Detailed Mechanism Funding and Narrative

Years of mechanism: 2008 2009

Details for Mechanism ID: 7143
Country/Region: Nigeria
Year: 2009
Main Partner: Pact, Inc.
Main Partner Program: NA
Organizational Type: Private Contractor
Funding Agency: USAID
Total Funding: $1,805,000

Funding for Sexual Prevention: Abstinence/Be Faithful (HVAB): $182,500

Pact, through its Community REACH project will continue to provide a mechanism for rapidly providing

assistance, through grants, to local organizations that include but are not limited to non-governmental

(NGO), community-based (CBO) and faith-based (FBO) organizations that have the potential to support

both the USG objectives and those of the Government of Nigeria (GoN) in HIV prevention programming. In

order to work towards sustainability, Pact would emphasize host country organizational capacity building

and technical assistance as important elements of an effective sub-grant program. COP09 funding is

provided in the sexual transmission prevention program area but as a result of this emphasis, indicator

targets and reporting are to be found in the health systems strengthening program area.

In COP 09, Community Reach will address key gaps in abstinence, be faithful, and condom and other

prevention (ABC) programming in Nigeria, such as: low capacity of local partners to implement large-scale

programs; lack of a comprehensive package to promote abstinence, fidelity and related changes in

communities and social norms; lack of FBO and CBO organizational capacity to implement high quality ABC

prevention programming that will bring about effective behavior change interventions with harmonized

messaging; poor coverage of rural areas with prevention programming; inadequate monitoring and

supervision skills of implementing partners; weak referral networks between facility and community-based

partners; too few programs that address the needs of adolescents, particularly females; and a paucity of

programs that address youth who are transitioning from abstinence to becoming sexually active.

In COP08, ABC partners provided a recommended minimum package of services from a pool of established

best practices to reach a target. These best practices include: the peer education model; "PEP plus" model;

curriculum and non-curriculum based school programs, community awareness campaigns; and

interventions that address age-appropriate income generation activities and essential life skills, among

others. In COP08, partners utilized a minimum of three of these interventions to reach a target and these

were reinforced with mass media activities. The minimum package of services ensures that the intended

behavior change outcomes are achieved and provides a proxy tool for measuring targets reached with ABC

services.

In order to both increase the capacity of local organizations to deliver HIV services and to expand the ability

of the USG/Nigeria team to meet its PEPFAR goals for COP 09, the USG/Nigeria team has determined that

it is necessary to add an additional capacity-building model to its current portfolio.

PACT will continue to mobilize and support community-based responses to ABC programming through an

effective and transparent grant award and administration system for the provision of responsive, fast-track

grant-making assistance to organizations responding to identified gaps in the ABC prevention program of

Nigeria. PACT will also provide HIV/AIDS implementers with access to financial resources and high quality

technical expertise to assist in achieving and effectively reporting results while complying with USG financial

and administrative requirements and build sustainability through provision of technical assistance to local

sub-grantees in their capacity to deliver quality ABC services at the grassroots level. The PACT Community

REACH program aims to strengthen referrals and linkages for increased access to ABC programs through

capacity-building of sub-grantees, fostering sustainability, and documenting evidence-based best practices,

lessons learned and new approaches, tools, and methodologies by engaging with local sub-grantees and

creating economic advancement opportunities through the active engagement of private or business sectors

in work force development for persons affected by HIV/AIDS and other caregivers.

PACT/Community REACH's ABC program will also continue to focus on quickly mobilizing local/indigenous

civil society organizations (CSOs), NGOs, and FBOs in the Southeast, North Central and South-South

geopolitical regions of Nigeria to play essential roles in filling the gaps identified in the ABC Prevention

services and provide grants to these grassroots organizations for comprehensive ABC services delivery

according to OGAC guidance and in line with the government of Nigeria HIV Prevention Plan and the

Nigeria strategic framework. Capacity building and service delivery capacity support will be provided to

these organizations to enable them to be sustainable and eligible to directly access donor funding.

PACT/Community Reach will identify, map and provide grants to established CBOs formed from ongoing

prevention program efforts and provide technical support to enhance their ability to continue providing

behavior maintenance activities in their rural communities.

Specific programmatic gaps that PACT/Community REACH will address include: mobilization of funding and

sub-granting to these organizations for ABC services provision; and assistance to indigenous CSOs, CBOs

and FBOs to develop strong programming, management and monitoring skills, with the ultimate goal of

graduating these local sub-partners to becoming prime partners themselves. PACT/Community REACH in

COP 09 will support 250 local/indigenous CSOs, CBOs and FBOs identified in the South-South, South East

and North Central geo-political zones of Nigeria with capacity building and/or small grants.

CONTRIBUTIONS TO OVERALL PROGRAM AREA

This program will contribute to PEPFAR goal of capacity development and system strengthening of local

and indigenous organizations for provision and sustenance of HIV prevention activities. It also contributes to

increased coverage and reach of the PERPFAR prevention program to the most in need (rural areas and

grass root populations).

LINKS TO OTHER ACTIVITIES

Activities will be linked to Human Capacity Development, Gender, HCT, PMTCT, TB HIV, treatment, care

and SI.

POPULATIONS BEING TARGETED

The target populations for these activities will include individuals in the rural areas reached by local and

grass root indigenous organizations offering ABC prevention services in these rural areas. Population will

include men, women, youths, children and PLWHAs in the rural areas.

New/Continuing Activity: Continuing Activity

Continuing Activity: 18182

Continued Associated Activity Information

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

System ID System ID

18182 18182.08 U.S. Agency for Pact, Inc. 7143 7143.08 USAID Track $500,000

International 2.0 FS

Development Community

Reach

Emphasis Areas

Gender

* Addressing male norms and behaviors

* Increasing gender equity in HIV/AIDS programs

Human Capacity Development

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.02:

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $182,500

Pact, through its Community REACH project will continue to provide a mechanism for rapidly providing

assistance, through grants, to local organizations that include but are not limited to non-governmental

(NGO), community-based (CBO) and faith-based (FBO) organizations that have the potential to support

both the USG objectives and those of the Government of Nigeria (GoN) in HIV prevention programming. In

order to work towards sustainability, Pact would emphasize host country organizational capacity building

and technical assistance as important elements of an effective sub-grant program. COP09 funding is

provided in the sexual transmission prevention program area but as a result of this emphasis, indicator

targets and reporting are to be found in the health systems strengthening program area.

In COP 09, Community Reach will address key gaps in abstinence, be faithful, and condom and other

prevention (ABC) programming in Nigeria, such as: low capacity of local partners to implement large-scale

programs; lack of a comprehensive package to promote abstinence, fidelity and related changes in

communities and social norms; lack of FBO and CBO organizational capacity to implement high quality ABC

prevention programming that will bring about effective behavior change interventions with harmonized

messaging; poor coverage of rural areas with prevention programming; inadequate monitoring and

supervision skills of implementing partners; weak referral networks between facility and community-based

partners; too few programs that address the needs of adolescents, particularly females; and a paucity of

programs that address youth who are transitioning from abstinence to becoming sexually active.

In COP08, ABC partners provided a recommended minimum package of services from a pool of established

best practices to reach a target. These best practices include: the peer education model; "PEP plus" model;

curriculum and non-curriculum based school programs, community awareness campaigns; and

interventions that address age-appropriate income generation activities and essential life skills, among

others. In COP08, partners utilized a minimum of three of these interventions to reach a target and these

were reinforced with mass media activities. The minimum package of services ensures that the intended

behavior change outcomes are achieved and provides a proxy tool for measuring targets reached with ABC

services.

In order to both increase the capacity of local organizations to deliver HIV services and to expand the ability

of the USG/Nigeria team to meet its PEPFAR goals for COP 09, the USG/Nigeria team has determined that

it is necessary to add an additional capacity-building model to its current portfolio.

PACT will continue to mobilize and support community-based responses to ABC programming through an

effective and transparent grant award and administration system for the provision of responsive, fast-track

grant-making assistance to organizations responding to identified gaps in the ABC prevention program of

Nigeria. PACT will also provide HIV/AIDS implementers with access to financial resources and high quality

technical expertise to assist in achieving and effectively reporting results while complying with USG financial

and administrative requirements and build sustainability through provision of technical assistance to local

sub-grantees in their capacity to deliver quality ABC services at the grassroots level. The PACT Community

REACH program aims to strengthen referrals and linkages for increased access to ABC programs through

capacity-building of sub-grantees, fostering sustainability, and documenting evidence-based best practices,

lessons learned and new approaches, tools, and methodologies by engaging with local sub-grantees and

creating economic advancement opportunities through the active engagement of private or business sectors

in work force development for persons affected by HIV/AIDS and other caregivers.

PACT/Community REACH's ABC program will also continue to focus on quickly mobilizing local/indigenous

civil society organizations (CSOs), NGOs, and FBOs in the Southeast, North Central and South-South

geopolitical regions of Nigeria to play essential roles in filling the gaps identified in the ABC Prevention

services and provide grants to these grassroots organizations for comprehensive ABC services delivery

according to OGAC guidance and in line with the government of Nigeria HIV Prevention Plan and the

Nigeria strategic framework. Capacity building and service delivery capacity support will be provided to

these organizations to enable them to be sustainable and eligible to directly access donor funding.

PACT/Community Reach will identify, map and provide grants to established CBOs formed from ongoing

prevention program efforts and provide technical support to enhance their ability to continue providing

behavior maintenance activities in their rural communities.

Specific programmatic gaps that PACT/Community REACH will address include: mobilization of funding and

sub-granting to these organizations for ABC services provision; and assistance to indigenous CSOs, CBOs

and FBOs to develop strong programming, management and monitoring skills, with the ultimate goal of

graduating these local sub-partners to becoming prime partners themselves. PACT/Community REACH in

COP 09 will support 250 local/indigenous CSOs, CBOs and FBOs identified in the South-South, South East

and North Central geo-political zones of Nigeria with capacity building and/or small grants.

CONTRIBUTIONS TO OVERALL PROGRAM AREA

This program will contribute to PEPFAR goal of capacity development and system strengthening of local

and indigenous organizations for provision and sustenance of HIV prevention activities. It also contributes to

increased coverage and reach of the PERPFAR prevention program to the most in need (rural areas and

grass root populations).

LINKS TO OTHER ACTIVITIES

Activities will be linked to Human Capacity Development, Gender, HCT, PMTCT, TB HIV, treatment, care

and SI.

POPULATIONS BEING TARGETED

The target populations for these activities will include individuals in the rural areas reached by local and

grass root indigenous organizations offering ABC prevention services in these rural areas. Population will

include men, women, youths, children and PLWHAs in the rural areas.

New/Continuing Activity: New Activity

Continuing Activity:

Emphasis Areas

Gender

* Addressing male norms and behaviors

* Increasing gender equity in HIV/AIDS programs

Human Capacity Development

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.03:

Funding for Care: Orphans and Vulnerable Children (HKID): $1,440,000

ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAY

In COP09, PACT/Nigeria, also known as Community Reach, will continue to serve 8,000 Orphans and

Vulnerable Children (OVC), through providing grants to community-based organizations (CBOs) in order to

mobilize and support community-based responses to OVC. It will actively engage the private sector in order

to promote economic advancement opportunities for older OVC and caregivers. Four thousand OVC will

receive food and nutritional supplements. PACT/Nigeria will build sustainability by implementing evidence-

based best practices, lessons learned, new approaches, and tools and methodologies. Activities will also

focus on formalizing network of OVC Non-governmental organizations (NGOs) and supporting the process

of transforming this into an umbrella granting organization

COP08 Narrative

Activity Narrative: ACTIVITY DESCRIPTION:

This is a new activity and it links to all the other activities in the USG OVC portfolio. Analysis of the current

USG Nigeria OVC portfolio, conducted by the USG Nigeria's OVC TWG and reinforced by

recommendations from previous technical assistance (TA) assessments, has identified a number of key

programmatic gaps: current paucity of indigenous partners to take programs to scale; poor understanding of

OVC definitions by implementing partners; inadequate monitoring and supervision; weak referral networks

between facility-based and community-based partners; lack of coverage in high prevalence states; and few

programs addressing the needs of adolescent OVC, particularly females. In addition to these programmatic

gaps, the analysis identified a number of contracting constraints, as the in-country capacity for making

awards to new partners is constrained by the current capacity of indigenous, civil society organizations

(CSOs) to respond to the contracting regulations that exist in USG agencies. PACT/Community REACH

has the mandate and capacity to engage local partners through granting, in order to ensure quality and

comprehensive services at the grassroots level to OVCs, and to build organizational management capacity

that supports the graduation of sub-partners to prime, indigenous partners, and therefore can help fill these

needs.

Based on these findings, USG Nigeria developed a Leader with Associate (LWA) Proposal under the

PACT/Community REACH mechanism, Cooperative Agreement managed out of the Office of HIV/AIDS in

the Global Health Bureau at USAID/W. PACT/Community REACH was selected because it has

demonstrated capacity to quickly identify and provide grants to local CSOs in a range of technical areas

related to prevention, care and support, and program-related data collection and analysis.

The Nigeria OVC LWA focuses on PACT/Community REACH's ability to:

1. Quickly mobilize local/indigenous CSOs, NGOs, and FBOs in the Southeast, North Central and South-

South geopolitical regions of Nigeria that are playing essential roles in the fight against HIV/AIDS to provide

OVC and prevention services.

2. Provide grants to these organizations for comprehensive OVC services delivery according to OGAC

guidance and in line with the government of Nigeria Plan of Action for OVC and Standards of practice.

3. Support Organizational Capacity building and service delivery capacity building for these groups to

enable them to be more sustainable and eligible to directly access donor funding.

4. In the OVC program area, collaborate with USG policy programs tasked with facilitating the formation of

National Network of Civil Society organizations implementing OVC activities to establish a national umbrella

program for providing grants to members of the network.

Specific programmatic gaps that the LWA with PACT/Community REACH address include:

1. Mobilization of funding to organizations playing valuable roles in the fight against HIV/AIDS

a. PACT will quickly identify indigenous CSOs and sub-grant to them for OVC services. PACT will provide

organizational capacity development, which builds the capacity of PACT grantees to develop strong

programming, management and monitoring skills, with the goal of local sub-partners graduating to prime

partners.

b. Increase USG Nigeria's geographic areas of OVC service provision. Currently there is a dearth of OVC

services within the Southeast, South-South, and North Central regions of Nigeria, and grantee recruitment

will be focused in these regions. Community-based and faith-based organizations in particular will be

targeted as sub-grantees.

2. Provision of technical assistance to local sub-grantees to deliver quality OVC services at the grassroots

level. TA will be needed for accurate identification of OVC that qualify for services. Currently there is weak

understanding of the Nigerian definition of what children fall under the category of orphaned or vulnerable.

Activities will be designed to build provider understanding of who is eligible for OVC services, and work with

communities and clinical service providers to identify all children that are eligible for services. TA will also be

provided to PACT grantees to enable application of a holistic OVC service provision model. All OVC service

providers should know and understand the standard level of care for each of the 6+1 services. All OVC will

receive at least 3 of these services, one of which must be psychosocial support. These services

should be delivered through a family-centered and community-based model, that reaches out to all children

in a family infected/affected by HIV/AIDS using standards and practices that have been developed with

USG support and GON collaboration.

PACT Community REACH activities will also ensure a multi-program and multi-sectoral referral system. All

community-based and facility-based OVC service providers in a state should be aware of the geographic

regions where other partners are working, and collaborate to form linkages and referrals between clinical

and community-based care. Wherever possible, community partners should engage with and to link to

clinical service providers, refer clients for HCT, care, and treatment, accept client referrals, and use this as a

starting point to engage families in order to assist all children infected with or affected by HIV/AIDS.

PACT/Community REACH will also engage with local sub-grantees to promote sustainability and document

evidence-based best practices, lessons learned and new approaches, tools and methodologies. Work with

sub-grantees will also focus on developing robust M&E plans that articulate utilization of the Child Status

Index and GON tools to ensure high-quality programming.

Activity Narrative: CONTRIBUTIONS TO OVERALL PROGRAM AREA:

This activity substantively contributes to the overall USG Nigeria's 5-Year Strategy and to the

implementation of Nigeria's National Plan of Action on OVC by developing and strengthening capacity of

indigenous CBOs, FBOs and NGOs for service delivery to OVC. The organizational capacity building

component of this activity helps sustainability as the sub-grantees develop the potential to be prime

recipients of donor funding The suggested targets are determined based on the current estimated cost per

target for a minimum package of OVC interventions. As this is an LWA mechanism, the final targets will be

vetted thru OGAC, and uploaded into COPRS after final award negotiations. The programs and activities

implemented will increase the reach of OVC underserved populations and geographic areas with fairly high

HIV/AIDS prevalence in comparison with the national average.

LINKS TO OTHER ACTIVITIES:

The activities implemented under the PACT/Community REACH award will achieve set targets for OVC

served and caregivers trained while also providing clear linkages between their own activities and the wider

OVC portfolio as implemented by other IPs. The emphasis on dissemination of best practices will also help

develop the sustainability.

POPULATIONS BEING TARGETED:

Populations targeted in these activities will include all OVC with special emphasis on reaching the hard to

reach populations. Also targeted are community members, traditional leaders, religious leaders, and the

men and women who act as caregivers for OVC.

EMPHASIS AREAS:

There is a strong emphasis on local organization capacity development and service delivery at grass root

level. Other emphasis areas include community mobilization; development of network/linkages/referral

system; information, education and communication and linkages with other sectors and initiatives.

New/Continuing Activity: Continuing Activity

Continuing Activity: 16301

Continued Associated Activity Information

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

System ID System ID

16301 16301.08 U.S. Agency for Pact, Inc. 7143 7143.08 USAID Track $1,500,000

International 2.0 FS

Development Community

Reach

Table 3.3.13: