
include: training: quality assurance, quality improvement and supportive supervision; and monitoring,
evaluation and reporting.
Continuing Activity: 13009
13009 9913.08 U.S. Agency for Catholic Relief 6366 3689.08 USAID Track $50,000
9913 9913.07 U.S. Agency for Catholic Relief 4163 3689.07 7 Dioceses $50,000
Estimated amount of funding that is planned for Human Capacity Development $28,500
Table 3.3.17:
