NOTE: The following is taken from summaries released by PEPFAR on the PEPFAR Data Dashboard. They are incomplete summary paragraphs only and do not contain the full mechanism details. When the full narratives are released, we will update the mechanism pages accordingly.

APIN will implement this cooperative agreement in Lagos, Oyo and Ogun states of Nigeria. The general population will be targeted in Lagos State being PEPFAR Nigeria Tier 2 state while clients attending supported health facilities will be targeted in Oyo and Plateau States.

In line with the USG strategic focus using the tiered approach, APIN will provide interventions which include support passive enrolment of patients into treatment in Oyo and Plateau State and a strategic scale up of PMTCT services in Lagos State. APIN’s community programs will be maintained in Lagos State and transitioned in Oyo and Plateau State. Support for FBC, Chemistry, Chest X-ray, Hep B Ag testing and VDRL will be transitioned.

APIN will support service integration and linkages between the facilities and communities to ensure a continuum of care and improving patient enrolment and retention, and enhancing the quality of service provision.

As part of its lead implementing partner role, APIN will continue to promote health systems strengthening and support efficient planning, integration into broad health services, resource leveraging and capacity building, thereby contributing to country ownership and sustainability of the program. This will involve governments at all levels, partner sites, community structures, faith-based organizations etc. The State Implementation Team (SIT) and LGA Implementation Teams (LIT) in each state will continue to be supported to effectively carry out their oversight functions. APIN will promote joint program planning, implementation and monitoring/supervision of the program with relevant government agencies and other stakeholders, and actively participate in National/State TWG meetings.

Since COP2014, PEPFAR no longer produces narratives for every mechanism it funds. However, PEPFAR has now included performance targets or indicator information for each mechanism based on the Monitoring, Evaluation, and Reporting (MER) system. The MER guidance is available on PEPFAR's website https://www.pepfar.gov/reports/guidance/. Note that COP years 2014-2015 were under a previous version of the MER system and the indicators and definitions may have changed as of the new 2.0 guidance.