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 DESCRIPTION:
These funds are to be used by the award recipients of the FY09 HHS/CDC RFA, with emphasis on local
implementing partners, to implement the prevention of sexual transmission portfolio, specifically in the
condoms and other prevention program, in new underserved areas in Nigeria. This will provide community
outreach to an estimated 3,500 individuals identified as high risk for acquiring HIV and direct them into
counseling and testing while promoting prevention through activities that include abstinence, being faithful,
and appropriate and consistent use of condom messaging. The activities will focus on condom use in high
risk populations and intervention or referral for sexually transmitted infection (STI) syndromic management,
interventions regarding development of prevention skills, such as negotiating safer sex, and linkages to the
provision of HIV counseling and testing (HCT) services. Community activities to engage most-at-risk
populations (MARPS) will be supported through this award. The activities will focus on identifying MARPS
and individuals who test positive within the local PEPFAR network of HCT/PMTCT (prevention of mother-to-
child transmission)/DOTS (direct observed treatment for TB) services. Clients will be the focus of messages
aimed at reducing HIV transmission in high risk populations, including correct and consistent condom-use
messages. Existing support groups or associations of People Living With HIV/AIDS (PLWHA) will have
access to condoms and be targeted with ‘prevention for positives' messages (funded under care) and skills
on positive living, to reduce transmission and re-infection. This activity will provide referrals to basic care
and support services as well as anti-retroviral treatment services for those identified to be in need.
This activity will provide training to PLWHA as peer educators and lay counselors to promote HIV/AIDS
prevention through other behavior change beyond abstinence and/or being faithful. This RFA will strengthen
the developed sustainability plan both at program and country level and will collaborate with other existing
implementing partners to build capacity and reach proposed indicators.
CONTRIBUTIONS TO OVERALL PROGRAM AREA:
This activity will increase local capacity to provide prevention services to most-at-risk populations.
LINKS TO OTHER ACTIVITIES:
This activity also relates to activities in Basic Care and Support, TB/HIV, HCT, and antiretroviral treatment.
This activity provides community outreach to individuals identified as high risk for acquiring HIV and directs
them into counseling and testing. Pregnant women who test positive will be referred to PMTCT services,
and others will be referred into HIV treatment services as well as care and support services, as appropriate.
EMPHASIS AREAS:
This activity has an emphasis on gender equity and addresses male norms and behaviors.
TARGET POPULATION:
This activity will target MARPs, HIV positive pregnant women, and PLWHA.
COVERAGE AREAS will be determined when awarded and will reach underserved expansion states.
***The USG Nigeria team is proposing estimated targets in the narratives and not in the target tables in the
COPRS for open solicitations for USAID APS and CDC RFAs. These solicitations have not been awarded
at this time and targets will only be finalized and reflected in the target tables of COPRS after negotiations
have been concluded and the award has been made.
New/Continuing Activity: Continuing Activity
Continuing Activity: 15664
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
15664 15664.08 HHS/Centers for International 6380 555.08 HHS/CDC Track $150,000
Disease Control & Foundation for 2.0 IFESH
Prevention Education and Self
-Help
Table 3.3.03:
The FY09 HHS/CDC RFA in medical transmission will be a sole source solicitation for the Nigerian National
Blood Transfusion Service (NBTS). This award will enable the continued funding partnership between the
PEPFAR program and the NBTS after the completion of the current Track 1.0 mechanism. This will allow
for continued improvements in creating a safe blood supply for Nigeria. Specific activities may include
increased efforts in voluntary blood donation drives, increased collaborative relationships with hospital
facilities that conduct blood transfusions, improved data collection on blood transfusion practices, and
continued policy and system strengthening activities related to the collection, screening and dissemination
of a safe blood supply. This activity will involve regular and periodic reporting on EP and Nigeria's blood
safety program indicators to the USG and GON, analysis of data, dissemination of results and providing
feedback to the relevant stakeholders. This RFA will also focus on capacity building for staff involved in
NBTS and blood transfusion activities.
CONTRIBUTION TO OVERALL AREA:
This activity will enhance blood safety program implementation through support to the NBTS. This will allow
for continued strengthening of the Nigerian NBTS after the conclusion of the Track 1.0 award mechanism.
This activity is linked to counseling and testing, laboratory services, and injection safety.
EMPHASIS AREAS: This activity has an emphasis in capacity building for staff.
TARGET POPULATION: This target population will be health care workers for training and advocacy in
appropriate transfusion practices.
New/Continuing Activity: New Activity
Continuing Activity:
Table 3.3.04:
These funds are to be used by the award recipients of the FY08 HHS/CDC RFA, with emphasis on local
implementing partners, to implement an HIV care and support programs in new underserved areas of
Nigeria. Basic Health Care package services that may be included by the award recipient include: HCT,
basic medical, laboratory and nursing care, adherence counseling, prevention for positives, linkage to
psychosocial support through participation in PLWHA support groups and individual counseling operational
at two points of service with transportation, communication and referrals, pain and symptom management,
and access to community home based care (HBC).
The award recipients will be expected to provide the following types of basic care and support: Laboratory
monitoring which include CD4 counts, hemogram, clinical chemistry, and malaria smears are supported and
funded under this program area for those not requiring ARV treatment. This activity will include the provision
of co-trimoxazole prophylaxis (CPT) to eligible HIV positive patients, including TB/HIV co-infected clients
that will be identified and referred from program sites. Special effort will be made to expand upon the
growing collaboration between the TB and HIV/AIDS control program to link such care to TB/HIV patients.
This activity is also identified as a key intervention in Nigeria's 5-Year Strategic Plan to address TB and HIV.
The recipients will be expected to provide palliative and home based care both at facility level and in
communities with an appropriate combination of models which will be utilized depending upon the site
preference. The RFA will supplement site staffing with trained PLWHAs and volunteers from communities
to provide this service. An identified trained Basic Care and Support Program Officer with a counseling
background at each facility will work with support groups to improve educational and support programs, and
coordinate linkage of the facility points of service to the communities.
Training essential for program success and sustainability will target doctors, nurses, health aids,
counselors, PLWHAs and community volunteers. This training will be conducted by CDC/RFA program staff
at the site level to maximize coverage. An estimated minimum of 15 health care providers will be trained
through this activity. Training will be done using the training manual which is being developed by current
large treatment partners through PEPFAR support. All HBC providers will receive a provider's manual
describing methods of assessment, diagnosis, treatment, management and referral for HIV related
symptoms. This will ensure all PLWHAs, including HIV + pregnant women as well as all HIV/TB patients,
get the correct care and the same quality of care across the sites. There will also be Standard Operating
Procedures for Basic Care and Support at all service outlets.
This activity provides services which are a high priority for the 2:7:10 Emergency Plan Strategy by providing
a basic package of care for all PLWHA including HIV+ pregnant women and TB/HIV + patients. The
services are consistent with the draft Guidelines for Palliative Care in Nigeria as well as the Nigerian
Guidelines for ART which emphasize HBC, symptom management, and OI prophylaxis. Capacity
development at the site level and consistency with national guidelines will ensure sustainability. RFA
identified staff will contribute to development of a national palliative care training curriculum, identified as a
priority by the Government of Nigeria (GON).
This activity is linked to HVCT (12972.08), HVOP (12969.08), PMTCT (12968.08), HVTB (12971.08), HKID
(14087.08) and HTXS (14089.08). HCT will target at risk populations including all pregnant women and all
TB patients. All patients are monitored and linked to ARV therapy when indicated. Care and Support
services such as psychosocial support and symptom management promotes ARV adherence. Prevention
for Positives which includes counseling and condom availability will be integrated into this activity. Services
are co-located with TB Directly Observed Treatment Services (DOTS) centers with referrals from other
DOTS centers. RFA identified staff will work with sites to ensure effective referral/linkage and coordination
systems are in place. High quality laboratory services supported by CDC/RFA facilitated laboratory QA
program will be available at sites.
POPULATIONS BEING TARGETED:
Services are offered to all PLWHAs including HIV+ TB patients and pregnant women identified through TB
DOT Centers and PMTCT programs, respectively. Doctors, nurses, other health workers, PLWHAs and
volunteer caregivers of PLWHA are targeted for training. The volunteers participate in providing HBC
services as well as adherence counseling.
EMPHASIS AREAS: The emphasis area for this activity is training as capacity development for
sustainability is a key focus.
COVERAGE AREAS: underserved expansion states TBD when awarded.
at this time and targets and other specifics will only be finalized and reflected in the activities in COPRS
after negotiations have been concluded and the award has been made.
Continuing Activity: 12970
12970 12970.08 HHS/Centers for To Be Determined 6354 5230.08 HHS/CDC RFA
Disease Control & TBD
Prevention
Table 3.3.08:
implementing partners, to implement HIV Orphans and Vulnerable Children (OVC) programs in new
underserved areas of Nigeria. Through this HHS/CDC RFA, an estimated 1,800 Orphans and Vulnerable
Children will receive services while appropriate community and facility based staff and volunteers will be
trained to provide these services. The staff to be trained will include counselors, laboratorians, and
nutritionists, as well as master trainers in community/home based care and vocational skills. OVCs will
receive age-appropriate psychosocial counseling and peer support groups. Components of the OVC
package that will be provided include: symptomatic management of ailments and provision of pediatric drug
formulations like analgesics, anti-malarials, anti-diarrheals, and anti-helminthics. They will also have access
to tuberculosis diagnostics, treatment and prophylactic services as appropriate. All these will be done in
close collaboration and linkages with the Government of Nigeria (GON) and other partners. Other services
to be provided under this intervention include safe water (by promoting the use of Water Guard) and
malarial prevention through the use of Long-lasting Insecticide Treated Nets (LLITNs). Nutritional and
educational support will be provided either directly or through linkages to other USG partners providing such
services as appropriate. OVC care providers may have access to income-generating skill-building through
these awards, and community members will be recruited to serve as mentors to aid OVC receiving services.
These activities will be achieved in line with the National Guidelines and Standard Operating Procedures
(SOPs).
This activity is a high priority intervention area for the President's Emergency Plan by providing a
comprehensive package of services to children orphaned or rendered vulnerable by HIV/AIDS, including
those infected with HIV. It is also a priority for the GON. Its components, especially the human resource
capacity development aspect, will enhance sustainability and the development of health care systems in
Nigeria.
This activity will be linked with Counseling & Testing, antiretroviral (ARV) Services, prevention of mother to
child transmission (PMTCT), TB/HIV Services, Other Prevention, Strategic Information, and Laboratory
Services. HIV Counseling and Testing services will be accessible to all family members and relations of the
HIV-infected children as necessary. Children who qualify for either ART or TB treatment will be linked to the
most proximal outlets for these services. Since some of the services will be implemented by local
indigenous Non Governmental Organizations (NGO), Community-Based Organizations (CBO) and Faith-
Based Organizations (FBO), sub-agreements will be coordinated with relevant Implementing Partners (IP)
to ensure there is no overlap of funding, services and reporting. The OVC services will be implemented in
coordination with the GON, other relevant IPs and the Global Fund to fight AIDS, Tuberculosis, and Malaria.
OVC services are primarily targeted at care givers, OVC/People living with HIV/AIDS and their affected
families. The capacity development activities cover the facility-based staff such as doctors, nurses, and
other health care workers. In the community, training is targeted at NGOs, CBOs, FBOs and volunteers.
However, the direct beneficiaries of the services are HIV-positive infants and children, as well as children
orphaned or made vulnerable by HIV/AIDS.
The major area for this intervention is training and human resources development in order to ensure the
delivery of comprehensive services to Orphans and Vulnerable Children.
COVERAGE AREAS: Underserved expansion states to be decided upon award.
Continuing Activity: 14087
14087 14087.08 HHS/Centers for To Be Determined 6354 5230.08 HHS/CDC RFA
Table 3.3.13:
These funds are to be used by the award recipients of FY09 HHS/CDC RFA to support PMTCT, CT, TB/HIV
and ART treatment/services through the development of laboratory infrastructure at health facilities within
Nigeria. Laboratories will be upgraded so they can provide high quality HIV sero-diagnosis, CD4
determination, blood chemistry, hematology and OI diagnosis (such as TB and STIs). Individuals found to
be HIV-positive will be evaluated for eligibility to initiate ART therapy and will be clinically monitored while
on therapy. Newly enhanced labs will become a part of Nigeria's integrated tiered referral laboratory
network (as outlined in the Emergency Plan Laboratory Strategy, 2005). Tertiary labs already supported by
the EP and located closest to these facilities will provide a supporting role, especially in early infant
diagnosis. Dried blood spots (DBS) will be collected from infants born to HIV positive mothers (in PMTCT
programs) and transferred to designated labs with PCR capacity for DNA testing.
The basic infrastructure at each facility will be enhanced to ensure constant electrical power and water.
Labs will be equipped with automated CD4, hematology and blood chemistry equipment. Supplies for
manual CD4 determinations will be available as a backup. HIV diagnosis will be performed at all sites using
the GON approved rapid testing algorithm. All labs will have light microscopy for diagnosis of OIs (including
TB). Funding will be used to support didactic and wet lab technical training of laboratory staff. Along with
technical training, all staff will receive instruction in lab safety, good laboratory practices, record keeping and
reagent/specimen storage. Standardized training curriculums currently exist (or are under development) for
each of these areas and will be utilized. On-site refresher training will be provided to all laboratorians on a
yearly basis. The quality of testing at all labs will be monitored through an extensive quality assurance (QA)
program, including training of all staff on QA, proficiency testing and quarterly supervisory site visits (using a
standardized evaluation tool). To facilitate these activities, two laboratorians will be responsible for
coordinating training (as master trainers) and QA activities.
CONTRIBUTION TO OVERALL PROGRAM:
Enhancement of additional labs in Nigeria will contribute to the goal of maintaining high quality lab services
as the number of patients provided with testing and treatment continues to rise. These labs will support the
identification and monitoring of new patients for ART. Development of a new lab facility to deliver training
supplements the overall lab capacity in Nigeria.
Having a strong laboratory infrastructure, with appropriately trained/supervised staff, within healthcare
facilities provides support for many of the other program areas. Laboratory staff play a vital role in training
those individuals performing HIV diagnostic testing in PMTCT and Counseling and Testing programs.
Appropriately equipped labs allow for identification of HIV-positive adults and children, ART Services and
OVC and support monitoring of those with TB/HIV coinfection.
This activity will provide essential laboratory services to adults living with HIV/AIDS, HIV positive pregnant
women, HIV positive infants and HIV positive children. Laboratory workers from the public sector will be
targeted with technical training.
This activity includes emphasis on renovation (specifically laboratories at healthcare facilities) and on
training, development of network/linkages/referral system and quality assurance.
COVERAGE AREAS:
Underserved expansion states TBD when awarded.
Continuing Activity: 14090
14090 14090.08 HHS/Centers for To Be Determined 6354 5230.08 HHS/CDC RFA
Table 3.3.16:
