Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011 2012

Details for Mechanism ID: 10113
Country/Region: Nigeria
Year: 2012
Main Partner: Johns Hopkins University
Main Partner Program: Bloomberg School of Public Health
Organizational Type: University
Funding Agency: HHS/CDC
Total Funding: $1,075,096

The Zamfara Akwa Ibom HIV/AIDS Project (ZAIHAP) as currently being implemented by Jhpiego has the overall goal to establish sustainable approaches for the reduction of morbidity and mortality due to HIV/AIDS among vulnerable populations. Also has the mandate to scale-up PMTCT and HCT programs using the platforms of integrated health services and community outreach.ZAIHAP approaches are in line with the country current strategic objectives.ZAIHAP in COP 12 among other things will continue to strengthen the capacity of care providers to implement quality HIV services and to expand primary prevention of HIV services to other sites based on the current trend of HIV in the two project states.ZAIHAP will continue to work with the State Ministry of Health (SMoH) and State Agency for Control of AIDS (SACA) to coordinate HIV activities and also support activities that will increase access to the use of high quality PMTCT services at facility and community levels.ZAIHAP particularly in Zamfara state will continue to provide leadership role as the lead IP to support the state to coordinate its PMTCT activities, support the state to establish and nurture the state owned PMTCT programHIV testing and counseling using the opt-out approach will be provided to all pregnant women at the time of antenatal booking. HIV positive pregnant women will be provided with a complete course of ARV prophylaxis based on either option A or B as supported in the national PMTCT guideline.All HIV positive women will be counseled on appropriate infant feeding option using national PMTCT guidelines .All HIV exposed infants will be supported to access Early Infant Diagnosis (EID) and also linked postpartum to the nearest pediatric ART treatment and OVC services sites.

Funding for Prevention: HIV Testing and Counseling (HVCT): $293,616

In COP 12, four additional high volume potential HTC sites have been identified. HTC services will be scaled up to these sites from the two project states.HTC fund will be expended in very minimal percentages to cover the following various costs: Personnel, Fringe Benefits, Program Activities, Other Direct Costs and Indirect CostsJust as it was in COP 11, 90% of the total HTC fund will cover different program activities that will ensure ongoing HTC service delivery in all its supported sites. The activities will include but not limited to the following categories to support different programs including: training; Supplies (Educational Materials and Supplies); Rental Short Term (Conference Room); Rental Equipment; Meeting costs (Lunch-Coffee Breaks); Printing; Conference Registration (Tuition); Participant Costs (Travel expenses); General Contracts (Translation Services, Design Services; Courier/Delivery ServicesHTC will contribute an insignificant amount to personnel salaries and fringe benefits because of its low funding level. Below are the lists of some key HTC activities proposed for COP 12:? Conduct HTC related trainings to enhance the quality of HCT services provided: HTC, Couple Counseling, Infection Control and Quality Control/Assurance trainings .Trainings will be spread across the year and carried out in collaboration with other partners implementing at ZAIHAP locality to share cost especially to pay for the hall and to pay the consultants.? Support and establish PITC as a model in all the new sites and strengthens PITC in all the old sites? Conduct outreach targeting MARPs around the communities where ZAIHAP HTC services are located? Establish in the new sites and strengthens in the old sites QA/QC activities? Update and produce job aids (cue charts) for HTC and ensure its availability and usage at all the newly supported and old sites? Strengthen couple counseling activities in all the supported sites by training providers on couple counseling and follow-up with supportive supervisory visits to all the sites regularly to ensure quality of service is maintained

Funding for Biomedical Prevention: Prevention of Mother to Child Transmission (MTCT): $781,480

In COP 12, the significant part of MTCT budget will be dedicated to support service delivery and PMTCT scale up plans, a minimum of seven new high volume potential PMTCT sites have been identified. PMTCT services will be scaled up to these sites in the two project states .In addition, some potential PHCs have equally been identified for the scale up exerciseMTCT fund will be expended in different percentages to cover the following costs: Personnel, Fringe Benefits, Program Activities, Other Direct Costs and Indirect CostsJust as it was in COP 11, 44% of the total MTCT fund will cover different program activities which will include but not limited to the following categories to support different programs including: trainings, attending meetings etc.: Supplies (Educational Materials and Consumables); Rental Short Term (Conference Room); Rental Equipment; Meeting costs (Lunch-Coffee Breaks); Printing; Conference Registration (Tuition); Participant Costs (Travel expenses); General Contracts (Translation Services, Design Servs); Courier/Delivery ServicesThe most significant and the largest source of ZAIHAP program level funding based on COP 11 was MTCT funds, this will also have to contribute significantly to the personnels salaries and fringe benefits. The remaining funds will be used to cover other program activitiesTrainings to support quality PMTCT service delivery especially at the newly proposed sites will be spread across the year and will be carried out in collaboration with other partners that implements in ZAIHAP locality to be able to share some costs especially consultants honorarium, hall rental and some other costs that can be easily sharedSome aspect of this fund will also be used to cover some key activities like:cost of trainings,cost of minor renovation at some of the new sites,cost of puchase at least 6 low cost point of care CD4 for some of the new and old PMTCT to improve the quality of PMTCT services. As part of our strategy to increase the uptake of HTC at antenatal clinics in supported PMTCT facilities, we shall defray/absorb antenatal booking/registration fees for all pregnant women. In addition, we shall ensure that communities served by the health facilities are adequately informed of this benefit/privilege through local media outlets and strategically placed IEC materials.

Cross Cutting Budget Categories and Known Amounts Total: $80,000
enumerations.Construction/Renovation $80,000
Key Issues Identified in Mechanism
Addressing male norms and behaviors
Increasing gender equity in HIV/AIDS activities and services
Increasing women's legal rights and protection
Child Survival Activities
Safe Motherhood
Tuberculosis
Family Planning