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
ENHANSE is a national level integrated project with the mandate to create an enabling environment for
HIV/AIDS, and TB. The activity's emphasis is on policy/plans development and utilization. It also focuses
on the use of accurate and strategic information to inform the policy and planning process and to leverage
organized private sector support and resources for national HIV/AIDS programs as well as improve the
political will and commitment of key national leaders.
A major issue in the HIV/AIDS epidemic is the large number of orphan children who have lost one or both
parents as a result of HIV or are made vulnerable by the demands imposed by the infection on one or both
parents. The work of ENHANSE in the OVC program area is a policy effort to ensure that a national
enabling environment to care for the OVC is created.
The major partners in the OVC program implementation are the Federal Ministry of Women Affairs (FMWA),
Federal Ministry of Health (FMOH), National Agency for the Control of AIDS (NACA), Federal Ministry of
Education (FME), and Federal Ministry of Information (FMOI) OVC Desk officers. Others would include the
National Human Rights Commission and the Legal AID Council, National Primary Health Care Development
Agency, National Population Council, International Federation of Women Lawyers (FIDA), CSOs, FBOs,
Bilateral and Multilateral organizations.
Activities for COP08 will build on COP07, namely in systems strengthening activities for the FMWA-OVC
Unit to increase their capacity for national leadership in addressing OVC issues and integrating other
programs that have strong focus on the needs of vulnerable children.
The use of accurate data to inform program implementation is crucial to program success. ENHANSE will
support the FMWA to widely distribute and disseminate the OVC National Plan of Action (NPA), and
facilitate the development of an implementation framework and a child-friendly version of the five-year plan
written at the level of a secondary school reader. TA to determine the policy and program implications of
data from the about to be conducted National Situational Analysis on OVC, will be provided. ENHANSE will
also collaborate with UNICEF and other partners to print and disseminate the National Children policy. The
Child Status Index (CSI) which is used to evaluate the correlation between program services and a child's
well being in order to ensure that individual children receive appropriate assistance will be harmonized with
the already developed Nigeria OVC Vulnerability Index. Whilst MEASURE Evaluation will provide the TA to
harmonize the two tools, ENHANSE assist in the printing and dissemination of the harmonized version.
To address GON manpower challenges, ENHANSE will support strategic embedding of one long term
consultant in FMWA. The consultant will provide technical oversight of, and additional support for, M&E
activities within the Ministry, thereby improving the quality of implementation and reporting. Opportunities
will be provided for capacity building for key staff and OVC Desk officers of our key partner organizations in
the public and private sectors, in areas including data use, policy development, program management and
decision making including how to use the CSI. Trainings will address strategic planning, networking, and
National civil society organization (CSO) networks and coalitions (e.g. CISHAN, AONN, NEPWHAN, etc),
and faith based organizations (both Christian and Muslim), will be supported via grants and technical input
to develop policies and guidelines that address the OVC challenges within their various organizations.
Select private sector coalitions like the Nigerian Business Coalition will also receive TA to develop
operational guidelines for their OVC programs. Training will also be provided to the above and other key
stakeholders on issues related to OVC, stigma and discrimination. As OVC face a lot of stigma and
discrimination especially in schools, the FME will be supported to conduct training for members of
Association of Nigerian Principals of Secondary Schools (ANCOPSS) and of Committee of Heads of
Primary Schools in Nigeria (COPSHON) on stigma, OVC issues, and age-appropriate prevention messages
for children. Capacity building on child participation and protection, and gender and gender mainstreaming
in OVC programs will be facilitated for the National OVC implementation team and USG supported OVC IPs
in collaboration with UNICEF, Save the Children UK, and the Canadian International Development Agency
To ensure accurate reporting of OVC issues, ENHANSE will support through its Journalism Development
Program, media tours for journalists to USG supported OVC households, facilities, and communities, as
well as workshops, roundtables, and mentoring, all of which provide journalists from the print and electronic
media greater understanding of issues affecting OVC and the interventions to address them.
ENHANSE will support the formation of an OVC Advocates forum made up of children who are either
orphaned or vulnerable to enable them to champion their issues and promote the reduction of stigma and
discrimination while also providing psychosocial and group support for themselves. FMWA will be supported
to identify and train these children in advocacy and policy dialogue thus increasing OVC participation in
decision making. Utilizing the advocacy kits and harmonized messages developed in COP07, OVC desk
officers in Federal and State Ministries of Women Affairs will be trained on advocacy to strengthen their
capacity to advocate for the implementation of the OVC National Plan of Action with key state level policy
makers and the legislature. ENHANSE will support FMWA in the zonal sensitization and training of desk
officers/CSOs and other sectors on programming for OVC. Key CSOs will also be trained to improve their
advocacy and policy dialogue skills especially with the incoming administration.
ENHANSE will also work with the FMWA to develop mechanisms for registering and supervising
orphanages within the country. FMWA will also be strengthened to improve their ability to work with
multisectoral partners, providing services at the three tiers of government especially in health and
education. This will be actualized through work with the National Primary Health Care Development Agency,
and the Universal Basic Education Commission so that OVC in all parts of the country receive the same
quality of services as available to all other children. The National Population Commission will also be
sensitized to recognize their role as a critical stakeholder in the OVC national response especially as it
relates to birth registration for orphans and the provision of accurate national population data and statistics
to inform proper planning for the OVC national response. In COP08, 10 individuals will be trained in policy
development, 10 in institutional capacity building, 20 in stigma and discrimination reduction, and 20 in
community mobilization. In addition, one local organization will be provided support for policy development
and institutional capacity building.
LINKS TO OTHER ACTIVITIES:
This activity is linked to policy and systems strengthening initiatives. It also linked to initiatives in human
rights, elimination of stigma and discrimination, access to education and income generation. Activities will
be linked to those of other USG IPs providing services in the communities. This activity is also linked to
activities of bilateral and multilateral organizations dealing with issues related to OVC.
Target populations include the general youth population and OVC.
This activity's emphasis is on human capacity development and strategic information.
The activity will increase legislative engagement in HIV/AIDS and OVC stigma and discrimination issues.
ENHANSE will support the national legislature to enact appropriate legislation that supports national
HIV/AIDS programs including legislation related to the rights of children, adoption, and the establishment
and running of orphanages or other care institutions for affected children. Collaboration with National
Human Rights Commission and NEPWHAN will continue to ensure passage of the Bill on Stigma and
Discrimination. Support to the legislature will assist in hastening the processing of the relevant bills already
in both chambers.
The OVC systems strengthening targets are added to the policy and systems strengthening targets.
ENHANSE is a national-level integrated project with the mandate to create an enabling environment for
HIV/AIDS in the social sector. This activity's emphasis is on policy development and utilization. This activity
focuses on the use of accurate and strategic information to inform the policy and planning process.
ENHANSE will also leverage organized private sector support and resources for national HIV/AIDS
During COP07 ENHANSE provided support to the National Agency for the Control of AIDS (NACA) that
enabled the successful passage of the bill that converted it from a Committee within the Presidency to a full
fledged agency. In COP08, the ENHANSE project will continue support to NACA to strengthen its newly
legislated functions by embedding key staff in the agency and supporting the development of a National
AIDS Priority Plan. The National AIDS and STI Control Program (NASCP) of the Federal Ministry of Health
(FMOH) will be supported in the dissemination and utilization of survey reports including the National
Demographic Health Survey (DHS), National HIV/AIDS Reproductive Health Survey (NARHS), Ante-Natal
Clinic Survey (ANC), Integrated Bio-Behavioral Surveillance Survey (IBBSS), and will ensure improved data
use for policy planning. An impact evaluation of the national response focusing on health, education,
agriculture, and the economy will be given priority attention.
Additional support to NACA will include review of the National Strategic Framework and National HIV/AIDS
Policy. To maximize on the investment made for the establishment of the national information management
platform, ENHANSE will support the capacity building of 50 key officers of line ministries, CSOs, OPS and
the uniformed services on national reporting systems, such as Voxiva.
In COP07 ENHANSE provided support for the revision and finalization of the new national laboratory policy
that addresses manpower challenges and standardization of services. Work with other agencies of the
GON in COP08 will include collaboration with NASCP to develop and disseminate this policy and at least
four other key policies and plans in various thematic areas including prevention, HCT, ART, PMTCT,
palliative care, TB/HIV, nutrition and OVC in conjunction with all USG agencies administering PEPFAR. The
HCT manual will be reviewed to ensure that provider-initiated HIV testing and counseling (PIHTC) is
incorporated. The National Plan of Action for Pediatric ART will be developed to encourage service uptake
by children. ENHANSE will print and disseminate the Palliative Care guidelines and facilitate the
development of the National Plan of Action. Training of stakeholders on the use of these key documents
and harmonization of the various curricula will also be supported. The development and printing of the
National Nutrition Guidelines for HIV/AIDS and its National Plan of Action will occur in COP08. To enhance
information sharing within NASCP and between NASCP and the stakeholders, ENHANSE will support
NASCP to develop and disseminate its quarterly newsletters, including the maintenance of its website
developed during COP07.
In COP08, ENHANSE will work with the Food & Drugs Division of the FMOH and other partners to develop
a national supply chain management system policy and strategic plan to promote harmonized and more
effective procurements and logistics management. Support will be given to NAFDAC to develop
mechanisms for improving their ability to more effectively evaluate and rapidly register new products
approved by the USG to support PEPFAR implementation.
To address GON manpower challenges, ENHANSE will continue to embed 15 strategic long-term
consultants in NASCP, NACA, Food & Drugs Division of the FMOH, National Agency for the Food and Drug
Administration and Control (NAFDAC) and the Child Development Unit within the Federal Ministry of
Women Affairs (FMWA) in areas identified by LMS/MSH (#5271.08) and other USG partners for strategic
institutional capacity building to support PEPFAR implementation. The consultants will provide technical
oversight of their programs including M&E activities, thereby improving the quality of implementation and
reporting and build on previous successes achieved in COP 06 and COP 07 with a similar strategy
embedding staff in NACA and NASCP.
Activities in support of improved OVC programming via system strengthening for the Federal Ministry of
Women's Affairs, policy development for issues around access to care for children, improved school
enrollment for OVC, and Implementation of the OVC National Plan of Action will receive priority attention
and are addressed under ENHANSE's OVC narrative submission (3.3.08), but the capacity building targets
are captured here.
Barriers that arise from excessive bureaucracy within federal and national level institutions will be overcome
by providing TA to these institutions to improve their capacity to carry out their core mandates around
coordination of national programs. The various technical working groups (TWGs) set up to improve
coordination of the activities in the various thematic areas will be strengthened. The Prevention TWG will
continue collaboration with NBTS/SBFAF (#5329.08), and the MMIS (#3218.08) project to promote newly
approved policies that minimize use of injectables and ensure appropriate waste management thereby
reducing blood transmitted infections and fostering the practice of non-remunerated safe blood donations
and transfusions with technical and logistical support from ENHANSE.
Barriers to effective program implementation that arise from the predominant Islamic North will be
minimized by the special focus on Islamic FBOs especially to develop their own HIV/AIDS national policies
and operational guidelines and plans. ENHANSE will also work with two major Christian denominations to
develop their HIV/AIDS policies.
Collaboration with the CCM and GF will build upon the successful support provided during COP 07 that saw
the country rescue several grants that had been threatened with cancellation. In COP 08 support will be
directed towards improved grant implementation and harmonization with programs of other partners in the
national response. This activity will be coordinated in collaboration with the LMS (#5271.08) project. As
directed by the USG, support will also be given for the development of new grant applications where
ENHANSE will continue to serve as the platform through which USG implementing partners have dialogue
for greater harmonization of activities via workshops and exchange of information using the USAIDIT
newsletter and website.
Activity Narrative: CONTRIBUTIONS TO OVERALL PROGRAM AREA:
It is expected that the policy and guidelines developed, and the work of the individuals trained, will have a
significant impact on PLWHAs. The policies and guidelines will help facilitate improved delivery of high
quality and harmonized clinical and laboratory services. Issues related to greater ownership and support for
PEPFAR in Nigeria will be facilitated via enhanced opportunities for dialogue and consensus building
leading to greater sustainability.
LINKS TO OTHER ACTIVITIES:
This activity is linked to activities in strategic information and cuts across all other program areas.
Specifically it is linked to initiatives in other areas of the ENHANSE mandate that cover reproductive health
and population activities, child survival and education. Specifically, this activity links to palliative care, lab,
TB/HIV and blood safety. It is also linked to initiatives with the uniformed services, and national
management of TB, as well as programs addressing OVC.
This activity is linked via the national multi-sectoral response to HIV/AIDS to activities in most ministries and
parastatals of government. It is also linked to the activities of the Global Fund in Nigeria as it is indirectly to
other activities that support the national HIV/AIDS response via collaboration with NACA such as the World
Bank MAP project, the Clinton Foundation, the Bill and Melinda Gates Foundation and the UN system.
POPULATIONS BEING TARGETED:
The activity focuses largely on national level public and private sector institutions, especially those playing a
significant role in addressing HIV/AIDS prevention, treatment and care such as NACA and NASCP/FMOH.
In addition, this activity targets media organizations from the print and electronic media as well as the
national legislature. The activity also targets the leadership of Faith-based Organizations as well as national
networks of those living with the virus or associated with them.
This activity focuses on policy development and utilization. This activity also focuses on the use of accurate
and strategic information to inform the policy and planning process. ENHANSE will also leverage organized
private sector support and resources for national HIV/AIDS programs and improve the political will of key
national leaders. ENHANSE will continue to support the national legislature to enact appropriate
legislations that support national HIV/AIDS programs. Collaboration with National Human Rights
Commission will continue to ensure passage of the bill on stigma and discrimination. Support to the
legislature will assist in hastening the processing of the relevant bills already in both chambers. This activity
will also address specific legislation related to the workplace and HIV/AIDS. Cross-cutting legislation such
as the domestication of the "Convention for the Eradication of Domestic violence Against Women
(CEDAW)", the Child Rights Act, and those addressing intellectual property rights especially as it relates to
the use of generic drugs and products for public health purposes will be priorities.