ACTIVITY DESCRIPTION:

Society for Family Health (SFH's) goal for its abstinence and be faithful activity is to contribute to a

reduction in HIV prevalence among youths aged 15-24 years and to promote mutual fidelity among married

adults. This activity is implemented at community level and completed with national level mass media

campaigns. According to the 2005 sentinel survey, HIV prevalence among youths aged 15 - 24 years in

Nigeria is higher at 4.7% compared to the national average of 4.4%. Research shows a significant increase

in the proportion of 15-19 year olds who have never had sex, for males the proportion significantly

increased from 77% to 83.0% and for females from 73.0% to 80.1%. However, some youths still engage in

high risk behaviours; about a third of males and 10% of females reported having sex with non marital

partners. SFH therefore has been conducting targeted HIV prevention interventions among youth groups.

Communities are defined by target groups and for HVAB these include male and female in and out of

school youths. Sites are the geographical locations where these communities exist.

In COP07, SFH worked in 38 new sites making a cumulative total of 114 out of school youth sites. In

COP08, the community level activities will be scaled up in 40 sites and in 27 states from 20 sites in COP07.

SFH will continue to ensure that prevention activities are scaled up using an appropriate mix of evidenced

based strategies of sufficient intensity and duration to achieve maximum coverage and uptake of services

that will prevent new transmission and ensure health impact. SFH will further roll out the Peer Education

Plus (PEP) model earlier developed and tested among high risk groups. The PEP model is a theory driven

and evidence based 12 month intervention implemented in three phases. The community entry phase

comprises mapping, advocacy visits, open community meeting and a baseline study; the intensive phase

(peer education sessions using target specific manuals, drama, IEC materials and product distribution); and

the exit phase (building of CBO capacity to take over program implementation). The ‘plus' include non- peer

education components such as drama, IEC/audio visual materials, working with influencers and

gatekeepers, and provision of HIV counseling and testing services and treatment for STIs. The key

messages are delay in sexual debut, secondary abstinence, and mutual fidelity, prompt and complete

treatment of all STIs. On the whole, SFH will train 15,000 persons who will reach 280,000 persons with AB

messages of which 35,000 persons will be reached with abstinence only messages.

SFH is currently piloting the Participatory Ethnographic Evaluation Research (PEER) approach to have

insight into factors that can influence behavior change among the youth, in order to improve female

participation in HIV prevention efforts. SFH completed the research phase of the PEER approach in FY06

and findings from the research, currently inform program interventions. Additional states where female

participation is poor will be identified in FY08 for the implementation of the PEER. Interventions will include

peer education, community outreaches, and service provision for HCT.

SFH deployed community radio listening groups in partnership with Voice for Humanity in four states in

FY07 and results from participatory monitoring and evaluation reveal that the device was well received

among youths and the wider community. SFH will scale-up the use of the device in ten states in the north of

Nigeria to provide AB messages to young girls primarily and other community members and will include

additional content in Pidgin English for wider reach and optimal use of the device. 2500 persons will be

trained to deploy these devices to reach about 15,000 male and female youth.

SFH will scale-up its in-school youth activities that provide young people with information, skills, and

services to reduce their vulnerabilities and will continue to leverage the National Youth Service Scheme

(NYSC). This will be done through the provision of funds for three batches of corp members to expand

coverage and monitoring of PETs' activities in 20 schools per batch. This component will also work through

campus based anti-AIDS clubs and organisations to implement a non-curriculum based, youth focused and

peer led interventions in five additional tertiary institutions to compliment the ‘C' component of tertiary

institution interventions.

SFH will also prioritize increasing FBO capacity to participate as full partners in HIV prevention efforts by

engaging with Umbrella bodies of four selected Christian and Islamic groups to develop faith based

response and implement activities based on their strategic plans. FBO activities will be continued in the two

states per health zone. Religious leaders will also be trained to link and integrate HIV messages in their

sermons. A total of 1500 youth peer educators will be trained to facilitate peer education sessions among

their peers.

Follow up campaigns will be developed and aired to support abstinence and be faithful messages. Below-

the-line materials including t-Shirts, face caps, exercise books, board games etc. will be developed.

Other activities targeting male social norms will also be implemented among the general population. A total

of 128 persons (among the old peer educators who worked previously on the PEP model) will be trained to

deploy customized flip charts to reach about 49,920 men and women in the general population. Evaluation

of the program shall be through Participatory Monitoring and Evaluation (PM&E). Focus group discussions

and semi-structured interviews will be used for the baseline study and program monitoring. A quantitative

survey shall be conducted towards the end of the program to evaluate impact by comparing people with no

exposure, low exposure and high exposure. The Nigerbus omnibus survey shall be used to evaluate the

mass media campaigns.

CONTRIBUTIONS TO OVERALL PROGRAM AREA:

Results from this project will contribute to the USG Emergency Plan of treating 350,000 HIV infected

Nigerians (through the demand creation for VCT and referrals), prevention of 1,145,545 new HIV infections

(through behavior change communications among core transmitters).

TARGET POPULATION:

This activity targets both in-school and out-of-school youths, gatekeepers and religious authority figures in

the community.

LINKS TO OTHER ACTIVITIES:

This activity relates to Condom and other Prevention (5372.08), Counseling and Testing (5423.08), TBHIV

(12364.08), Policy and Systems Strengthening (5299.08) and Orphans and Vulnerable children (6497.08).

EMPHASIS AREAS:

This activity places major emphasis on community mobilization and participation and capacity building for

community based organizations while minor emphasis is placed on workplace programs

This activity will address gender equity in programming through interventions targeting young girls.

Activity Narrative: Interventions will also address male norms and behaviors that put both men and women at risk.

ACTIVITY NARRATIVE:

Society for Family Health's (SFH) goal for its Condom and Other Prevention activity is to contribute to a

reduction in HIV prevalence among sexually active adults. This activity is implemented at a national level

through community mobilization, mass media, and product distribution activities in 27 states of the

Federation. SFH worked in 23 states in FY07 and an additional four states including Kogi, Bayelsa, Taraba,

and Katsina will be added in 2008. Communities are defined by target groups and for HVOP; these include

transport worker (TW), uniformed service men (USM), and Female commercial sex workers (FCSW)

communities (brothel and street based). Sites are the geographical areas where these communities can be

found. SFH has worked in 181 sites and 537 communities of male and female high risk groups to date.

Evidence from the 2005 BSS survey reveals that about 10% of USM and TWs had more than one non

marital sexual partner while the average number of clients per day was two and four for street based and

brothel based CSWs respectively. Condom use in last non marital sex act was 65% for USM, 59% for TW

and 91% for CSW.

Society for Family Health (SFH) will implement the Peer Education Plus (PEP) model earlier developed for

high risk groups among these targets. The PEP model is an evidence based 12 month intervention

implemented in three phases. The Community Entry phase (mapping, advocacy visits, open community

meeting and baseline study); Intensive phase (peer education sessions using target specific manuals,

drama, IEC materials and product distribution); and the Exit phase (building of CBO capacity to take over

program implementation). The ‘plus' includes non- peer education components such as drama, IEC/audio

visual materials, condom and condom lubricant distribution, and provision of HIV counseling and testing

services and treatment for STIs. The key messages are partner reduction (concurrent or serial), consistent

condom use in all sex acts, prompt and complete treatment of all STIs.

Evaluation of interventions conducted in 2006 revealed that consistent condom use of condoms among

CSWs was maintained at 98%; social support for enforcing the "no condom no sex policy" in intervention

brothels increased from 51% in 2005 to 68% in 2006; among transport workers, condom use with non

spousal partners increased from 60% in 2005 to 70% in 2006. More importantly there was an increase in

accepting attitudes to PLWHAs in the intervention sites based on the UNAIDS stigma index, this increased

from 8.4% in 2004 to 11% in 2006. In FY 07, SFH stopped direct implementation and began working

through Civil Society Organizations (CSOs) domiciled in these sites to implement the community

mobilization activities. Subsequently, 19 CSO partners were engaged through a participatory and capacity

building process to implement PEP in new communities in which are 15 brothel based CSW, 18 TW, and 15

USM communities. In FY08, SFH will add 40 new sites and at least 10 communities per target group. These

will be managed by existing and new CSO partners. Integral to SFH's sustainability plan is the mentoring of

CSO partners to enable them access funds directly form USAID or other donor agencies. SFH will therefore

provide program and financial management training, and other institutional capacity building for the CSO

partners. SFH will also continue to engage with the Nigerian Prison services with the view to provide

prevention, counseling and testing and referral for treatment to prison staff and inmates.

The Priorities for Local AIDS Control Efforts, (PLACE) method is a new assessment and monitoring tool to

identify potentially high transmission areas and the specific venues within these areas where AIDS

prevention programs should be focused. PLACE was implemented in 3 states in FY07 and this will be

scaled up to 12 states. This component of the program will target street based sex workers and their clients

with partner reduction, alcohol reduction, condom use and know your HIV status messages. Messages will

also seek to promote the positive role men can play in the health and well-being of their partners, families,

and communities. PLACE also ensures product accessibility and availability at high risk sites (SFH provides

socially marketed condoms for the HIV and reproductive health programs through its DFID funded project).

Moonlight counseling and testing services will also be provided.

Activities aimed at changing male social norms will be implemented in places such as barracks, transport

parks, workplaces, and old community sites through community outreaches and inter-personal

communication activities which emphasize fidelity as a norm. On the whole, for HVOP, SFH expects to train

2376 persons to reach 110,614 persons at 90 sites with partner reduction and condom use messages. IPC

activities along the Maiduguri - Port Harcourt Transport Corridor will continue and additional marshals will

be trained within large parks for more effective coverage.

In order to provide complementarities to the Global Fund workplace initiatives and promote organizational

program practices that support constructive male involvement, SFH will also support the development of

workplace prevention initiatives as HIV affects people in the most economically productive phase of their

lives. Using the national HIV workplace manual, SFH will train 120 peer educators who will reach 2400 staff

directly (and 3600 family members indirectly) in 12 companies in four states of the federation. SFH also

proposes to promote the GIPA principle by placing four qualified persons in these organizations. This will be

an initial pilot which may be scaled up in subsequent years. In addition to the primary work schedule, the

GIPA staff will also assist in training peer educators and act as prevention champions within their respective

organizations and the host community.

Prevention activities among PLWHAs will continue in FY08 in accordance with national guidelines for

secondary prevention among discordant couples, prevention of re-infection, prevention of opportunistic

infections and the provision and use of the Basic care kits. Four PLWHA per SFH region will be trained as

IPC conductors who will in turn facilitate monthly sessions at support group meetings reaching 6400

persons. These IPC conductors will also conduct community mobilization activities aimed at stigma and

discrimination reduction around SFH intervention sites.

This component will also complement HVOP messages among student in tertiary institutions. Nigeria has

over 181 institutions of higher learning and less than a tenth have institutionalized HIV prevention programs.

SFH will continue to deepen activities in the 21 selected universities while 5 new universities will be added

in FY08. SFH will support the anti AIDS clubs to conduct outreach programs that provide a comprehensive

prevention package of activities such as risk reduction messages, knowledge of HIV status, gender related

violence and rape, transgenerational and transactional sex.

Evaluation of the program shall be through Participatory Monitoring and Evaluation (PM&E). Focus group

discussions and semi-structured interviews will be used for the baseline study, program monitoring, and the

development of target specific IEC materials. Quantitative surveys will be conducted towards the end of the

Activity Narrative: program to evaluate impact by comparing people with no exposure, low exposure and high exposure.

SFH will provide HCT services and support training of partner clinic staff in the syndromic management and

treatment of STIs. Persons with STIs from the intervention sites will be referred to these centers for

appropriate treatment. Those testing positive to HIV will be referred to the USG's, Global Fund's, and

Government's treatment centers as well as support groups for psycho-social support.

CONTRIBUTIONS TO OVERALL PROGRAM AREA:

Results from this project will contribute to the USG Emergency Plan of treating 350,000 HIV infected

Nigerians (through the demand creation for VCT and referrals), prevention of 1,145,545 new HIV infections

(through behavior change communications among core transmitters)

TARGET POPULATION:

This activity targets both street-based and brothel-based FSWs and their clients, transport workers,

uniformed servicemen, male and female out-of-school youth, and PLWHAs.

LINKS TO OTHER ACTIVITIES:

This component is linked to HVAB (5316.08), HVCT (5423.08), OHPS (5299.08), HKID (6497.08), and

TBHIV (12364.08) program areas. SFH will continue to reinforce partner reduction messages, promote HIV

counseling, and testing, create awareness about the links between TB and HIV and referral to ARV

services.

EMPHASIS AREAS:

This activity places an emphasis on capacity building for community based organizations in addition to

workplace programs. In addition, this activity will address gender equity in programming and stigma and

discrimination against PLWHA.

ACTIVITY DESCRIPTION:

This activity relates to Abstinence, and Be Faithful (5316.08), Condom and other Prevention (5372.08),

Policy and Systems Strengthening (5299.08) and Counseling, and Testing (5423.08). The Society for

Family Health is currently implementing the Comprehensive Integrated Approach to HIV/AIDS Prevention

and Care (CIHPAC) Project in Nigeria. The main goals are to contribute to a reduction in HIV prevalence

among youths aged 15-24 years; to create an enabling environment for behavior change and program

sustainability in collaboration with other partners. Tuberculosis remains a serious public health problem in

Nigeria and HIV is known to increase the burden of tuberculosis. The prevalence of HIV among TB patients

is 19.1% (Nigeria National Sentinel Survey 2001) and it is estimated that TB is the leading cause of deaths

among PLWHAs and responsible for 14-54% of HIV/AIDS deaths globally. As part of the social mobilization

for TB control activities in Nigeria, SFH will design and produce additional modules for the existing Peer

Education Manual which will be piloted in four states (Adamawa, Rivers, Ogun, and Benue) before a

national roll out is embarked upon. Twenty peer educators per MARP communities (transport workers,

uniform service men, women in prostitution, and male and female out of school youth groups) in these four

states will be trained making a total of 320 persons trained. These peer educators will in turn reach 4800

persons directly. This component is linked to peer education activities among high risk persons in HVOP

and HVAB.

SFH will continue to support TB awareness creation initiatives through the development of mass media and

mid media campaigns. Radio jingles and TV campaigns will be produced in four languages to create

awareness on TB prevention and management among HIV persons and the general population. This

activity will support the National Tuberculosis/Leprosy Control program which has funding through the

Global Fund to air 13 TV slots per quarter on National Network Television. Mass media activities will be

complemented with interpersonal communication activities using mid-mass media such as mobile drama

shows (road shows). Additional drama scripts will be developed to create awareness on the links between

TB and HIV while opportunities for questions and interactions are created at the end of each drama show.

One hundred TB/HIV focused road shows will be staged at SFH high risk communities reaching 8000

persons.

SFH will also train ten IP partner provider staffs (five people per IP) using specially designed flip charts to

conduct outreaches on TB prevention and management within health facilities that provide HIV counseling

and testing services. In addition SFH's HCT counselors will be trained to identify symptoms of TB in clients

and to refer to collaborating USG and GoN facilities for sputum testing as appropriate. These activities will

increase knowledge about TBHIV and create an enabling environment for TB-HIV management targeted at

community, religious leaders, and political/local government officials. On the whole SFH proposes to train

370 persons whole will reach 7300 persons with TB prevention and treatment messages at community and

at facility level.

The activities will be ultimately linked to treatment, care, and support services that are being directly

implemented by USG implementing partners and the GoN. This activity will support advocacy and social

mobilizations programs that will be conducted at the community level.

This activity targets PLWHAs, TB patients and MARPs at the community level. This activity includes an

emphasis on human capacity development.

ACTIVITY NARRATIVE:

This component is linked to Condom and other Prevention (5372.08), Counseling and Testing (5423.08)

and Basic Care and Support (3.3.06) as well as TBHIV (12364.08).

Society for Family Health (SFH) will support PEPFAR IPs to provide palliative care and support to HIV

vulnerable children and their families in the Nigeria PEPFAR states. SFH will develop a Basic Care Kit

(BCK) for distribution to IPs as indicated by the USG team for their utilization in OVC programming.

Subsequent to the initial distribution of 125,000 BCKs, SFH will also provide product replenishment in the

form of ORS and WaterGuard over a three and six-month period, respectively.

HIV/AIDS compromises the immune system of its human host and is most detrimental in population

demographics that are more susceptible to health ailments and their resultant complications, such as

children under five, pregnant women, the elderly, and immune-compromised individuals; i.e. those already

suffering from one or more other serious health concerns. The negative synergistic relationship between

HIV and malaria is well documented: HIV infection increases the risk and severity of malaria while malaria,

in turn, increases the rate of HIV progression with far reaching consequences, particularly for HIV+ pregnant

women and young children. In Nigeria, water and sanitation infrastructure continues to be unreliable and

suffers from disrepair and inadequate reach; 42% of the population continues to lack access to safe water

sources (NDHS 2004). At least 27% of the rural population obtains water from unsanitary wells; 16% from

rivers; and 6% from vendors.

HIV vulnerable children, whether HIV+ themselves or in an HIV affected household (i.e. with an HIV+

person or orphaned b/c of HIV), are susceptible to opportunistic infections commonest among which are

diarrhoeal diseases and malaria. Without proper, holistic care that addresses their particular variety of

health, education, social and developmental needs, HIV vulnerable children will not receive the necessary

knowledge, tools or encouragement to improve their well-being.

To provide HIV vulnerable children and their families a broader health management vision, each BCK is

constructed to promote healthy behaviour practices with respect to three major areas: malaria prevention

and management, diarrhoeal disease prevention and treatment, and improved basic sanitation and hygiene

practices. Kit components include: one long-lasting insecticide treated net (LLIN); one safe water storage

vessel with spigot (std. 20 litre bucket with lid); one bottle of WaterGuard point-of-use water treatment

product; ORS sachets; hand soap; and a combination of relevant IEC materials. Evaluation of the uptake

and appropriate use of the BCK will be conducted among recipients of the commodity, implementers and

trainers and the general population as a whole.

LINKAGES TO OTHER ACTIVITIES:

This activity is linked to the activities of other USG supported IP in HKID. SFH will supply BCK to the USG

supported OVC partners. SFH will leverage it's relationships with PLWHA support groups to support IPs in

the sensitization of health care workers, and PLWHA support group facilitators and members. SFH will

utilize its expertise in behaviour change communications to develop a variety of culturally/regionally

appropriate IEC materials emphasizing positive behavioural decisions and healthcare products pertinent to

HIV vulnerable children and their families. In addition, SFH will train IP staff, facility staff (i.e. project

implementers), and project beneficiaries to ensure appropriate and correct use of the commodities provided.

SFH expects to train 700 persons over the course of the project.

POPULATION TARGETED:

This activity targets HIV vulnerable children and their families and HIV+/- pregnant women. To address and

mitigate the issue of BCK stigma, SFH will produce different color variants of the buckets in order to reduce

the current levels of sigma associated with the blue buckets.

EMPHASIS AREAS:

This activity includes an emphasis on human capacity development.

ACTIVITY DESCRIPTION:

This activity is linked to Abstinence and Be Faithful (5316.08, 5315.08), Condoms and Other Prevention

(5372.08) and OVC (6497.08) and other Counseling and Testing activities (5426.08)

HIV counseling and testing is a good entry point for HIV/AIDS prevention and control efforts and serves as a

platform for linkage of reproductive health initiatives. Although awareness of HIV in Nigeria is high at 98%,

only 11% of females and 10% of males have taken an HIV test (NARHS, 2005). However 43% of

respondents in this survey expressed the desire to have an HIV test. Concerted efforts have since being

made by the Government of Nigeria and development partners to provide services for this unmet need and

it is expected that the number of persons who now know their HIV status will have increased. Based on data

collected and collated during outreaches conducted in COP06 and COP07 SFH recorded a positivity-rate of

3.7% and 5.7% respectively among the MARPs where they offered services. The 2007 rate is slightly higher

than the national average of 4.4%.

Society for Family Health (SFH) will continue its demand creation for HCT through its community

mobilization activities among the most at risk persons (MARPs) and the general population. This service will

be scaled up from 23 to 27 states across the country.

In 2008, SFH will work with 40 Civil Society Organization (CSO) partners in 40 new sites across the country.

SFH has 16 regional offices, each with four behaviour change coordinators of which one person is

designated as service delivery team leader. In order to ensure provision of quality services, SFH in

collaboration with the Institute of Human Virology, Nigeria (IHVN) will train new counselors from among SFH

staff, CSO/CBO, Prison services health facility staff and FBO partners. SFH currently employs youth

corpers in the regional offices, and these persons will also be trained to assist in the provision of mobile

HCT services. All HCT counselors will be provided with update training on couples and youth counseling

initiatives. A total of 150 persons will be trained to reach 20,000 persons with HCT services. Estimated

costs of training for ten days according to national guidelines is $1200.00

SFH will conduct mobile HCT services within the MARPs communities and other populations on request.

SFH will continue to use the current interim national, non-cold chain dependent, parallel rapid test algorithm

and will switch to the new algorithm once approved by the GoN. At the community level SFH will conduct

mapping of referral services for confirmatory testing, comprehensive post test counseling, anti-retroviral

treatment (ART), and support services for People Living with HIV/AIDS (PLWHA) prior to onset of HCT

services. SFH will provide additional links for its clients to TB, family planning and STI services funded by

both the GoN and USG. As part of the services under the condom and other prevention component SFH will

support training of partner health facility staff on syndromic management of STIs. These persons may

accompany HCT counselors during outreaches to enable them offer prompt services to persons with STIs.

The traditional MARP community remains; transport workers, female sex workers, uniformed servicemen,

and male and female out of school youths. However SFH will extend its target population to include the

paramilitary sector comprising of Customs and Immigration Services, police forces, prison officers, and

prison populations. SFH will continue to collaborate with AFPAC by providing quarterly mobile HCT service

to USM in hard to reach communities.

Through the AB program area SFH will collaborate with FBO partners in four selected states across the

country. Through this partnership SFH will provide HCT targeted at youth, FBO members and host

communities. In order to expand and sustain services, SFH will train four youth leaders per FBO as HCT

counselors. SFH will continue to collaborate with Population Council, Nigeria and their FBOs partner to

provide HCT services in their Northern sites.

SFH will continue the provision of HCT mobile services at the National Youth Corp Service (NYSC)

orientation camps in 10 states per batch. The services will target corps members, staffs and their host

communities. Mobile services will also be extended to tertiary institutions, workplace sites, night time

intervention sites with "moonlight HCT" and to other establishments that may require the services.

Persons who test negative will be counseled, assisted to develop risk reduction plans and if sexually active,

they will be counseled on correct and consistent use of condoms for all sexual acts. Condom demonstration

will be conducted for clients during community outreaches. SFH will distribute sample condoms to sexually

active clients and PLWHAs as required and clients will be encouraged to purchase the socially marketed

condoms for subsequent use. Emphasis will be placed on condom use for discordant couples and women

will be trained on the use of the female condoms for dual protection.

Test kits will be provided by the Supply Chain Management System through USAID and the estimated

number of individual kit required is 28,000 units. Test kits will be stored centrally at the headquarters of SFH

in Abuja and distributed quarterly along existing supply chains to the regional offices. Adequate storage and

transport conditions will be ensured to maintain test kits quality and integrity. SFH has implemented a

system to track essential data for adequate test kits management.

SFH will continue to support the harmonization of the logistics tracking system led by the Federal

Government of Nigeria with regard to the Logistics Management Information System (LMIS).

Quality assurance (QA) measures for testing will involve submitting whole blood samples from every tenth

client to a designated reference laboratory for retesting and confirmation. Services of two medical laboratory

scientists will be engaged as required to provide oversight on QA measures and on waste management. QA

for counselors will involve supervisory visits to prevent counselor burn-out and identify training needs of

counselors. All trained counselors will hold monthly and quarterly meeting at regional and zonal levels

respectively to share experiences and deliberate on replicable best practice models for providing quality

HCT services.

All mobile units will use the National HCT data collection tools to assist in monitoring and evaluation of

these activities. Population Services International (PSI), an affiliate of Society for Family Health will continue

to provide oversight functions and share international best practices from their East African HCT programs.

PSI has a wealth of experience with the New Start HCT program in Kenya, Zimbabwe and has successfully

integrated TB screening, family planning and other services into their program.

ACTIVITY DESCRIPTION:

In Nigeria, HIV and AIDS related stigma is unacceptably high and poses a challenge to national AIDS

control efforts. The UNAIDS stigma index increased in 2003 from 6% to 11 % for males and from 3% to5%

for females by 2005. An evaluation of Society for Family Health's interventions showed that those exposed

to SFH's programs were less likely to stigmatize persons living with AIDS.

In COP 05, SFH began engaging religious leaders and other gatekeepers and developed the successful Zip

Up abstinence campaign. This provided the entry point for engendering social support for HIV prevention

initiatives among gatekeepers in Nigeria. In COP06, SFH supported two major Islamic groups, the

Jama'atul Nasir Islam (JNI) and Ansar Ud Deen Society of Nigeria (ADSN), to introduce leaders to HIV

prevention and stigma reduction programming as well as to conduct training of trainers for their

implementing committee members. SFH also began engagement with the Redeemed Christian Church of

God (RCCG) at the national level, by facilitating the development of their HIV strategic plan in preparation

for the implementation of youth focused prevention programs. COP07 also saw the addition of Living Faith

Foundation, NASFAT and the women's wing of Ansar U Deen Society to SFH's FBO initiative. At

community level, SFH began working through Civil Society Organisations to implement community

mobilization and peer education activities. In COP07, 19 civil society organisations were engaged through

participatory and capacity building processes which enabled SFH to identify program management gaps in

these organisations.

In COP08, SFH will continue to support national level civil society networks to conduct state level step-down

training and to implement HIV prevention and basic care and support activities. For example, SFH will

strengthen the leadership skills of HIV program managers, support gender mainstreaming, build the

capacity of FBOs and CBOs in their proposal writing and grants management capabilities, and establish

management information systems at select CSOs for program tracking and evaluation. In sum, forty CSO

partners will be identified in COP08 and program management and implementation capacity building will be

conducted for at least three persons per organization.

Support at the national level in COP08 will also include the organization of sensitization workshops to

educate gatekeepers on the relationship between gender violence and the spread of HIV. SFH will continue

to support GoN nationwide HCT campaign to position the Heart to Heart (H2H) brand as the national HIV

counseling and testing logo. In addition SFH will also support the dissemination and implementation of the

newly reviewed Behaviour Change Communication Strategy developed by the National Agency for the

Control of AIDS (NACA) at the state level. SFH will continue to support an embedded staff member at

NACA. In COP08, SFH will continue to support NACA and the National Prevention Technical Working

Group (NPTWG) in the development and dissemination of the national prevention ABC guidelines. With

funding from the TB/HIV program area, SFH will support the National Tuberculosis/Leprosy Control program

in the development of radio and TV campaigns promoting TB prevention and treatment

POPULATIONS BEING TARGETED:

At the state level, SFH will facilitate the inclusion of FBOs into State Action Committee on AIDS (SACAs) so

that such FBOs may contribute to the state response to HIV prevention. It is anticipated that the program

will lead to increased engagement of FBOs in HIV prevention, care, and support including stigma reduction.

At the community level, SFH will provide participatory, organizational capacity development for 100

community based organisations in high risk sites and train at least three persons per organization in

community mobilization for stigma reduction and on HIV program planning and management.

SFH will also work with the private sector as part of the workplace initiatives program. SFH will foster the

development and domestication of the national workplace policy in twelve selected companies. Such

policies will advocate elimination of stigma and discrimination in the workplace on the basis of real or

perceived HIV status or vulnerability to HIV infection.

LINKS TO OTHER ACTIVITIES:

Activities in this program area provide the enabling environment and strategic direction for other

interventions especially among the FBOs. This component is linked to HVAB (3.3.02), HVCT (3.3.09),

HVOP (3.3.05), TBHIV (3.3.07), and HKID (3.3.08) program areas. Specific targets include religious and

community leaders, civil society organisations, and faith based organizations. Dialogue and collaboration

with GON remains essential in the light of the principles of the "three ones".

EMPHASIS AREAS:

This activity will increase gender equity in programming through advocacy with other FBO leaders and will

address issues of stigma and discrimination against PLWHA. SFH will engage with women groups within

the FBO leadership and ensure that women's groups are equitably represented in all training and leadership

activities conducted among the FBO groups. This activity places emphasis on local organization capacity

development.