ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:

This activity also relates to activities in Health Systems Strengthening, Gender, and Human Capacity

development.

During COP 08, LMS provided NGOs with technical assistance to develop successful program concept

papers and competitive proposals. In COP 09, LMS will expand its support by building the capacity of

emerging local organizations to acquire funds, set up systems that will place them in good stead to pass

USG pre-audit requirements, and become better positioned to effectively manage funds and improve health

outcomes. Furthermore, LMS will support new awardees during their implementation and will ensure that

accountable and sustainable programs are built, and that awardees are capable of maintaining their new

relationships with the USG team through a communication plan. As informed by an in-depth assessment of

each awardee's organizational needs, which will be synchronous with USG PEPFAR requirements, LMS

will provide technical assistance focused on building capacity in: project management; information

collection, management, reporting and dissemination systems; developing concept papers and successful

proposals; effective financial management systems; designing forums for sharing best practices; and

developing and maintaining constructive, informed working relationships with USG in the Emergency Plan

context. LMS will continue building the capacity of faith-based and community-based organizations (FBOs

and CBOs) to implement high-quality prevention programming that will enable them to achieve results,

monitor and evaluate their activities, and sustain their activities for the long term.

Nigerian civil society organizations (CSOs) provide an array of services to communities through networks

across the different regions of Nigeria. Some of their services include sexual prevention, palliative care and

support, while a smaller number also provide HIV/AIDS treatment and HIV/AIDS-TB integrated care.

Funding from the Condoms and Other Prevention line will support those potential groups and programs that

show promise for provision of condoms and other prevention activities but which need guidance for

understanding and implementing these services in line with the PEPFAR guidelines and expectations (e.g.,

challenges around planning condom distributions or uncertainties over how to ensure and monitor the

provision of the minimum prevention package). CSO leadership, legitimacy and longstanding involvement

in responding to the pandemic at the community level has attracted the special recognition of the

Emergency Plan. Some reputable FBOs, NGOs and CBOs capable of contributing significantly to the

achievement of Emergency Plan targets and goals have been identified by the USG team in Nigeria.

However, a good number of these, especially the nascent organizations, are limited by a number of

challenges, such as low technical expertise, inadequate organizational capacity, and inefficient

management systems. LMS experience working with the organizations in the past 12 months shows that

some of these organizations, once past the proposal stage, struggle to remain competitive in later rounds

and in many instances have stalled at the pre-award audit stage. To ensure that organizations meet the

requirements that will enable them to receive funding from either USG or other donor agencies, LMS will

provide technical assistance to 50 nascent local organizations from at least 25 states in Nigeria and train

100 individuals who provide prevention services in six geo-political regions in Nigeria.

The key legislative issues that sexual prevention activity will address under the gender categories are male

norms and behaviors that affect the program in the selected organizations in addition to the establishment

of a well articulated process that will encourage and increase gender equity from planning through to the

implementation, monitoring and evaluation of prevention programs that the CSOs manage.

Sexual prevention activities are linked to Health Systems Strengthening, Gender, and Human Capacity

development. LMS will train Individuals in HIV-related institutional capacity building and provide technical

assistance that will lead to effective services, improved health systems and outcomes.

New/Continuing Activity: Continuing Activity

Continuing Activity: 13071

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

13071 10197.08 U.S. Agency for Management 6383 5271.08 USAID Track $267,000

International Sciences for 2.0 FS LMS

Development Health Leader

10197 10197.07 U.S. Agency for Management 5271 5271.07 Leadership, $200,000

International Sciences for Management,

Development Health and

Sustainability

Emphasis Areas

Gender

* Addressing male norms and behaviors

* Increasing gender equity in HIV/AIDS programs

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development $80,000

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.03:

THIS ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:

This activity relates to TB/HIV and Health Systems Strengthening Program Areas.

In COP09 the Leadership, Management and Sustainability (LMS) Program will build upon the activities

initiated with the National TB and Leprosy Control Program (NTBLCP) in COP07 and COP08. Emphasis in

COP09 will be on rolling out leadership and management training done in previous years to state and local

TB/HIV agencies. The LMS Program will continue to work with the NTBLCP staff on the refinement of

organizational improvements and management systems that will increase NTBLCP capacity to provide

nationwide TB/HIV coordination.

During COP07, LMS conducted an assessment of the NTBLCP management and organizational structure

and based on the assessment, conducted a leadership and management training of key staff. In COP08

LMS assisted the NTBLCP to develop more effective management structures and to incorporate MSH tools

as part of the NTBLCP's training programs for state and local governments TB control programs. During

COP09 LMS will continue to expand its activities targeted at strengthening the NTBLCP and the Federal

Ministry of Health (FMOH) Human Resources for Health (HRH) organizational structure and management

capacity, and its ability to roll effective practices down to the state and local levels. The emphasis will be to

build on areas of strength, eliminate weaknesses, and improve overall organizational capacity and

performance. The focus of LMS will be to enhance the ability of the NTBLCP to clearly understand and

meet its responsibilities as a coordinating organ and to continually improve its operations to meet the

changing environment. To achieve these ends, LMS will focus on reinforcing finance and budgeting,

governance, both strategic and project planning, program coordination and human resources systems.

Using a variety of tools and techniques, including workshops and one-on-one instruction and mentoring,

LMS will work with the NTBLCP to consolidate the improvements recorded in their organizational structure,

financial management, human resource management, management information systems, monitoring and

evaluation, quality assurance, strategic and project planning, leadership, and governance systems and

rolling same down to the state and local government areas. With COP09 funds, LMS will support an

assessment of financial, educational, management and policy context for strategic planning for HRH. In

collaboration with the NTBLCP and the FMOH, LMS will support the establishment a national taskforce for

HRH to provide leadership and promote coordination of HRH issues.

LMS will work with the NTBLCP to help a team of management facilitators in the national TB training center

who received training during COP08 to provide management support and mentoring at the state level, and

to form a model for TB control management teams at the state level. LMS will provide continuing support to

the NTBLCP and the national TB training center to roll out SOPs developed in COP08 to ten state control

programs. The NTBLCP will also be supported in developing its own communications unit to enhance its

coordination role and will be provided with adequate IT infrastructure to enhance both its internal and

external communications functions. LMS will train focal persons in NTBLCP on relevant communications

skills in order to maximize the IT infrastructure put in place. In collaboration with a national training institute

such as the Center for Management Development, LMS will support training and curriculum development in

HRH management for senior management of the FMOH.

A majority of LMS's work with the NTBLCP will be centered on human capacity development through

training and mentoring of staff at the national level, as well as staff of the state and local organizations. In

COP09, LMS will also address gender issues, particularly those of equity to access to TB/HIV services.

Gender will become a featured element of the training for the NTBLCP and the state and local

organizations.

The LMS targets for COP09 will be a combined total of 12 federal and state organizations, and 80

individuals trained in TB/HIV-related institutional capacity building. These individuals will in turn be capable

of assisting additional organizations and individuals to develop and improve their management and

institutional capabilities. These targets are captured in the Systems Strengthening program area.

By the end of COP09 it is anticipated that the NTBLCP will have an improved organizational structure with a

clear mission, more efficient governance, effective internal and external communications, M&E systems,

and improved management. There will be strengthened leadership practices and competencies at national

and state levels to coordinate TB/HIV activities and manage competing demands of multiple funding

agencies.

TARGETS:

Targets are captured in the systems strengthening program area.

New/Continuing Activity: Continuing Activity

Continuing Activity: 13072

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

13072 12369.08 U.S. Agency for Management 6383 5271.08 USAID Track $200,000

International Sciences for 2.0 FS LMS

Development Health Leader

12369 12369.07 U.S. Agency for Management 5271 5271.07 Leadership, $200,000

International Sciences for Management,

Development Health and

Sustainability

Emphasis Areas

Gender

* Increasing gender equity in HIV/AIDS programs

Health-related Wraparound Programs

* TB

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development $200,000

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.12:

ACTIVITY UNCHANGED FROM FY2008

This activity relates to OVC, TB/HIV, and Health Systems Strengthening Program Areas. In COP09 the

Leadership, Management and Sustainability (LMS) program of Management Sciences for Health (MSH) will

conclude some activities initiated in COP07 and continue with those initiated in COP08. By the end of the

COP09, LMS would have extended its service beyond the OVC Division of the Federal Ministry of Women

Affairs and Social Development to the OVC Coordinating Mechanisms in 10 additional states across the

country.

The results of the National OVC Situational Assessment and Analyses conducted by the OVC Division of

the Federal Ministry of Women Affairs and Social Development, formed the background on which the

Division's strategic plan was developed with support form LMS in COP08. In this COP year, LMS will

support the group in the implementation of the strategic plan through the development of annual work plans.

LMS will continue its institutional capacity building of the OVC Division which already includes the training of

staff of the Division in leadership and management. In addressing the areas listed under the gender

emphasis, LMS will provide technical assistance to the Division in its annual workplan development by

ensuring that activities addressing the issues of gender such as increasing gender equity in HIV/AIDS

programs for OVC, increasing women and children's legal rights, and reducing violence and coercion of

women and girls are incorporated and included in the budget.

In COP09 the LMS program will continue its institutional capacity building support to both the federal and

selected state government OVC institutions to increase their abilities to provide nationwide coordination,

thereby increasing synergies and effectiveness of the PEPFAR program. LMS will extend its leadership

and management skills development program which it started in COP07 for the National OVC Division to

state OVC program focal persons including focal persons from the Association of OVC NGOs of Nigeria

(AONN).

Support to both tiers of government will include strengthening organizational and program management

capacity to efficiently and effectively address the national OVC response. LMS will continue its COP08

support to the groups in the training of focal persons in project management and will also support them in

their annual planning exercise.

With the database training for both national and state level focal persons carried out in COP08, these focal

persons will be supported in performing more active roles in quality assurance issues related to data

gathering and reporting for the Division as part of LMS' support to the Division in the roll out of its national

OVC program reporting system.

In COP09, LMS will also develop and implement a system for monitoring and evaluating the web-based

OVC training program for caregivers and service providers developed in COP08. The website developed

for the Division will also be reviewed in COP09. The directory of OVC organizations will be updated to

ensure that only genuine OVC organizations are listed.

The National OVC Division will also be supported in developing its own communications unit to enhance its

coordination role, as well as to provide adequate IT infrastructure to enhance both its internal and external

communications functions. LMS will train focal person in the Division on relevant communication skills

including desktop publishing and website management with a view to enhancing the quality of content and

format of the Division's publications and making the Division more visible. Working closely with other USG

policy partners, LMS will support the Division to produce and distribute the necessary OVC SOPs nationally

using both electronic and hardcopy formats.

Being a membership organization, LMS will in addition, build upon its institutional capacity building started

in COP08 for the Association of OVC NGOs of Nigeria (AONN) to strengthen its nationwide management

structure.

The targets for the LMS OVC program are captured in targets in the Health Systems Strengthening

narrative.

New/Continuing Activity: Continuing Activity

Continuing Activity: 13073

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

13073 12414.08 U.S. Agency for Management 6383 5271.08 USAID Track $500,000

International Sciences for 2.0 FS LMS

Development Health Leader

12414 12414.07 U.S. Agency for Management 5271 5271.07 Leadership, $200,000

International Sciences for Management,

Development Health and

Sustainability

Emphasis Areas

Gender

* Increasing gender equity in HIV/AIDS programs

* Increasing women's legal rights

* Reducing violence and coercion

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development $350,000

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.13:

This activity also relates to activities in Strategic Information, Gender, & Human Capacity Development.

Under the leader award to MSH/LMS, the Leadership, Management and Sustainability (LMS) Program's

Capacity Building Project will provide assistance to Civil Society Organizations (CSOs), to successfully

respond to the PEPFAR Nigeria Annual Program Statement (APS), strengthen the capacity of their

institutions' capacity to qualify for and manage U.S. government funds, and to improve their ability to

provide quality HIV/AIDS-related services to clients in Nigeria. During COP09, LMS will continue to provide

assistance to CSOs that were given USAID/PEPFAR grants during COP07 and COP08 to improve their

management systems, develop effective governance, and improve their project management capacity.

LMS will also initiate assistance to eleven new CSOs that are either candidates for U.S. Government

awards or that have recently been awarded grants and need to strengthen their institutional capacity to

manage a U.S. Government grant. In addition, LMS will continue to implement the fellowship program,

which builds the capacity of health professionals engaged in HIV/AIDS prevention and treatment, and

provide assistance to the Nigerian Federal Ministry of Health HIV/AIDS Division (HAD), formerly known as

NASCP.

The Emergency Plan gives special recognition to CSOs in its HIV/AIDS strategy because of their

longstanding involvement in responding to the pandemic. CSO contribution to the Emergency Plan is

pivotal given their leadership and legitimacy in communities. However, there are a number of challenges for

these local CSOs as many of them are nascent organizations with low technical and organizational

capacity. Many reputable faith-based organizations (FBOs) and non-governmental organizations (NGOs)

capable of contributing significantly to achievement of Emergency Plan goals have been identified by the

USG team in Nigeria. However, these organizations' limited experience with receiving USG funds—or

indeed any external grants whatsoever—along with their limited management and accounting systems, has

made it difficult to add these organizations to the Emergency Plan portfolio. Even those organizations that

have been successful in the initial concept paper rounds of the CSO/FBO APS, have struggled to remain

competitive in later rounds and almost all have stalled at the pre-award audit stage. With its expertise in

strengthening management and leadership, and its ability to build sustainable and accountable systems,

LMS will continue to support the development and maturation of these organizations and assist them to

contribute to the Emergency Plan in a significant way.

For those CSOs that have been awarded USG grants, LMS will continue to provide assistance to refine and

enhance their capacity to manage their grants, implement their projects, and strengthen the capacity of their

staff and their institution to expand and improve the services it offers. The capacity building staff, using

tools developed by LMS and local consultants, will work closely with individual organizations to improve

institutional governance, decision making, annual planning, management information systems, financial

controls, compliance with USAID requirements, and roll out of systems to state or local branches or

affiliates.

In addition to this on-going assistance in COP09, LMS will provide training and technical assistance to 250

individuals to strengthen the capacity of up to 11 new CSOs anticipated to respond to the current APS

under the COP08 and COP09 timeframes. Through workshops and individual mentoring, LMS will assist

these new CSOs throughout each step of the procurement process, from concept paper through BAFO,

developing potential partners' ability to represent themselves and their programs in a comprehensive and

competitive manner. In addition, LMS will continue to assist organizations selected for award throughout

the award process, assisting them to put accountable systems in place, or where necessary managing the

award in the interim while systems are being built. This will allow provision of services to commence

immediately while capacity is being built. Finally, LMS will support new awardees during their

implementation, to assure that accountable and sustainable programs are built, and strive to ensure that

awardees are capable of maintaining their new relationships with the USG.

In COP09, funds will be used to provide support in areas of organizational and human capacity

development such as: development and maintenance of constructive, informed working relationships with

USG PEPFAR; project management; monitoring and evaluation; financial management; strategic and

annual planning; leadership development; and sound governance structures. Activities will align with the

USG Data Demand and Information Use (DDIU) and data quality assessment/improvement (DQA/I)

activities and communication and capacity building plan. These skills and organizational management and

operational systems are necessary to both carry out the terms of USG funding agreements as well as to

achieve expanded and improved organizational development for sustainability. These efforts will

concentrate not only on CSO headquarters but also on their regional and state-level offices.

While some of the problems identified in the LMS assessments require longer term, specialized, or more

intensive attention, a few organizations do not have and cannot hire the specialized help needed to address

these problems. When appropriate, LMS will place long-term consultants within these organizations to

provide structured intensive attention to the identified deficiencies. These long-term or "embedded"

consultants will be assigned to an organization under an agreement which will specify problem area(s) to be

addressed, organizational commitments, a timeline for completion, and desired outcomes. Working closely

with the organization in which the consultant will be placed, LMS will recruit and orient qualified consultants,

according to a detailed scope of work. During the period of placement, LMS will supervise and work closely

with the consultant, provide necessary support, and monitor progress to ensure timely achievement of

objectives. This element of the LMS intervention may be applicable to both CSO/FBOs and to identified line

ministries, in line with the USG team's objectives and priorities.

In all of the components, the technical assistance will include a conscious integrated gender component for

increasing gender equity and participation in HIV/AIDS programs. This component will further encourage

CBOs and FBOs to capture and document active participation of females and males with periodic budgeting

for equitable human and organizational development.

Building on the successful fellowship program initiated in COP07 and expanded in COP08, LMS, in

conjunction with the Institute of Human Virology Nigeria, will continue to provide comprehensive training in

Activity Narrative: HIV/AIDS, professional skills development, and leadership and management to select groups of health care

professionals. Through extensive classroom and practical, hands-on experience, fellowship participants are

given the skills and experience to become leaders in their fields and agents for change and improvement of

services. With management and leadership skills, in addition to in-depth HIV/AIDS knowledge, participants

are expected to cascade their new knowledge through step-down activities that further help in reducing

stigma, reducing barriers to access, and improving services. In COP09, the program will be expanded to

three cohorts of 30 health professionals per cohort. LMS will continue to collaborate with IHVN and will

continue to seek in-kind contributions and funding from private sources to cover a portion of the costs of the

fellowship operation.

In continuation of the COP08 institutional capacity building support to NGOs and Government of Nigeria

(GON) institutions, in COP09, LMS will build upon the Management Information Systems it has assisted

GON institutions to establish. LMS will support both groups in the use of data for management decision

making. The support to GON institutions will largely be aimed at optimizing the use of the information

technology facilities that were developed for them in COP08. Focal persons will be trained in the collection,

processing, and mapping of spatially referenced data using Geographic Information Systems. This will

enable GON institutions to use real-time data for making management decisions on HIV/AIDS programming

across the country with systems for reporting on the coverage and services available in PEPFAR-supported

facilities across the country. After roll-out, GON institutions will also be able to generate accurate and up-to-

date maps showing levels of coverage or other data of different local governments across the country.

In COP09, the LMS Program will continue its institutional capacity building support to the Federal Ministry of

Health's HIV/AIDS Division (HAD), formerly the National AIDS and STI Control Program (NASCP), to

increase its ability to provide nationwide coordination, thereby increasing synergies and effectiveness of the

PEPFAR programs. In COP07 and COP08, LMS assisted the HAD to develop leadership and management

skills at national and state levels and for focal persons at both levels. On-going support in areas of

organizational development will continue the following: the development and maintenance of constructive,

informed working relationships with all stakeholders, including the USG, its IPs and other donor

organizations; project management; monitoring, and evaluation; financial management; strategic and

annual planning; leadership development; and sound governance structures. The goal of this TA and

capacity building is that these important GON institutions will improve their governance, effective internal

and external communications, M&E systems, and management.

CONTRIBUTIONS TO OVERALL PROGRAM AREA

LMS assistance to CSOs will result in the overall strengthening of host country NGO/FBO capacity to

operate more efficient services, deliver more effective care, and reach their established targets. The

Fellowship Program will contribute to building the capacity of individuals who will can provide improved care

and lead changes for better services. LMS assistance to HAD and to other selected line ministries will

improve the capability of this agency to oversee, coordinate, monitor, and support the national HIV/AIDS

response.

LINKS TO OTHER ACTIVITIES

Activities will improve financial management, governance, human resource management, MIS, quality

assurance, strategic planning, and leadership and governance of CSOs and governmental organizations.

LMS activities in Nigeria will also improve government oversight of national and other donor supported

programs, coordination of national efforts, greater efficiency and improved leadership of governmental

programs. LMS work with CSOs and GON institutions will improve the synergies between the public and

private sectors and encourage a partnership for the improvement of HIV/AIDS services.

POPULATIONS BEING TARGETED

This activity targets Nigerian CSOs (NGOs and FBOs), including national and regional multiplier

organizations and local NGOs/FBOs, and the staff, volunteers, and consultants of those organizations. This

activity also targets leaders within HAD and its affiliated state and local government organizations and

parastatals. Additionally, this activity targets health professionals who are or will be leaders in providing

services to HIV/AIDS clients.

KEY LEGISLATIVE ISSUES ADDRESSED

This activity will support NGOs and FBOs to increase gender equity in programming and also help to

decrease stigma and discrimination. A major focus of this activity is human capacity development and

much of the assistance and development efforts will be directed at improvement and strengthening of

human capacity. This activity will also support the FMOH and other Ministries to increase their capacity to

plan strategically, lead in the scaling up of HIV/AIDS activities in Nigeria, and monitor results.

EMPHASIS AREAS

This activity emphasizes human and institutional capacity development and building human resources and

quality services as detailed in the activity description above.

Reprogramming, during the April 2009 reprogramming, $1,000,000 was proposed for Management

Sciences for Health (via USAID) for the following types of activities:

1.Assistance in planning and managing the process

2.Assistance in developing a list of stakeholders and facilitating stakeholder meetings

3.Assistance with planning, hosting, and conducting effective workshops/ conferences

4.Assistance in drafting the plan, ensuring its distribution for comment, revising the plan and developing the

final draft

5.Assistance in identifying and reviewing the respective GON strategy documents including the FMOH

integrated strategy, NSF 2, Vision 2020 and other relevant strategies

New/Continuing Activity: Continuing Activity

Continuing Activity: 13075

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

13075 12449.08 U.S. Agency for Management 6383 5271.08 USAID Track $1,050,000

International Sciences for 2.0 FS LMS

Development Health Leader

12449 12449.07 U.S. Agency for Management 5271 5271.07 Leadership, $950,000

International Sciences for Management,

Development Health and

Sustainability

Emphasis Areas

Gender

* Increasing gender equity in HIV/AIDS programs

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development $1,700,000

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.18: