ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:

MEASURE Evaluation has provided the Federal Ministry of Women's Affairs and Social Development

(FMoWASD) with technical assistance through its Department for Child Development to improve information

on OVC outcomes and strengthen the collection, management, utilization, and dissemination of data

relevant to Orphans and Vulnerable Children (OVC) programs. The National Agency for the Control of

AIDS (NACA) and FMoWASD are responsible for planning, coordination, and monitoring and evaluation of

the national multi-sectoral response to OVC. The Ministry of Health (MOH), through its HIV/AIDS Division

(HAD) (formerly the National AIDS and STIs Control Program (NASCP)) and the Federal Ministry of

Education are responsible for sector-specific OVC programs and data collection and use. Activities in

COP09 will build on previous work in continuing to support the NACA and FMoWASD with the objective of

building capacity at the national, regional, and district levels and improving the quality of data and the use of

information for decision-making.

With COP08 funds, the following activities will have been undertaken with TA from MEASURE Evaluation:

•Data demand workshops and meetings to agree on data needs following the publication of primary results

of the OVC Situation Analysis and NDHS.

•Secondary analysis of the OVC Situation Analysis and of OVC data from the NDHS

•Piloting and adaptation of Child Status Index in collaboration with GoN and other OVC stakeholders

•A mapping of key indicators used by GON agencies and select IPs

•An OVC indicator and reporting harmonization workshop , including the harmonization of tools for tracking

OVC activities

•Capacity building at the national level of OVC staff in the Federal Ministry of Women's Affairs and Social

Development

With COP09 funds, MEASURE Evaluation will continue the process of building and strengthening a unified

national monitoring and evaluation system for OVC programming. MEASURE Evaluation will particularly

emphasize the usage of the CSI as a tool to improve the quality of services directed at children affected by

HIV/AIDS and other vulnerable children. MEASURE Evaluation will further assist the government in

developing a scale-up plan for rolling out both the CSI and routine data collection tools for tracking OVC and

evaluating OVC-related services, and integrating this process into the national HIV/AIDS M&E data

collection system, which will constitute important milestones in creating a national OVC data repository. In

COP09, the following activities will be undertaken with TA from MEASURE Evaluation:

1. Implementation of the revised OVC M&E Framework and agreed reporting tools (e.g. the CSI) in

selected states

2.Quarterly HQ strategic information coordination meetings (for information sharing, harmonization and

validation of national data, exchange of experiences on data-collection tools use, exchange of best

practices), to assist the OVC unit of the Department for Child Development to consolidate all OVC partners'

SI action plans to strengthen information transmission and sharing through all levels of the FMoWASD, to

avoid duplication of effort and resources, and to ensure continued use of agreed/harmonized OVC

indicators, data-collection tools, and processes.

3.Facilitating the development of a national database in FMWA&SD of OVC receiving services

4. Training to FMoWASD Department of Child Health staff and OVC desk officers on how to analyze,

present and use programmatic data

CONTRIBUTIONS TO OVERALL PROGRAM AREA. The technical assistance and training proposed by

MEASURE Evaluation will build on existing work by other implementing partners and stakeholders. The

proposed activity will contribute to effective and efficient execution of OVC program interventions by the

GoN (FMoWASD and NACA), USG IPs and other development partners, like United Nations International

Children Fund (UNICEF), World Bank and British Department for International Development (DfID).

Availability of accurate and timely data on the OVC situation will inform key strategies for program

managers and policy makers in designing activities for addressing OVC needs. In addition, information from

further analysis will guide in the design and formulation of policy guidelines and other standard operating

procedures for quality service delivery. About 45 people will be trained as part of this process.

LINKS TO OTHER ACTIVITIES. MEASURE Evaluation TA to FMoWASD and PEPFAR partners is directly

linked to system strengthening and policy development. Linkages between TA in data collection, analysis

and utilization of information will strengthen the capacity of the organizations and personnel to generate

reliable, timely and accurate information that improves ability of health managers, care-givers and providers

at all levels to plan activities, set priorities, and allocate human and financial resources in response to

needs. The implementing partner will collaborate with stakeholders at all levels to improve data collection,

reporting and use, forming linkages as appropriate, especially with other SI capacity building activities.

POPULATIONS BEING TARGETED Children affected by HIV/AIDS are the ultimate beneficiaries of

improved programs that benefit from better information. Others include policy makers, program managers,

community health workers, volunteers, guardians and caregivers, and M&E staff, particularly from

FMoWASD and NACA, who will participate in the design of OVC assessment tools and the CSI training, to

enhance their skills in systematically monitoring the outcomes of OVC programs. Current PEPFAR IPs,

including NGOs/PVOs will also benefit from training, and indirectly, the results of the OVC situation analysis

and secondary data analysis will enhance their ability to make sound program management decisions.

Training and TA will extend to state, LGA and other OVC service providers at lower levels through step-

down training activities and supportive supervision, to enable staff in such organizations to apply the CSI

and other routine data collection tools in monitoring OVC program performance.

KEY LEGISLATIVE ISSUES ADDRESSED Not Applicable

EMPHASIS AREAS: The major area of emphasis for these MEASURE Evaluation activities is building the

Activity Narrative: capacity of the FMoWASD in monitoring and evaluation of OVC programs. This TA will also provide

program managers, policy makers, beneficiaries and implementing partners with information to support the

development of strategies and activities to address the needs of OVC, and subsequently improve their

overall well being. As part of this effort, MEASURE Evaluation will enhance the capacity of FMoWASD and

other stakeholders in the application of the Child Status Index and other routine data collection tools for

monitoring OVC program performance.

New/Continuing Activity: Continuing Activity

Continuing Activity: 13119

Continued Associated Activity Information

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

System ID System ID

13119 12394.08 U.S. Agency for University of North 6395 558.08 USAID Track $300,000

International Carolina 2.0 FS Measure

Development TBD

12394 12394.07 U.S. Agency for University of North 4185 558.07 Measure $200,000

International Carolina Evaluation

Development

Table 3.3.13:

ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:

MEASURE Evaluation partners JSI and The Futures Group International (formerly SRA, Constella Futures)

have provided the Government of Nigeria (GoN), through its relevant agencies and implementing partners,

with technical assistance to strengthen the collection, management, dissemination and use of HIV/AIDS

monitoring data. The National Agency for the Control of AIDS (NACA) is responsible for planning,

coordination, and monitoring and evaluation of the national multi-sectoral and decentralized response to

HIV/AIDS. The Federal Ministry of Health (FMoH), through its HIV/AIDS Division, is responsible for

HIV/AIDS data within the health sector. The Federal Ministry of Women's Affairs and Social Development

(FMoWASD) is responsible for Orphan and Vulnerable Children data. Other Ministries such as Education

and Defense, are responsible for sector-specific HIV/AIDS data collection and use. Activities in FY08 will

build on previous work in continuing to support the NACA, FMOH and FMoWASD with the objective of

building capacity at the national, state, and local levels and improving the quality of data and the use of

information for decision-making.

With COP08 funds, the following activities would be completed with TA from MEASURE Evaluation:

• Revision of the Nigeria National Response Information Management System (NNRIMS) data-collection

tools and development of a scale-up plan

• Development of community-based reporting tools for HIV/AIDS related activities (OVC, Home-Based Care

and Prevention) for the national program

• Collaborate with SCMS to revise the Logistics and Health Program Management Information Platform

(LHPMIP) application to accommodate new indicators and development of a scale-up plan

• Capacity building at state level on the harmonized Patient Monitoring and Management (PMM)/Patient

Monitoring and Evaluation (PME) and Routine Data Quality Assessment (RDQA)

• Support the development of national data quality assessment framework and develop scale-up to building

state capacity to carry out periodic data quality assessment in a collaborative manner with stakeholders

• Identify a local institution to partner with in the institutionalization of M&E courses in their training

curriculum

With COP09 funds, MEASURE Evaluation will continue the process of building and strengthening a unified

national M&E system. MEASURE Evaluation will particularly emphasize consolidating the country's

HIV/AIDS M&E system (NNRIMS) by strengthening the implementation of the system at the state level.

MEASURE Evaluation will also assist the government in developing sector-specific data-collection systems,

which will constitute important milestones in creating a national HIV data repository. The activity will improve

HIV/AIDS information systems through training and follow-up with Government institutions, service

providers and other IPs to improve reporting rates, data quality, and use of information for evidence-based

decision-making. MEASURE Evaluation will support these activities with 2-Resident Advisors (both with

capacity to provide technical support to all activities listed below), 1-administrative officer and TA from

headquarters (2-3 international TA visits to support each of the planned workshops and meetings), plus an

appropriate amount of remote support on all activities. In COP09, MEASURE Evaluation under the

guidance of USGSI team will execute the following activities:

Technical Assistance to NACA

• Strengthen coordination among HIV/AIDS data stakeholders by supporting quarterly coordination

meetings on SI, (information sharing, harmonization and validation of national data, exchange of

experiences on data-collection tools use, exchange of best practices), and assisting the strategic planning

and monitoring and evaluation division of NACA to support the consolidation of all HIV/AIDS partners' SI

action plans to avoid duplication of effort and resources. Will also assist with the continuing standardization

of HIV/AIDS indicators, data-collection tools, and processes. It is expected that this activity will increase

collaboration between data users and producers.

• Strengthen the use of information for decision-making by assisting in the creation of a national HIV data

clearinghouse and a national data repository. Appropriate training workshops, one-on-one trainings, and

training partnerships with local institutions will be organized. Other sectoral ministries' staffs will be invited to

these training activities.

• Strengthen HIV information sharing by supporting the development of a unique patient-identification

system. MEASURE Evaluation will also propose to the NACA and the MOH technologies available to

duplicate patient records in a national database. To achieve this, MEASURE Evaluation will review unique-

ID systems in other Emergency Plan (EP) countries.

• Help build the capacity of other ministries and stakeholders (including Health, Women's Affairs and Social

Development, Civil Society - CISHAN and NEPHWAN) as intermediary organizations charged with the

collection of community-level HIV/AIDS data.

• Collaborate with Supply Chain Management System (SCMS) to scale-up the implementation of LHPMIP

web-portal electronic platform to improve reporting from facilities and non-facilities using NNRIMS

indicators.

Technical Assistance to the HIV/AIDS Division (FMoH)

• Strengthen coordination among HIV/AIDS data stakeholders by assuring the participation of FMoH staff in

SI coordination meetings and assisting the NASCP to implement decisions taken during such meetings

• Strengthen the use of information for decision-making by updating and producing key national documents,

such as policy guideline documents on health information, procedural documents, M&E training materials

for the health sector, and national data-collection procedures. MEASURE Evaluation with collaborate with

SCSM and USG-SI team to assist HIV/AIDS data stakeholders in data analysis, interpretation and

presentation of results in a more easily accessible format to end users

• Assist with capacity building in the scale-up of HIV/AIDS patient-monitoring data-collection tools (paper-

based) to the states and mobilize other stakeholders to scale-up the system to all care and treatment

facilities.

Technical assistance to the Civil Society Organizations (CSOs)

• Strengthen coordination among HIV/AIDS data stakeholders by assuring the participation of national level

CSO staff in SI coordination meetings and assisting the CSOs M&E team to implement decisions taken

during such meetings.

• Strengthen the use of information for decision-making by assisting the CSOs in data analysis,

interpretation and presentation of results in a more easily accessible format to end users

Activity Narrative: • Develop the CSOs M&E team's capacity in collecting, managing, analyzing, sharing, and disseminating

HIV-related data.

Technical assistance to the State Action Committees on AIDS (SACAs)

• Support the implementation of Monitoring and Evaluation System Strengthening Tools (MESST) to identify

strengths and weaknesses and develop action plans to improve the state capacity to effectively coordinate

HIV/AIDS M&E systems in their respective states.

• Collaborate with SCSM to strengthen information transmission at all levels through scaling-up LHPMIP

web-portal at the facilities and non-facilities.

• Strengthen coordination among HIV/AIDS data stakeholders by supporting quarterly coordination

meetings on SI (information sharing, harmonization and validation of state-level data).

Institutionalization of the M&E Training Courses: In COP09, MEASURE Evaluation will support the local

institution to conduct 2 general M&E workshops for staff from the Government of Nigeria (national, state and

local), IPs, and CSOs etc to build M&E capacity for HIV/AIDS programs. The first workshop will be

facilitated by MEASURE Evaluation staff with staff of the local institution serving as back-up. Staff of the

partnering institution will be more involved in the planning and implementation of the second workshop. In

addition, MEASURE Evaluation will provide TA to the local institution in adapting training curriculum for

M&E courses to meet local demand and needs.

SI Support to USG: MEASURE Evaluation will continue to assist the USG to prepare semi-annual/annual

PEPFAR reports. MEASURE will continue to be active participants on the SI workgroup established and

coordinated by USG-Nigeria.

Overall, the capacity building activities proposed in strategic information will reach 300 individuals and 9

organizations will be provided with TA on SI activities. Combined with other assistance, the expected result

is improved HIV/AIDS M&E capacity and improved quality of HIV/AIDS data. With funding from the OVC

program area, MEASURE Evaluation will provide limited TA to FMoWASD, Implementing Partners (IPs),

and other national and state level stakeholders in the implementation of the community-level reporting

system.

CONTRIBUTIONS TO OVERALL PROGRAM AREA: The TA, collaboration with stakeholders, IPs and

support to the local training institution will build on existing work from previous years under the MEASURE

Evaluation II and Task Order, and is expected to improve M&E capacity among public sector partners and

USG IPs. With improved capacity, partners will be more likely to report HIV/AIDS information consistently,

with better data quality, and use information for effective decision-making. The proposed activities will

contribute significantly to the USAID/Nigeria objective of promoting and improving data demand and

information utilization with the goal of strengthening program management and decision-making. This TA

will contribute to and promote the Third One—one national M&E framework as well as contribute to the

sustainability of the national information system. Ultimately, this activity will provide USG with a better

understanding of progress toward a broad range of desired HIV/AIDS outcomes, as well as more accurate

and streamlined reporting, allowing for improved planning and management of multiple PEPFAR supported

HIV/AIDS activities.

LINKS TO OTHER ACTIVITIES: TA to NACA, SACA, NASCP, the Federal Ministry of Women Affairs and

Social Development and PEPFAR partners is directly linked to system strengthening and policy

development. Linkages between TA in data collection, analysis and utilization of information will strengthen

the capacity of the organizations and personnel to generate reliable, timely and accurate information that

improves ability of health managers and providers at all levels to plan activities, set priorities, and allocate

human and financial resources in response to needs.

POPULATIONS BEING TARGETED: Policy makers, program managers and M&E staff, particularly from

NACA and the Federal Ministry of Health (FMOH) as well as PEPFAR IPs, including NGOs/PVOs and a

local training institution. Training and TA will extend to state, LGA and facility levels through step-down

training activities and supervision.

KEY LEGISLATIVE ISSUES ADDRESSED: Not applicable

EMPHASIS AREAS: The major emphasis areas for this activity are SI and building M&E capacity of local

organizations. Specific activities will support NACA, FMoH, CSOs and SACAs in the M&E of the national

HIV/AIDS program (promoting one national M&E system), and supporting improved quality of PEPFAR

reporting.

Sustainability

Building a sustainable comprehensive HIV/AIDS M&E framework is one of the long-term SI goals in Nigeria.

Consensus building has been used at all steps of the NNRIMS strengthening process. MEASURE

Evaluation will advocate for increased funding for the NNRIMS from the GoN (National Planning

Commission), World Bank and other development partners. Technical assistance will assist the NASCP,

CSOs and state-level agencies in developing a proposal to include all relevant data management expenses

in the government's annual budget and to leverage additional resources for states. Partnerships with local

organizations will be established to train health workers and create a culture of data analysis and

information use.

New/Continuing Activity: Continuing Activity

Continuing Activity: 13120

Continued Associated Activity Information

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

System ID System ID

13120 3251.08 U.S. Agency for University of North 6395 558.08 USAID Track $1,500,000

International Carolina 2.0 FS Measure

Development TBD

6774 3251.07 U.S. Agency for University of North 4185 558.07 Measure $1,275,000

International Carolina Evaluation

Development

3251 3251.06 U.S. Agency for University of North 2776 558.06 Measure $400,000

International Carolina Evaluation

Development

Table 3.3.17: