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 UNCHANGED FROM FY2008:
The National Blood Transfusion Centre presently operates in 11 centers in Nigeria; 1 headquarters, 6 Zonal
Centers, 1 Armed Forces Center and 3 State Centers. In the COP08 and COP09, 6 additional state centers
will be opened by the Government of Nigeria and a total of 66,000 units of blood will be collected and
screened. This is based on the quarterly reports on the numbers of blood units collected monthly in the past
one year from all the Zonal Centers. This target value will be composed of units of blood obtained from
voluntary non-remunerated donors through donor drives and from hospitals under the hospitals linkage
program.
NBTS activities will be primarily focused on voluntary non-remunerated blood donations with extensive
mobile community outreach activities by all the centers. There is also continued emphasis on linkages with
hospitals to encourage them to send units of blood collected from family replacement donors to the NBTS
for centralized ELISA screening. The goal of the hospitals linkage program is to ensure that all blood units
are properly screened for HIV I and II, Hepatitis B, Hepatitis C and Syphilis using ELISA techniques and to
promote the conversion of family replacement donors to voluntary, non-remunerated blood donors. Cold
chain is preserved by a 24-hour power supply augmented by standby generators at all the centers and solar
power systems dedicated to the blood banks in 6 centers. The NBTS in addition will deliver to the hospitals
their requested order of screened units for blood banking and use at the facilities. NBTS will also provide
monthly feedback on rates of the four TTIs found by ELISA screening of blood units collected by the facility.
This will facilitate improvement of donor prescreening and deferment.
The Nigerian National Blood Transfusion Service is based on a centralized system with 6 Zonal blood
screening centers set up in the first phase of the project, as follows; Abuja serves as headquarters covering
Federal Capital Territory and adjoining states of Nasarawa and Niger with a population of 7.2 million.
Kaduna serves the North-West Zone comprising of 7 states with population of 35.8 million while Owerri
serves the South-East Zone which has 5 states with population of 16.4 million. Ibadan serves the South-
West Zone comprising of 6 states with population of 27.6 million. Maiduguri covers North-East Zone with 6
states having a population of 18.2 million. Jos covers North-Central Zone comprising of 6 states with
population of 18.2 million. Port-Harcourt is designated the Armed Forces Center while the South-South
Zone of 6 states and population of 21.0 million has Benin City as its Zonal Center. Lokoja is a State Center
complementing the Zonal Center in Jos while the Nangere-Potiskum Center complements the North-East
Zonal Center in Maiduguri. The Abeokuta State Center complements the Zonal Center in Ibadan while the
Sokoto Center will complement the center in Kaduna (North-West). The Calabar Center is to complement
the South-South Zonal Center in Benin City.
An aggressive donor recruitment campaign is in progress to educate the populace about the importance of
voluntary blood donations to blood safety and adequacy. The campaigns are carried out mostly in tertiary
educational institutions and to faith based organizations via mass media (TV, radio), sensitization talks, road
shows and one-on-one recruitment. Young persons are targeted to become regular blood donors through
regular education and counseling and reinforcing messages about living healthy lifestyles that reduce the
risk of contracting HIV and other Transfusion Transmissible Infections (TTIs). The youth recruitment
program relies substantially on the establishment of youth donor associations such as local Club 25 and
Lifesavers Club. Other youth NGOs like the Rotaract Club (Junior Rotarians) also have committed blood
donor programs. Walk-in donors are also encouraged during emergencies. Donor retention programs will be
intensified in COP09 through routine follow up and improved donor care.
The National Blood Transfusion Service will also embark on regular training of medical personnel in the
catchments areas on the appropriate use of blood and blood products using a standard training module
which will be regularly updated. A total number of 278 staff will be trained by the end of COP09. Training will
be conducted on core basic knowledge and logistics/cold chain management for NBTS staff and hospitals
staff in USG PEPFAR supported sites and other collaborating hospitals under the hospitals linkage
program. NBTS will employ different cadres of medical and administrative professionals per center
(physicians, donor recruiters, nurses, phlebotomists, counselors and laboratory scientists) who will be
trained as master trainers and conduct step down trainings within their NBTS centers and at catchment
hospitals. NBTS in collaboration with Safe Blood for Africa Foundation (SBFAF) conducts other trainings for
blood safety.
Formal referral linkages exist between the NBTS Centers to appropriate treatment facilities for HIV and
other TTI reactive donors. The National Blood Transfusion Service is developing a quality management
protocol for the assessment of the program at regular intervals. A biannual technical audit of all NBTS
centers is conducted with technical support from SBFAF. Standard operating guidelines for all processes
and procedures carried out within the service have been developed. Regular scheduled and unscheduled
monitoring and evaluation, using a standard checklist, will complement quality management efforts. A
National blood policy was adopted and launched in COP06, and a legislative back up bill is currently being
considered by the National Assembly. A ten-year strategic plan drawn in collaboration with SBFAF is in
place to direct implementation of the program. As part of Government of Nigeria (GON) commitment to the
blood safety project, an additional six centers will be established bringing the total number to 17 centers
nationwide.
CONTRIBUTIONS TO OVERALL PROGRAM AREA Safe blood supply in our communities will result in
significant reduction in the transmissions of HIV and other TTIs from unsafe blood transfusions. This
contributes immensely to PEPFAR's 5 year strategic plan for Nigeria to reduce new HIV infections through
the provision of safe blood and the implementation of safe blood interventions in the country.
LINKS TO OTHER ACTIVITIES This activity links with HVCT and ARV. The NBTS Centers work closely
with the State Action Committees on AIDS (SACAs) in the various zones to promote HIV/AIDS prevention,
education and strategies. NBTS also works in collaboration with SBFAF, which serves as its technical
partner.
Activity Narrative: POPULATIONS BEING TARGETED The main target populations for regular voluntary blood donor
recruitments are the youths between the ages of 18 and 30 years. Many of the youths are in tertiary
educational institutions within the catchments areas. There is a very active population of donors from the
faith-based organizations and the general population is also targeted.
KEY LEGISLATIVE ISSUES ADDRESSED Key legislative issues addressed include gender, stigma and
discrimination and volunteers. NBTS activities will help to increase gender equity in voluntary blood
donations through counseling messages targeted to the populace. An estimate of the donor data at the
centers indicates a low patronage by women (male:female~4:1).
EMPHASIS AREAS The major emphasis areas to be targeted in 2009 will be community mobilization and
participation for voluntary non-remunerated blood donation and strengthening of the hospitals linkage
program. Other areas of emphasis are training of appropriate staff (donor recruiters, laboratory scientists,
quality officers and donor care officers), and establishing an infrastructure for screening, cold chain
maintenance and banking safe blood in Nigeria.
New/Continuing Activity: Continuing Activity
Continuing Activity: 13046
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
13046 5669.08 HHS/Centers for Federal Ministry of 6375 3812.08 HHS/CDC Track $3,500,000
Disease Control & Health, Nigeria 1.0 MoH NBTS
Prevention
6711 5669.07 HHS/Centers for Federal Ministry of 4168 3812.07 Track 1.0 $3,500,000
Disease Control & Health, Nigeria
5669 5669.06 HHS/Centers for Federal Ministry of 3812 3812.06 Track 1.0 $1,500,000
Emphasis Areas
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $97,000
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.04:
