ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:

This is a new activity in COP08 and will continue in COP09. It relates to the health sector strategic objective

as a wraparound activity that provides access to comprehensive nutrition, education and referral to basic

health care for orphans and vulnerable children (OVC). COMPASS TBD focus areas will be Family

Planning/Reproductive Health, child survival and basic education in Bauchi, Kano, Lagos, and Nasarawa

states.

PEPFAR funding will be used to further strengthen nutrition and educational wraparound services of the

following United States Government (USG)-supported Implementing Partners (IPs): Christian AID,

University of Maryland (ACTION Project), Family Health International/GHAIN, Winrock (AIM project)

Harvard (APIN+), and others currently providing OVC interventions in Bauchi, Kano, Nassarawa and Lagos

states. Among the 45 Local Government Areas (LGA) in Kano (16 LGAs), Nasarawa (7 LGAs), Lagos (14

LGAs) and Bauchi (8 LGAS) where COMPASS works, priority will be given to LGAs where USG IPs are

providing HIV/AIDS services. COMPASS TBD will complement the IPs' efforts to meet the needs of OVC by

providing technical support in the nutrition area through the expansion of the Positive Deviance (PD) Hearth

model and in the education area by facilitating retention of OVC in schools. In Bauchi the primary focus will

be nutrition training for service providers from USG-supported facilities providing HIV services. COMPASS

TBD will use the platforms of COMPASS Community Coalitions (CC), Parent Teacher Association (PTA),

and the Nigeria Partners to be instrumental in the implementation of the proposed package of interventions.

In COP09, COMPASS TBD will reach a total of 6,700 OVC (2,200 of them receiving primary direct support

and 4,500 supplemental support). Also 2,620 care providers will be trained on OVC care and support

services, especially on nutritional support through community wraparound activities. An anticipated 2,200

OVC will receive food and nutritional supplementation.

Following recommendations from the Food and Nutrition TA, COMPASS will work to build in-country

capacity to conduct adequate nutritional assessments of people living with HIV/AIDS (PLWHA) and people

affected by AIDS (PABA), including OVC. To build government capacity, COMPASS TBD will work with the

appropriate government agencies such as HIV/AIDS and Nutrition Divisions of the Federal Ministry Of

Health (FMOH), to disseminate training manuals, standards of practice (SOP) and job aids on nutrition and

HIV/AIDS with special emphasis on infected and affected OVC. One thousand five hundred (1,500) copies

of the SOP and 400 copies of the training manuals will be printed and disseminated through one-day

orientation meetings for the USG IPs, their service providers, and participants from Federal and State

Ministries of Women Affairs.

At the facility level, COMPASS TBD will identify 220 service providers from USG-supported facilities

providing HIV services in COMPASS presence states and train them on nutritional counseling and

management for HIV-affected families and HIV-positive children using the training manuals, job aids on the

SOPs for nutrition and HIV/AIDS. In addition, COMPASS TBD will train 400 community volunteers from

USG IPs on nutritional care and support for OVC, nutrition counseling and education, community-based

growth monitoring and follow-up care during and after illness. The training will focus on weighing, weight

charting and interpretation, nutritional needs of OVC, appropriate nutritional counseling and care giving,

referrals and follow-up. COMPASS TBD will provide technical assistance to USG IPs to facilitate and

support the community volunteers to conduct PD Hearth health sessions involving food preparation and

demonstrations, community education on the seven key child survival interventions, personal hygiene and

sanitation, simulative feeding, and basic home gardening techniques.

COMPASS TBD will develop appropriate, simple and easy-to-understand Information, Educational, and

Communication (IEC) materials for use by service providers and community members on proper food

preparation, hygiene and sanitation, selection of appropriate foods, as well as other nutritional management

issues for OVC and their caregivers. COMPASS TBD will support efforts of USG-supported OVC partners

to improve OVC access to food at the community level through community based nutrition rehabilitation

program for malnourished children using the Positive Deviance (PD) Hearth Model to cover 100

communities reaching 4,000 OVC children in 45 LGAs in four states prioritizing sites and communities that

have USG supported HIV/AIDS services. COMPASS will provide technical support to USG partners

providing community based OVC services to establish community feeding for OVC using the PD Hearth

Model and expand the community based growth monitoring model to target OVC under five years of age in

their intervention communities.

To support primary school age OVC, COMPASS TBD will use institutionalized structures (CC and PTA

cluster training) to facilitate access to formal schooling of OVC mobilized by USG partners in 37 LGAS in

Kano, Lagos and Nassarawa states. COMPASS TBD will collaborate with PTAs and community coalitions

around these schools to ensure enrolment and retention of OVC. Block grants to schools to address critical

gaps as decided by the PTA will be given in exchange for providing retaining OVC in their schools. PTA

grants will assist in upgrading public schools that will in turn provide levy free education for OVC. In order to

keep OVC beneficiaries in the school, they will be provided with uniforms, school books and materials.

COMPASS TBD will partner with USG-supported IPs to provide training to community members (CCs,

PTA). In COMPASS TBD-supported schools, training will be provided to improve psychosocial support to

OVC who are enrolled in schools. COMPASS will target 3,000 primary school OVC through PTAs and

community partners In partnership with USG IPs, schools, PTAs and communities will establish criteria for

COMPASS assistance to OVC; however, priority will be given to girls who are most at risk of leaving school

in order to care for sick family members. COMPASS TBD Nigerian Partners will train teachers, PTAs and

CCs and will conduct sensitization activities with parents and students to raise their awareness on the

special needs of OVC. Complementing those efforts, COMPASS TBD will continue to facilitate the formation

of ANTI -AIDS clubs in these schools and will develop age appropriate IEC materials to create awareness

on the plight of OVC and HIV prevention among the communities involved. To raise the awareness of

community members (religious leaders, community coalitions, PTAs, service providers etc) to the plight of

OVC and aid in reducing stigma and discrimination against OVC, Johns Hopkins University/CCP, a

COMPASS sub partner will continue to design field tests and develop relevant IEC materials that will be in

Activity Narrative: the public domain. COMPASS TBD will collaborate with the efforts of Maximizing Agricultural Revenue and

Key Enterprises in Targeted Sites (MARKETS) Project to facilitate the linkage of community volunteers and

OVC households with existing activities that will improve food supplementation. The program will increase

the number of USG IPs, local organizations and caregivers that are able to provide adequate nutritional

care and support for OVC. This will contribute to overall Emergency Plan OVC targets for Nigeria. The new

training manuals and SOPs will contribute substantively to USG Nigeria's 5-Year Strategy emphasis of

providing community support services to at least 25 percent of children affected by AIDS and the National

Action Plan to scale-up the national response to OVC.

This project will adhere to PEPFAR goals and objectives, as well as to the principles of Nigeria's HIV/AIDS

Strategies and Guidelines, emphasizing and applying best practices in the context of national policy,

encouraging local leadership, and coordinating response efforts through sound management and

harmonized monitoring and evaluation systems.

LINKS TO OTHER ACTIVITIES: COMPASS TBD will relate to the following activities: Christian AID,

University of Maryland (ACTION Project), FHI/GHAIN, CEDPA, Winrock (AIM project) and Harvard APIN+.

POPULATION BEING TARGETED: This activity targets orphans and vulnerable children enrolled by USG

IPs through facilities and community based activities. It also targets men and women who are teachers,

religious leaders and members of community coalitions and PTAs. As a wrap around activity, it also

provides HIV prevention messages to in school youth through the ANTI-AIDS clubs that will be formed in

the COMPASS TBD-supported schools.

EMPHASIS AREAS: The main thrusts of the program in COP09 will be a wraparound activity to provide

training for USG IPs, local organizations and caregivers in nutrition through the development of training

manuals, dissemination of SOPs and development of IEC materials; Improved Educational Access and

Retention; and Improved Quality of Life for OVC.

New/Continuing Activity: Continuing Activity

Continuing Activity: 16300

Continued Associated Activity Information

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

System ID System ID

16300 16300.08 U.S. Agency for Pathfinder 7404 7404.08 USAID Track $600,000

International International 2.0 FS

Development COMPASS

Emphasis Areas

Gender

* Increasing gender equity in HIV/AIDS programs

* Increasing women's access to income and productive resources

Health-related Wraparound Programs

* Safe Motherhood

Human Capacity Development

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.13: