Detailed Mechanism Funding and Narrative

Years of mechanism: 2008 2009

Details for Mechanism ID: 1530
Country/Region: Nigeria
Year: 2009
Main Partner: U.S. Centers for Disease Control and Prevention
Main Partner Program: NA
Organizational Type: Own Agency
Funding Agency: HHS/CDC
Total Funding: $3,056,000

Funding for Management and Operations (HVMS): $3,056,000

ACTIVITY DESCRIPTION: This narrative describes the CDC Nigeria M&S needs for both GHCS and GAP

funds. The CDC Nigeria M&S budget, including GCS and GAP funding, has been vetted through the

interagency decision making process and agreed to as presented in the COP09 submission.

The USG Nigeria team's M&S goal, through the HHS/CDC office in Nigeria, is to have sufficient staff for

COP09 to provide more technical and programmatic oversight and assistance to all implementing partners

in Nigeria. The CDC M&S budget in COP09 supports the USG interagency team process of providing

technical assistance and monitoring of PEPFAR activities across a significant array of implementing

partners in Nigeria, which is the second largest PEPFAR country based on the established 2009 end

targets. Geographic size of the country, 25% larger than Texas, also influences the USG staffing needs to

provide monitoring of activities. Dramatic expansion of the Nigeria PEPFAR program in COP08 has more

than doubled the number of ARV treatment partners from seven to sixteen by end of COP08. Direct country

project officer oversight at CDC is in place for eight of the sixteen treatment partners working in nearly 300

clinical sites (Harvard University SPH-APIN, University of Maryland-ACTION, Columbia University-ICAP,

Catholic Relief Services-AIDSRelief, Vanderbilt University, Partners for Development, APIN LTD and URC).

Additionally, HHS has fifteen other cooperative agreements supporting a broad range of implementing

partner activities in Nigeria such as laboratory, safe blood, TB/HIV, OVC and PMTCT. RFA awards in

COP08 have added ten new HHS/CDC funded partners with an eleventh additional new award, to the

FMOH HIV/AIDS Division, in process. COP09 RFA awards will likely add 1-2 new partners. These new

partners will need rapid integration and agency management to influence achievement and progress

towards Nigerian national and PEPFAR goals.

To achieve the goals of effective technical assistance to the Government of Nigeria and joint USG oversight

of implementing partners, the CDC Global AIDS Program (GAP) Office in Nigeria has planned for full

staffing at 81 positions in FY09, which is a level total number of staffing as approved in COP08. Some of

the previously approved positions, however, have been adjusted to reflect changes in program

management; for example, the decision reached with the US Mission to indefinitely delay the opening of a

CDC-supported PEPFAR office in Lagos due to Mission support constraints. Those positions have been

incorporated into respective support in the Abuja office. Presently 57 of the 81 approved COP08 positions

have been filled and five positions are under recruitment, including three US Direct Hire (USDH) positions

which are in the selection process.

The COP09 HHS/CDC staffing plan includes 10 USDH that are comprised of the Chief of Party, Deputy

Director, Associate Director for Epidemiology & Clinical Programs, Associate Director for Laboratory

Science, Associate Director for Management and Operations, Associate Director for Program Monitoring

and Evaluation, Associate Director for Program Administration, Associate Director for Health Systems

Strengthening, and Resident Advisor and Laboratory Advisor for the CDC Field Epidemiology and

Laboratory Training Program. Due to safety and security issues, the PEPFAR team and US Mission have

decided in 2008 to delay plans to open a CDC-supported PEPFAR field office in Lagos. The positions

planned for the Lagos PEPFAR Field Office in COP07 and COP08 have been transitioned to the Abuja-

based office and will support activities in the Lagos area. Two PSC positions approved in COP08 are

planned to transition to USDH positions and have been approved by HHS; they are included in the total

above. It is not expected that these USDH positions will be filled immediately in COP09 due to the timeline

for incorporation into US Mission management support plans and Mission approval, followed by recruitment,

selection and relocation. A further breakdown of total staff requested includes 35 FSN technical staff

(funded under specific program areas and M&S), 1 PSA technical staff, 1 PSA administrative staff and 35

M&S FSN support staff including 23 administrative, finance and IT staff plus 12 drivers. The attached

supporting documents include a full USG PEPFAR Nigeria organizational chart. The specific disciplines of

technical staff were determined through an interagency staffing for results process that allows for

complementary staffing across agencies. While some technical positions in program areas are duplicative

for agencies, that duplicity is based on the total size of COP09 programming and the minimum time required

to adequately monitor field work of partners and provide technical assistance to the Government of Nigeria.

Additionally, an independent review of USG staffing management and plans is scheduled for Q1 FY09.

This analysis will assist the team in identifying any gaps and will provide guidance on management and

staffing needs. As the program moves into PEPFAR II, the team will need to ensure appropriate focus on

programmatic oversight, technical assistance to support the GON, and development and implementation of

the PEPFAR Compact.

M&S costs are inclusive of rent for offices and warehouse space, utilities, office operational costs, M&S

specific equipment, M&S specific staff inclusive of all associated costs, travel for M&S staff, training for M&S

staff, general ICASS charges, ICASS and CSCS for M&S staff, relocation costs of USDH M&S positions

expected in FY09, residential leases and post allowance for 10 USDH M&S positions, security services for

offices/warehouse, and communications costs. This COP09 submission does not include HQ TA support in

keeping with COP09 guidance that this will be funded through the Headquarters Operational Plan process.

ICASS charges of $1,169,376 and CSCS charges of $623,803 are budgeted separately in their own

activities as required by COP09 guidance.

New/Continuing Activity: Continuing Activity

Continuing Activity: 13147

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

13147 3260.08 HHS/Centers for US Centers for 6398 1530.08 HHS/CDC Track $3,056,000

Disease Control & Disease Control 2.0 CDC Agency

Prevention and Prevention

6793 3260.07 HHS/Centers for US Centers for 4188 1530.07 HHS/CDC $3,056,000

Disease Control & Disease Control Agency Funding

Prevention and Prevention

3260 3260.06 HHS/Centers for US Centers for 2779 1530.06 HHS/CDC $3,017,766

Disease Control & Disease Control Agency Funding

Prevention and Prevention

Table 3.3.19: