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 HAS BEEN MODIFIED IN THE FOLLOWING WAYS:
Under COP08, the USG through CDC began a process to identify key programmatic areas for direct funding
to the Federal Ministry of Health's HIV/AIDS Division (HAD) through a sole source mechanism. In COP09,
this process will continue with the development and implementation of specific work plans for this activity.
With this funding, HAD will build the capacity of its staff at the National, State and Local Government levels
to lead an integrated health sector response. The capacity of HAD staff to provide integrated program
management will be built and will ensure that PMTCT program related trainings, supervision, service
provision and quality assurance activities are carried out in line with nationally and internationally
acceptable standards. Through this grant, HAD will also ensure that the National PMTCT Technical
Working Group (TWG) meets as scheduled in their operational plans. HAD will also faciliate the distribution
and dessimation of the PMTCT Standard Operation Procedures (SOP) and Guidelines to ensure they are
understoood and adhered to by PMTCT service providers across the nation. HAD will develop a
mechanism for feedback on both documents from the end users.
The expected outcomes of this technical approach will include: improved technical performance in
conducting site visits by HAD staff at all levels; improved performance by thematic Technical Working
Groups in their advisory functions; and improved adherence by service providers to National standards for
PMTCT services provision.
As a result of the Nigerian Federal Ministry of Health (FMOH) and HIV/AIDS Division (HAD)'s mandate
which is national in scope, the funded activities will be implemented in a way that covers the entire country
in COP09. However, HAD will focus most of the activities on underserved populations across the nation.
HAD will achieve these through a three-pronged approach as follows:
a.Training of HAD staff at the National, State and Local Government Levels on supervisory and monitoring
skills following a gap analysis and development of appropriate training programs. This will be followed by
adaptation of existing supervisory and monitoring tools.
b. Enabling and facilitating the meetings of the National PMTCT TWG. HAD will work in collaboration with
the TWG to visit service delivery sites and collate and analyze supervision reports to serve as a basis for
advisory functions of the TWG. The inactive National HIV/AIDS partners' forum will be reactivated to meet
on a biannual basis.
c.Development of SOPs, guidelines, training curriculum and manuals for program areas that currently do
not have such manuals. HAD will also disseminate and distribute these materials to end users (service
providers) through National and State level workshops. HAD will ensure that feedback is received from the
end-users, articulated and forwarded to the appropriate TWG to enhance their coordination function.
CONTRIBUTIONS TO OVERALL PROGRAM GOAL:
Through improved capacity at the federal government level, this will contribute to the GON goal of
increasing access to PMTCT services nationwide.
LINKS TO OTHER ACTIVITIES:
This activity is related to activities in other program areas as the FMOH/HAD develop skills in program
management and oversight that can be applied across the broader HIV/AIDS response.
EMPHASIS AREAS:
Emphasis in this activity will be on training, human capacity development, health system strengthening and
SI.
New/Continuing Activity: Continuing Activity
Continuing Activity: 17733
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
17733 17733.08 HHS/Centers for To Be Determined 7830 7830.08 HHS/CDC RFA
Disease Control & TBD/FMOH
Prevention
Emphasis Areas
Construction/Renovation
Gender
* Addressing male norms and behaviors
* Increasing gender equity in HIV/AIDS programs
Health-related Wraparound Programs
* Family Planning
* Malaria (PMI)
* Safe Motherhood
* TB
Human Capacity Development
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.01:
As a result of the Nigerian Federal Ministry of Health (FMOH)'s HIV/AIDS Division's (HAD) mandate, which
is national in scope, the funded activities will be implemented in a way that covers the entire country in
COP09; however, HAD will focus most of the activities on underserved populations in Nigeria. With this
funding, HAD will build the capacity of its staff at the National, State and Local Government levels to lead an
integrated health sector response. HAD staff capacity will be improved through a comprehensive training in
integrated program management that will ensure that sexual prevention program related trainings,
supervision, service provision and quality assurance activities are carried out in line with nationally and
internationally acceptable standards. Through this grant, HAD will also ensure that the National Prevention
Technical Working Group (TWG) meets as scheduled in their operational plan. HAD will also faciliate the
distribution and dissemination of the Prevention Standard Operation Procedures (SOP) and Guidelines to
ensure they are understoood and adhered to by prevention service providers across Nigeria. HAD will also
develop a mechanism for feedback on both documents from end users.
Expected outcomes of this technical approach will include: improved capacity through routine site visits by
HAD staff at all levels; improved advisory functions by the Prevention Technical Working Group; and
adherence to national standards for prevention service provision by all service providers.
HAD will achieve these outcomes through a three-pronged approach of: 1) Training national, state, and
local government level staff; enabling and facilitating meetings of the Prevention TWG; and the
development of SOPs, guidelines, training curricula, and manuals. Specifically, training of HAD staff at the
National, State and Local Government Levels will focus on supervisory and monitoring skills following a gap
analysis and development of appropriate training programs. This will be followed by adaptation of existing
supervisory and monitoring tools. HAD will enable and facilitate meetings of the Prevention TWG and work
in collaboration with the TWG to visit service delivery sites and collate and analyze supervisory reports to
serve as a basis for advisory functions of the TWG. The inactive National HIV/AIDS partners' forum will be
reactivated to meet on a biannual basis. HAD will develop SOPs, guidelines, training curriculum and
manuals for program areas that currently do not have such manuals. HAD will also disseminate and
distribute these materials to end users (service providers) through national and state level workshops. HAD
will also ensure that feedback is received from the end-users, articulated and forwarded to the appropriate
TWG to enhance their coordination function.
