ACTIVITY DESCRIPTION This activity relates to the Strategic Information (3.3.13) and Other Policy/Systems Strengthening (3.3.14) Program Areas.

The Leadership, Management and Sustainability (LMS) Program will provide institutional capacity building support to up to 12 Nigerian Non Governmental Organizations (NGOs) and Faith Based Organizations (FBOs) that are chosen as new Emergency Fund Implementing Partners. LMS will develop leadership and management skills at all levels of health service organizations and programs and strengthen management and operational systems in order to optimize organizational capacity to efficiently and effectively address change and improve health outputs and outcomes. Target is to train 100 individuals in AB.

Located throughout the country, Nigerian CSOs provide prevention, OVC and palliative care services and a select few will also provide HIV AIDS treatment and HIV AIDS/TB integrated care. Recent estimates from the 2003 National HIV/Syphilis Seroprevalence Survey (2004) conducted by the Nigerian Federal Ministry of Health (FMOH) indicate a HIV prevalence rate of 5.4 % in individuals 25-29 years old; 5.6% for 20-24 year olds and 4% for those 15-19 years. The prevalence rate in the communities served by the CSOs that LMS will support is likely to be higher.

The Emergency Plan gives special recognition to Civil Society Organizations (CSOs) in its five year HIV/AIDS strategy because of their longstanding involvement in responding to the pandemic. Their contribution to the Emergency Plan is pivotal given their leadership and legitimacy in communities. However, there are a number of challenges for these local CSOs as many of them are nascent organizations with low technical and organizational capacity. Many reputable FBOs and NGOs, capable of contributing significantly to achievement of Emergency Plan goals, have been identified by the USG team in Nigeria. However, the organizations' limited experience with receiving USG funds—or indeed any external grants whatsoever—along with their limited management and accountability systems has made it difficult to add these organizations to the Emergency Plan portfolio. Even those orgranizations that have been successful in the initial concept paper rounds of the CSO/FBO APS, have struggles to remain competitive in later rounds and almost all have stalled at the pre-award audit stage. With its expertise in strengthening management and leadership, and its ability to build sustainable and accountable systems, LMS will support the development and maturation of these organizations and assist them to contribute to the Emergncy Plan in a significant way.

LMS will be active at all points throughout the procurement process, developing potential partners' ability to present themselves and their programs in a comprehensive and competitive manner. In addition, LMS will assist organizations selected for award throughout the award process, assisting them to put accountable systems in place, or where necessary managing the award in the interim while systems are being built. This will allow provision of services to commence immediately while capacity is being built. Finally, LMS will support new awardees during their implementation and will assure that accountable and sustainable programs are built, and that awardees are capable of maintaining their new relationships with the USG. An important part of this phase will be supplying technical assistance—particularly in the AB program area where most FBO/CBOs are active—to ensure sound technical practices, sharing of lessons learned, and integration into the wider USG and GON strategy.

COP 07 marks the first year that LMS will provide technical assistance to indigenous national and regional multiplier NGOs and FBOs in Nigeria, although LMS and its predecessor project Management &Leadership (M&L) provide this support in other countries. COP 07 funds will be used to provide support in areas of organizational development such as: development and maintenance of constructive, informed working relationships with USAID in the Emergency Plan context; project management; monitoring and evaluation; financial management; strategic and annual planning; leadership development and sound governance structures. These skills and organizational management and operational systems are necessary to both carry out the terms of USG funding agreements as well as to achieve improved organizational development and sustainability.

Constraints will be addressed by utilizing qualified Nigerian staff and US Short Term Technical Assistance to train and support the CSOs. Support will be offered through regularly scheduled on-site technical assistance in organizations and through training workshops, both face-to-face and virtual (the latter if capacity exists). Necessary organizational materials including manuals, policies, norms and procedures and systems will be developed. All sites will use a standard data collection tool to assist with monitoring and evaluation of their community-based service delivery activities.

To provide immediate support for new partners in the area of abstinence and be faithful, LMS activities have commenced under COP 06. This was made possible through forward funding using core funds. As a result, LMS is requesting early funding in COP 07.

CONTRIBUTIONS TO OVERALL PROGRAM AREA Activities will contribute to the result of strengthened NGO/ FBO capacity to deliver more efficient and effective care and reach their established targets. In addition, technical assistance relating to best practices in Abstinence and Faithfulness programming will be provided for these organizations in order to assist them to maintain high-quality AB programs that are achieving measurable results.

LINKS TO OTHER ACTIVITIES Activities will improve financial management, human resource management, MIS, quality assurance, strategic planning, and leadership and governance of partner organizations. LMS activities in Nigeria also relate to the Strategic Information and Other Policy/Systems Strengthening program area. Under a separate funding stream, LMS has been selected to provide capacity-building support for the Country Coordinating Mechanism (CCM) for the Global Fund grants. In addition to strengthening the capacity of Nigeria to manage these grants, LMS should be able to facilitate linkages to the NGO/FBO community that they are also supporting, and by so doing build synergies and enhance prospects for sustainability.

POPULATIONS BEING TARGETED This activity targets up to 12 Nigerian FBOs and NGOs, including national and regional multiplier organizations and local NGOs/FBOs, which will be targeting a wide array of populations with AB activities.

KEY LEGISLATIVE ISSUES ADDRESSED This activity will support the NGOs and FBOs to increase gender equity in programming and also help to decrease stigma and discrimination through prevention and counseling messages provided by them in targeted communities.

EMPHASIS AREAS This activity includes major emphasis on local organization capacity development and minor emphasis on human resources, quality assurance and strategic information (M&E) as detailed in the activity description above.

ACTIVITY DESCRIPTION This activity relates to AB (3.3.02), SI and the Other Policy/Systems Strengthening (3.3.14) Program Areas.

The Leadership, Management and Sustainability (LMS) Program will provide institutional and human capacity building to 12 Nigerian Non Governmental Organizations (NGOs) and Faith Based Organizations (FBOs) and to 100 individuals. LMS will develop leadership, management and monitoring and evaluation skills at all levels of health service organizations and programs and strengthen management and operational systems. These efforts will optimize organizational capacity to efficiently and effectively address change and improve health outputs and outcomes.

Located throughout the country, Nigerian CSOs provide prevention, OVC and palliative care services and a select few will also provide HIV AIDS treatment and HIV AIDS/TB integrated care. Recent estimates from the 2003 National HIV/Syphilis Seroprevalence Survey (2004) conducted by the Nigerian Federal Ministry of Health (FMOH) indicate a HIV prevalence rate of 5.4 % in individuals 25-29 years old; 5.6% for 20-24 year olds and 4% for those 15-19 years. The prevalence rate in the communities served by the CSOs that LMS will support is likely to be higher.

The Emergency Plan gives special recognition to Civil Society Organizations (CSOs) in its five year HIV/AIDS strategy because of their longstanding involvement in responding to the pandemic. Their contribution to the Emergency Plan is pivotal given their leadership and legitimacy in communities. However, there are a number of challenges for these local CSOs as many of them are nascent organizations with low technical and organizational capacity. Many reputable FBOs and NGOs, capable of contributing significantly to achievement of Emergency Plan goals, have been identified by the USG team in Nigeria. However, the organizations' limited experience with receiving USG funds—or indeed any external grants whatsoever—along with their limited management and accountability systems has made it difficult to add these organizations to the Emergency Plan portfolio. Even those organizations that have been successful in the initial concept paper rounds of the CSO/FBO APS, have struggled to remain competitive in later rounds and almost all have stalled at the pre-award audit stage. With its expertise in strengthening management and leadership, and its ability to build sustainable and accountable systems, LMS will support organizations working in the Condoms and Other Prevention and AB program areas and help them contribute to the Emergency Plan in a significant way.

LMS will be active at all points throughout the procurement process, developing potential partners' ability in their work to promote condoms, STI management, messaging to reduce injection drug use and programs to reduce other risks of persons engaged in high-risk behaviors. More specifically, LMS will work with these organizations and help them present themselves and their programs in a comprehensive and competitive manner. In addition, LMS will assist organizations selected for award throughout the award process to put accountable systems in place or, where necessary, managing the award in the interim while systems are being built. This will allow provision of services to commence immediately while capacity is being built. Finally, LMS will support new awardees during their implementation and will assure that accountable and sustainable programs are built, and that awardees are capable of maintaining their new relationships with the USG. An important part of this phase will be supplying technical assistance—particularly in the AB program area where most FBO/CBOs are active—to ensure sound technical practices, sharing of lessons learned, and integration into the wider USG and GON strategy.

COP 07 marks the first year that LMS will provide technical assistance to indigenous national and regional multiplier NGOs and FBOs in Nigeria, although LMS and its predecessor project Management &Leadership (M&L) provide this support in other countries. COP 07 funds will be used to provide support in areas of organizational development such as: development and maintenance of constructive, informed working relationships with USAID in the Emergency Plan context; project management; monitoring and evaluation; financial management; strategic and annual planning; leadership development and sound governance structures. These skills and organizational management and operational systems are necessary to both carry out the terms of USG funding agreements as well as to achieve improved organizational development and sustainability.

Constraints will be addressed by utilizing qualified Nigerian staff and US Short Term Technical Assistance to train and support the CSOs. Support will be offered through regularly scheduled on-site technical assistance in organizations and through training workshops, both face-to-face and virtual (the latter if capacity exists). Necessary organizational materials including manuals, policies, norms and procedures and systems will be developed. All sites will use a standard data collection tool to assist with monitoring and evaluation of their community-based service delivery activities.

To provide immediate support for new partners in the area of abstinence and be faithful, LMS activities have commenced under COP 06. This was made possible through forward funding using core funds. As a result, LMS is requesting early funding in COP 07.

CONTRIBUTIONS TO OVERALL PROGRAM AREA Activities will contribute to the result of strengthened NGO/ FBO capacity to deliver more efficient and effective care and reach their established targets. In addition, technical assistance relating to best practices in Condoms and Other Prevention programming will be provided for these organizations in order to assist them to maintain high-quality Condoms and Other Prevention programs that are achieving measurable results.

LINKS TO OTHER ACTIVITIES Activities will improve financial management, human resource management, MIS, quality assurance, strategic planning, and leadership and governance of partner organizations. LMS activities in Nigeria also relate to the Strategic Information and Other Policy/Systems Strengthening program area. Under a separate funding stream, LMS has been selected to provide capacity-building support for the Country Coordinating Mechanism (CCM) for the Global Fund grants. In addition to strengthening the capacity of Nigeria to manage these grants, LMS should be able to facilitate linkages to the NGO/FBO community that they are also supporting, and by so doing build synergies and enhance prospects for sustainability.

POPULATIONS BEING TARGETED This activity targets up to 12 Nigerian FBOs and NGOs, including national and regional multiplier organizations, and local NGOs/FBOs, which will be targeting a wide array of populations with Condoms and Other Prevention and AB activities.

KEY LEGISLATIVE ISSUES ADDRESSED This activity will support the NGOs and FBOs to increase gender equity in programming and also help to decrease stigma and discrimination through prevention and counseling messages provided by them in targeted communities.

EMPHASIS AREAS This activity includes major emphasis on local organization capacity development and minor emphasis on human resources, quality assurance and strategic information (M&E) as detailed in the activity description above.

ACTIVITY DESCRIPTION: This activity relates to OVC (3.3.08), TB/HIV (3.3.07), and Other Policy/Systems Strengthening (3.3.14) Program Areas.

In addition to the capacity-building support currently being provided to 12 Nigerian Non-Governmental Organizations (NGOs) and Faith-Based Organizations (FBOs), the Leadership, Management and Sustainability (LMS) Program will expand its institutional capacity building support to selected Government Institutions to increase their abilities to provide nationwide coordination, thereby increasing synergies and effectiveness of the PEPFAR programs. One of the institutions that will be strengthened in this expansion is the National TB and Leprosy Control Program (NTBLCP) in the Federal Ministry of Health. LMS will develop leadership and management skills at national and state levels for the NTBLCP leadership and focal person in the Federal and State Ministries of Health respectively. Support will also include strengthening organizational and programs management capacity to efficiently and effectively address the National TB response and to coordinate the huge increase in activities as a result of the recent award of a Global Fund TB grant.

In COP 07 LMS will provide technical assistance to governmental agencies and NGOs engaged in the coordination and implementation of services to HIV/AIDS affected individuals in Nigeria as related to TB diagnosis and treatment in this population. Although this is a new initiative in Nigeria, LMS and its predecessor project the Management & Leadership (M&L) Project provide this support in other countries. LMS will focus on building financial, governance, planning, coordination and human resources systems in NTBLCP. Using a variety of tools and techniques, including virtual programs, workshops, and one-on-one instruction and mentoring, LMS will work with the NTBLCP to improve their financial management, human resource management, management information systems, monitoring and evaluation, quality assurance, strategic and project planning, leadership, and governance systems. Building on its broad experience LMS will do an assessment of the NTLCP's status in management and governance areas and will then develop for each organization a work plan that is designed to quickly build on areas of strength, eliminate weaknesses, and improve over all organization capacity and performance. The focus of LMS will be to enhance the ability of the NTBLCP to clearly understand and meet its responsibilities and to continually improve its operations to meet a changing environment.

LMS will work with the NTBLCP to develop and train and a team of management facilitators in the national TB training center to provide management support and mentoring at the state level. LMS will work with the NTBLCP to develop a model for TB control management teams that can be replicated at the state level. LMS will work with the NTBLCP to develop SOPs to strengthen management systems which can be rolled out to state control programs. LMS will provide continuing support to the NTBLCP and the national TB training centre to roll out SOPs to state control programs.

The national and state TB control programs will have an improved organizational structure with a clear mission, more efficient governance, effective internal and external communications, M&E systems, and improved management. There will be strengthened leadership practices and competencies at national and state levels to coordinate TB control activities and by multiple funding agencies.

This activity relates to OVC (3.3.08), TB/HIV (3.3.07), and Other Policy/Systems Strengthening (3.3.14) Program Areas.

In addition to the capacity-building support currently being provided to 12 Nigerian Non-Governmental Organizations (NGOs) and Faith-Based Organizations (FBOs), The Leadership, Management and Sustainability (LMS) Program will expand its institutional capacity building support to selected Government Institutions to increase their abilities to provide nationwide coordination, thereby increasing synergies and effectiveness of the PEPFAR programs. One of the institutions that will be strengthened in this expansion the National OVC Coordinating unit in the Federal Ministry of Women's Affairs. LMS will develop leadership and management skills at national and state levels for the OVC units and focal persons of the Federal and State Ministries of Women Affairs respectively. Support will also include strengthening organizational and programs management capacity to efficiently and effectively address the National OVC response.

In COP 07 LMS will provide technical assistance to governmental agencies and NGOs engaged in the coordination and implementation of services to HIV/AIDS affected orphans and vulnerable children in Nigeria. Although this is a new initiative in Nigeria, LMS and its predecessor project the Management & Leadership (M&L) Project provide this support in other countries. COP 07 funds will be used to provide support in areas of organizational development such as: development and maintenance of constructive, informed working relationships with all OVC stakeholders including the USG, their IPs and other donor organizations; project management; monitoring and evaluation; financial management; strategic and annual planning; leadership development; and sound governance structures. LMS will create an enabling environment for the occurrence of South-South TA for the National OVC coordinating unit through facilitating a study tour for the team to a Southern/Eastern African country identified in collaboration with USAID. The goal of this TA and capacity building is that the National Coordinating unit for the OVC response will have an improved organizational structure with a clear mission, more efficient governance, effective internal and external communications, M&E systems, and improved management. A fellowship program will be established and functioning effectively to improve health workers skills and abilities to provide care for orphans and vulnerable children.

Constraints will be addressed by utilizing qualified Nigerian staff and US Short Term Technical Assistance to train and support the National OVC coordinating units. Technical support will be offered through developing a nationally approved training curriculum for OVC program management in collaboration with the OVC unit of the Federal Ministry of Women Affairs, zonal training workshops for Master trainers, as well as regularly scheduled on-site technical assistance in organizations implementing OVC activities. In addition, face-to-face and virtual (the latter if capacity exists) assistance will be explored. Necessary organizational materials including manuals, policies, norms and procedures and systems will be developed.

All sites will use a standard data collection tool to assist with monitoring and evaluation of their community-based service delivery activities.

ACTIVITY DESCRIPTION This activity relates to the AB (3.3.02), Condoms and Other Prevention (3.3.05) and Other Policy/Systems Strengthening (3.3.14) Program Areas.

The Leadership, Management and Sustainability (LMS) Program will provide institutional and human capacity building to 12 Nigerian Non Governmental Organizations (NGOs) and Faith Based Organizations (FBOs) and to 100 individuals. LMS will develop leadership, management and monitoring and evaluation skills at all levels of health service organizations and programs and strengthen management and operational systems. These efforts will optimize organizational capacity to efficiently and effectively address change and improve health outputs and outcomes.

Nigerian Civil Society Organizations (CSOs) have a longstanding involvement in responding to the HIV/AIDS pandemic. Their contribution to the Emergency Plan is pivotal given their leadership and legitimacy in communities. However, there are a number of challenges for these local CSOs as many of them are nascent organizations with low technical, organizational and human capacity. Even those organizations that have been successful in the initial concept paper rounds of the CSO/FBO APS, have struggled to remain competitive in later rounds and almost all have stalled at the pre-award audit stage. With its expertise in strengthening management and leadership, and its ability to build sustainable and accountable systems, LMS will support the development and maturation of these organizations and help them contribute to the Emergency Plan in a significant way.

LMS will be active at all points throughout the procurement process in the development of organizational and human capacity. In addition, LMS will assist organizations selected for award throughout the award process, helping them put accountable systems in place or, where necessary, managing the award in the interim while systems are being built. LMS will support new awardees during their implementation and will assure that accountable and sustainable programs are built, and that awardees are capable of maintaining their new relationships with the USG. Dissemination of best practices in program effectiveness will be provided to new partners.

COP 07 funds will be used to provide support in areas of organizational and human development such as: development and maintenance of constructive, informed working relationships with USAID in the Emergency Plan context; project management; monitoring and evaluation; financial management; strategic and annual planning; leadership development and sound governance structures. These skills and organizational management and operational systems are necessary to both carry out the terms of USG funding agreements as well as to achieve improved organizational development and sustainability.

CONTRIBUTIONS TO OVERALL PROGRAM AREA Activities will contribute to strengthened human and organizational capacity to deliver more efficient and effective care and reach their established targets by using complete and accurate data to drive program decisions. In addition, technical assistance relating to best practices in Strategic Information programming will be provided for these organizations in order to assist them to maintain high-quality programs.

LINKS TO OTHER ACTIVITIES Activities will improve financial management, human resource management, MIS, quality assurance, strategic planning, and leadership and governance of partner organizations. LMS activities in Nigeria also relate to the AB. Condoms and Other Prevention and Other Policy/Systems Strengthening program area. Under a separate funding stream, LMS has been selected to provide capacity-building support for the Country Coordinating Mechanism (CCM) for the Global Fund grants. In addition to strengthening the capacity of Nigeria to manage these grants, LMS should be able to facilitate linkages to the NGO/FBO community that they are also supported, and by so doing build synergies and enhance prospects for sustainability.

POPULATIONS BEING TARGETED This activity targets Nigerian FBOs and NGOs, including national and regional multiplier organizations and local NGOs/FBOs, which will be targeting a wide array of populations with AB, Condoms and Other Prevention and other prevention activities.

KEY LEGISLATIVE ISSUES ADDRESSED None

EMPHASIS AREAS This activity includes major emphasis on local organization capacity development and minor emphasis on human resources, quality assurance and strategic information (M&E) as detailed in the activity description above.

ACTIVITY DESCRIPTION This activity relates to OVC (3.3.08), TB/HIV (3.3.07), and Other Policy/Systems Strengthening (3.3.14) Program Areas. In addition to the capacity-building support currently being provided to 12 Nigerian Non-Governmental Organizations (NGOs) and Faith-Based Organizations (FBOs), The Leadership, Management and Sustainability (LMS) Program will expand its institutional capacity building support to selected Government Institutions to increase their abilities to provide nationwide coordination, thereby increasing synergies and effectiveness of the PEPFAR programs. Two of the institutions that will be strengthened in this expansion are the National AIDS and STI Control Program (NASCP) in the Federal Ministry of Health, and the Country Coordinating Mechanism (CCM) for the Global Fund. LMS will develop leadership and management skills at national and state levels for both organizations and focal persons in these organizations. Support will also include strengthening organizational and programs management capacity to efficiently and effectively address the National response, with particular emphasis on coordination issues.

In COP 07 LMS will provide technical assistance to governmental agencies and NGOs engaged in the coordination and implementation of services to HIV/AIDS affected orphans and vulnerable children in Nigeria. Although this is a new initiative in Nigeria, LMS and its predecessor project the Management & Leadership (M&L) Project provide this support in other countries. COP 07 funds will be used to provide support in areas of organizational development such as: development and maintenance of constructive, informed working relationships with all stakeholders including the USG, their IPs and other donor organizations; project management; monitoring and evaluation; financial management; strategic and annual planning; leadership development; and sound governance structures. The goal of this TA and capacity building is that these important governmental organs will have an improved organizational structure with a clear mission, more efficient governance, effective internal and external communications, M&E systems, and improved management. LMS initiated this type of support to the CCM over the past year, and was successful in supporting institutional reforms that Geneva considered necessary before considering future GF awards to Nigeria. LMS's early success in this area allowed both a TB grant and a HIV/AIDS grant to be signed—both of which will contribute heavily to scaling up the national response. While initial efforts have been successful, all parties agree that continued support will be needed to maintain the momentum and to institutionalize the recent changes. Therefore, a continuation of this support is proposed with these plus up funds. NASCP has recently undergone a change in leadership that has brought an increased awareness of and appreciation for the importance of building a strong institutional capacity within NASCP to enable it to play its role in the coordination of the rapidly growing HIV/AIDS response. NASCP has specifically sought out USG support for its reorganization, and asked for support in designing a new organogram, getting job descriptions and performance measures in place, developing policy and procedure manuals, integrating strategy and work planning etc. Therefore, we propose to seize this welcome opportunity by offering LMS specialized institutional capacity building expertise to support them in these efforts. In addition, the initiation of a fellowship program which will provide recent graduates opportunities to receive on the job training and mentoring in USG supported HIV/AIDS programs is proposed. This fellowship will be established and administered by LMS to improve health workers service delivery skills in the rapidly evolving HIV/AIDS arena, and to foster these skills in the national health sector workforce, as well as to provide short-term surge capacity to staff rapidly expanding HIV/AIDS treatment, care, and support facilities. All sites will use a standard data collection tool to assist with monitoring and evaluation of their community-based service delivery activities.

CONTRIBUTIONS TO OVERALL PROGRAM AREA LMS assistance to government agencies will improve the capabilities of these agencies to oversee, coordinate, monitor and support the national OVC response, the National TB/HIV response, and the coordination and oversight abilities of the CCM. LMS activities will result in strengthened National capacity to deliver more efficient and effective care and reach their established targets. The positive effects expected from more coordinated, technically proficient leadership in the Federal Ministry will provide benefits for all HIV/AIDS programs in Nigeria, not only PEPFAR programs.

LINKS TO OTHER ACTIVITIES Activities will improve financial management, human

resource management, MIS, quality assurance, strategic planning, and leadership and governance of partner and governmental organizations. LMS activities in Nigeria will also improve government oversight of national and other donor supported programs, coordination of national efforts, greater efficiency and improved leadership of governmental programs.

POPULATIONS BEING TARGETED This activity targets leaders within National ministries and government parastatals. This is expected to quickly lead to direct benefits of individual clients as the system is strengthened and coordinated and provided oversight and guidance.

KEY LEGISLATIVE ISSUES ADDRESSED This activity will support the Federal Ministry to increase their capacity to plan strategically, lead in the scaling up of HIV/AIDS activities in Nigeria, and monitor and respond to results that are achieved.

EMPHASIS AREAS This activity includes major emphasis on instituational capacity development and on building human resources and quality services and improving usage of strategic information (M&E) as detailed in the activity description above.