New/Continuing Activity: New Activity
Continuing Activity:
Table 3.3.02:
Continuing Activity: 12969
12969 12969.08 HHS/Centers for To Be Determined 6354 5230.08 HHS/CDC RFA
Disease Control & TBD
Table 3.3.03:
ACTIVITY DESCRIPTION:
in COP09. However, HAD will focus most of its activities on underserved populations across the nation.
management through a comprehensive training that will ensure that HIV/AIDS Laboratory program related
trainings, supervision, service provision and quality assurance activities are carried out in line with nationally
and internationally acceptable standards. Through this grant, HAD will also ensure that the National
HIV/AIDS Laboratory Technical Working Group (TWG) meet as scheduled in their operational plans. HAD
will also faciliate the distribution and dissemination of the HIV/AIDS Laboratory Standard Operation
Procedures (SOP) and Guidelines to ensure they are understoood and adhered to by HIV/AIDS Lab service
providers across the nation. HAD will also develop a mechanism for feedback on both documents from the
endusers.
In the Laboratory program area, HAD will explore and catalogue current Lab Quality Assurance (QA)
programs functioning in Nigeria with a view to developing a single national program. The pieces of work in
the laboratory program area will also include HIV Serology External Quality Assurance Program (Proficiency
Testing Program) for ART, PMTCT and HCT sites not supported by PEPFAR, standardized production of
HIV serum controls, HIV Rapid Test Algorithm Advocacy Meeting, and Technical review and dissemination
of Lab Guidelines and Standard Operating Procedures (SOP).
This technical approach will include site visits by HAD staff at all levels which will enable the Laboratory
Technical Working Group will better perfom their advisory functions and encourage service providers to
adhere to National standards for HIV/AIDS Laboratory services provision.
a. Training of HAD staff at the National, State and Local Government Levels on supervisory and monitoring
b. Enabling and facilitating the meetings of the Laboratory TWG. HAD will work in collaboration with the
TWG to visit service delivery sites and collate and analyze supervision reports to serve as a basis for
c. Development of SOPs, guidelines, training curriculum and manuals for program areas that currently do
not have such manuals. HAD will also disseminate and distribute these materials to end users (Service
Providers) through National and State level workshops. HAD will also ensure that feedback is received
from the end-users, articulated and forwarded to the appropriate TWG to enhance their coordination
function.
Continuing Activity: 17737
17737 17737.08 HHS/Centers for To Be Determined 7830 7830.08 HHS/CDC RFA
Table 3.3.16:
The HIV/AIDS Division (HAD) of the Federal Ministry of Health (FMOH) has the statutory mandate to
coordinate the health sector HIV/AIDS response for Nigeria. PEPFAR will in COP09 support the FMOH to
carry out specific SI activities to achieve a unified and sound national monitoring and evaluation system.
The funded activities will be implemented in a way that covers the entire country at both national and state
levels. With this funding, HAD will build the capacity of its staff at the national level as well as in the state
ministries of health to support an integrated health sector response within the framework of the 3-ones. The
capacity of HAD staff to provide integrated program management through a comprehensive training that will
ensure that SI program related trainings, supervision, service provision and quality assurance activities are
carried out in line with nationally and internationally acceptable standards. Through this grant, HAD will also
ensure that the National SI Technical Working Group (TWG) meet as scheduled in their operational plans.
The HAD will also faciliate the distribution and dessimation of the monitoring and evaluation tools, registers,
forms, Standard Operation Procedures (SOP) and Guidelines and other measurement tools to ensure that
they are understoood and adhered to by service providers across the nation. The HAD will also develop a
mechanism for feedback on all documents from endusers.
The expected outcomes of this technical approach will include routine site visits by HAD staff at all levels;
the SI Technical Working Group will better perfom their advisory functions and service providers will adhere
to National standards for HIV/AIDS services provision.
HAD will achieve these through the following activities:
skills, use of tools, development of indicators, data quality assessement, data use and feedback
mechanism.
b. Support the development of a sound health management information system suitable for use at all levels
of health care delivery as well as community service outlets.
c. Facilitate timely reporting of routine HIV/AIDS and other health information system from service delivery
points to intermediate and national levels as well as supporting the analysis and use of such information for
program improvement.
d. Support the development of quality management systems to ensure provision of services according to
standards in all HIV/AIDS program areas, developing quality measurement tools as well quality
improvement initiatives.
e. Coordinate program outcome and impact evaluations through general population and special population
surveys using quantitative and qualitative methodologies, support operations research, basic program and
public health evaluations, HIV drug resistance surveys and other survey and surveillance activities.
f. Enabling and facilitating the meetings of the SI TWG. HAD will work in collaboration with the TWG to visit
service delivery sites; and collate and analyze supervision reports to serve as a basis for advisory functions
of the TWG.
Table 3.3.17:
