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
In COP09, AED will continue its focus on strategic HIV prevention interventions targeted at reaching specific
workplace populations. AED's activities (ABC) under sexual prevention are designed to support prevention
among working adults and equip them to promote prevention with their children and partners. In COP09
AED will train 60 healthcare workers from the 5 targeted condom service outlets to promote HIV/AIDS
prevention through other behavior change beyond abstinence and/or being faithful.
With 66 million individuals participating in Nigeria's public and private sector labor force and HIV/AIDS
prevalence of 3.7%, 3.5%, 3.1% amongst transport workers, police force and armed forces and with
prevalence of over 30% among female sex workers (IBBSS 2007), the workplace is an ideal setting for
effectively addressing HIV/AIDS through sensitization programs, prevention messages, and linkages to care
and treatment for a large percentage of Nigerians infected and affected by HIV/AIDS.
AED SMARTWork in COP09 will focus on reaching each targeted population with a minimum of three
interventions in the workplace. Intervention strategies will aim at reducing number of sexual partners,
promoting consistent condom use and seeking treatment for STIs. IBBSS 2007 revealed that among
predominantly male occupational groups (transport workers, armed forces and police), multiple partnerships
are quite common while condom use with girlfriends was lowest, reported by police at 45% and transport
worker at 45.4%. Although syphilis levels were low across the board (0.8%), transport workers returned the
highest prevalence among all groups, at 1.7%. Stereotypical characteristics of the target audience include
male dominance, physical strength, virility, and risk taking. Other associated risk factors, such as drug and
alcohol use among this target audience (road transport and oil workers in particular) often play a role in
diminishing inhibitions, which can lead to unprotected sexual intercourse and also contributes to sexual
violence. In addition, high mobility and long periods away from their families, limited access to health care
services and condom availability and lack of information about risky behavior, risk perception and risk
personalization places this target population at increased risk of STIs, including HIV.
AED will continue to pursue interventions that encourage youth to delay sexual debut until marriage,
engage in secondary abstinence and reduce sexual risk taking while recognizing that abstinence is the only
certain way to avoid HIV infection. Interventions targeting sexually active adults at higher risk of HIV-
infection will encourage behavior change to reduce the number of sexual partners (especially casual sexual
partnerships) and promote marital fidelity. AED will reach out to PLWHAs through promotion of their
enrollment in and adherence to PMTCT programs and/or promoting abstinence and consistent condom use
with sexual partners to prevent re-infection.
AED will strengthen interactions and key referrals between health care facilities and the community as part
of sexual prevention activities in the workplace programs. Sub-partners (NIBUCAA, NUPENG, NURTW,
NUTGTWN, SSANU and NUCFRLANMPE) will target employees and their family members with "A B+C"
prevention interventions. AED will work with the unions the small and medium enterprises to identify the
right strategy and mix of interventions pooling from a broad range of identified best practices.
AED will conduct Community/Enterprise Awareness campaigns to clarify strategies and activities of the
SMARTWork approach and educate the management of each enterprise. These meetings will take place
prior to launching program activities in each establishment in order to build awareness for HIV/AIDS issues
and to answer any concerns participants may have. Enterprises and unions will be encouraged to undertake
HIV/AIDS program outreach activities within their host communities and reach out to workers family
members with necessary information and education on HIV/AIDS. Capacity building activities may vary
based on individual partner/enterprise needs. AED will support each enterprise and partner to conduct a
series of two-day seminars for the community on: abstinence and being faithful; interpersonal
communications; community mobilization methods; peer education strategies; linking programs with
counseling, testing and care and treatment centers; and efforts at partner reduction, mutual fidelity and
condom usage. Each enterprise will conduct at least one community outreach during the period and 20,455
individuals will be reached with A&B in COP09.
AED/SMARTWork will assist each partner enterprise to establish a team whose members represent various
aspects of the workplace and who share a commitment to addressing HIV/AIDS, with skills to "sell" the
program to others in the workplace. The planning committee will include men and women from all
departments and levels in the enterprise, as well as workers living with HIV/AIDS. The joint management-
labor committee ensures that differences are taken into account and policies and programs can be
developed that work for all areas of the workplace. AED will provide assistance in identifying appropriate
persons to represent the diverse interests and needs of the workforce. AED will conduct a three-day
capacity building training for members of the HIV/AIDS Planning Committee. The training will include all
aspects of HIV/AIDS policy and program development and equip committee members with the ability to play
a leading role in the management of the enterprise's HIV/AIDS workplace program. AED will continue to
provide technical support to the HIV/AIDS Planning Committee members of the enterprises in sensitizing all
the employees in the company's key locations about basic HIV/AIDS prevention and transmission
information, voluntary counseling and testing, workplace issues related to stigma and discrimination, and
mainstreaming HIV programs in the workplace.
Peer educator (PEs) volunteers will be identified and trained to conduct informal education and training
activities for their co-workers. AED will provide technical assistance to enterprises and unions in selecting
appropriate staff to participate in a three-day peer educators training. A staff-to-peer educator ratio of 10:1
will facilitate the informal small group and one-on-one discussions on HIV/AIDS and safer sex practices.
Peer educators will answer questions, distribute materials, and generally foster an environment of greater
awareness and understanding about HIV/AIDS. Training will be facilitated by the core-trainers already
trained for each partner using the SMARTWork workplace PE training curriculum In COP09, 150 PEs will
Under condom distribution and other prevention activities, the key messages will include partner reduction,
consistent and correct of condoms, and prompt diagnosis and adequate treatment of STIs. AED will
continue to support partners through the process of condom procurement and storage, along with
Activity Narrative: establishing a stronger collaboration with Society for Family Health to ensure a consistent condom supply.
NIBUCAA and the five unions will be trained and retrained in best practices for condom distribution, storage
and usage within the scope of prevention and sensitization activities. These activities include but are not
limited to condom procurement and distribution, as well as making condoms readily accessible and
available through peer education activities. There will be a two-day training on condom logistics and
negotiating skills at 20 workplaces in COP09. Participants will be disaggregated by sex, social peers and
grade levels from all the units and departments in each enterprise. This will be facilitated by AED, SFH and
NIBUCAA. Condom distribution points will be set up by the various SMEs and workplaces. Overall, 13,636
individual will be reached through the PEs in COP09.
AED will provide TA to NIBUCAA and the five unions in the adaptation/production of relevant IEC/BCC
materials to reinforce messages on abstinence, faithfulness and /or consistent and correct condom use.
AED will continue the distribution of an extensive catalogue of behavior change tools and materials for the
workplace that enables immediate implementation of activities and important leveraging of existing
resources for use by the workers.
Two-day adaptation training will be organized for union-partners in conjunction with NIBUCCA for review
and selection of existing BCC materials for reproduction and distribution by the partners. Three
representatives will be selected from each partner organization for this training. Trainings will be conducted
in line with the National BCC Strategy and facilitated by a consultant and a graphic artist with support from
AED and NIBUCCA staff.
Dissemination strategies include: the distribution of materials at workshops, seminars, company-level
presentations; special events, such as World AIDS Day Campaigns, Workers Day; and the integration of
HIV/AIDS preventive messages into workplace newsletters, journals and other periodicals.
AED project will continue to encourage the parents to be active supporters of youths' health choices by
addressing improved knowledge, attitudes, communication and other parenting skills, and by supporting an
integrated approach to promoting a healthy lifestyle for young people. Youth focused awareness creation
activities including lectures, drama and a mascot will focus on behavior change, risk reduction and adoption
of safer sex practices. AED will further assist enterprises' developmental initiatives, such as family days.
Family days are employer-sponsored events for employees to gather together to celebrate the enterprise's
annual achievements. AED will work with the partners to assist the HIV/AIDS Planning Committees at each
enterprise level to plan and implement family days.
Greater Involvement of People Living with HIV/AIDS (GIPA) is critical to halting and reversing the HIV
epidemic in Nigeria; thus AED/SMARTWork will mainstream GIPA into workplace HIV/AIDS programs. The
involvement of PLWHA in program development and policy making will improve the relevance, acceptability
and effectiveness of the program. During workshops and trainings, PLWHA's participation in workplace
HIV/AIDS programs will assist in changing perceptions and provide valuable experience and knowledge.
For those who choose to disclose, open acknowledgement of their sero-status can help demolish myths and
misconceptions about HIV/AIDS and PLWHAs. It may also encourage other HIV-infected workers to combat
fear and shame by disclosing their status. PLWHA will also be advocates for the development of HIV/AIDS
policy as well as law and policy reforms. The partners and enterprises including the 50 SMEs will be
encouraged to continue to engage qualified PLWHA as staff members.
CONTRIBUTION TO OVERALL PROGRAM AREA
The program and activities implemented will increase the reach of ABC interventions into the most at risk
population (Long Distance Drivers and other itinerant workers). This AED-SMARTWork prevention program
through union partners and NIBUCAA whose capacity has been developed, will contribute further to
strengthening and expanding the GON‘s response to HIV/AIDS epidemic in the workplace and increase the
chances of meeting the PEPFAR's goal of preventing over a million new infections.
POPULATION BEING TARGETED:
Population targeted in these ABC prevention activities will not only focus on employees alone but also on
families of employees and other community members where the enterprise is sited.
KEY LEGISLATIVE ISSUES:
Key legislative issues will address gender inequalities as regards sex, workplace norms and risky behavior
injurious to health and increase access to information and services for men and women.
AED-SMARTWork will focus service delivery on information, education and communication, promoting
abstinence, mutual fidelity, condom usage and capacity building in the workplace and build linkages with
other prevention initiatives.
New/Continuing Activity: New Activity
Human Capacity Development
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
THIS ACTIVITY IS UNCHANGED FROM COP08.
As a result of funding constraints, HCT strategies for COP09 emphasize provision of HCT services for
individuals most in need of HIV counseling and testing and linking those found positive to care, treatment
and other appropriate HIV/AIDS services. AED/SMARTWork HCT activity will further efforts to increase the
uptake and accessibility of high quality workplace HCT services and referral to care and treatment under
Nigeria's national testing protocols. The focus is to provide HCT services for the Nigerian labor force and
their families. However, one of the challenges of offering counseling and support services is the lack of
skilled counselors in most workplace programs. Based on SMARTWork experience to date, the demand for
HCT has exceeded availability. AED will continue to provide critical services where gaps currently exist. In
addition to maintaining HCT sites, labor unions will also mobilize their members to access HCT provided by
SMARTWork mobile testing units. In order to expand services, the package will include the provision of
quality HCT services with follow-up support, counseling and a referral network for care including ART.
AED/SMARTWork will work with sites to identify potential additional resources (from the GON, other donors,
Global Fund, etc.) to provide commodities and increase uptake of HCT services. Major emphasis areas are
capacity building, infrastructural development, training and mobilization for HCT in workplaces and its
vicinity. Others are commodity procurement, community mobilization, monitoring, networking and referral
Depending on the sites, Voluntary Counseling and Testing (Pre- and Post-test Counseling) Model and the
HIV Rapid Testing Algorithm will be implemented. The HCT program will be implemented in collaboration
with Nigerian Business Coalition Against AIDS (NIBUCCA) and 5 labor unions (National Union of Chemical
Footwear, Rubber, Leather and Non-Metallic Products (NUCFRLANMP), National Union of Petroleum and
Natural Gas (NUPENG) Workers, National Union of Road Transport Workers (NURTW), Lagos, National
Union of Textile, Garment and Tailoring Workers of Nigeria (NUTGTWN) and Senior Staff Association of
Nigerian Universities (SSANU)). AED and NIBUCCA will jointly manage and directly implement the HCT
component of the project while the unions will mobilize workers to access the services.
AED will work jointly with NIBUCAA to establish and maintain 2 operational high quality HCT integrated-
fixed sites and 2 stand-alone sites to provide services to workers and family members. A mobile team will
also be established to complement the efforts of the fixed sites in areas where workers cannot access the
fixed sites. This will bring the number of sites supported under the project to 11 (7 integrated, 3 stand-alone
and 1 mobile). The service sites will be located in the following states- Kaduna, Gombe, Plateau, Rivers,
Lagos and Enugu based on geo-political zones. The integrated sites will be in public and private hospitals
being patronized by workers and their family members. Also, in collaboration with the 5 labor unions, HCT
services will be provided in the following states: Anambra, Bauchi, Benue, Cross River, Delta, Edo, Enugu,
Federal Capital Territory, Gombe, Kaduna, Lagos, Ogun, Oyo, Plateau, and Rivers. The project's target in
COP09 is 9,004 workers for counseling and testing, including results being given. Additionally, AED will
further assist in tracking the enrollment of positive workers and family members into care through multiple
In order to leverage resources, reduce costs and time management, training of staff/volunteers will be
consolidated to reach many more individuals needing training and capacity building activities. AED will train
30 medical personnel (nurses, counselors, laboratory technicians and social workers) under the new HCT
guidelines in Nigeria. The training will be conducted using the National Protocol on HCT training Curriculum
and the WHO/CDC HIV Rapid Test Training Package. The training will include HCT counseling training and
HIV laboratory testing. AED will also train 30 selected nominated union members drawn from the 12 states
as HIV/AIDS Mobilization Agents (HMA) responsible for the mobilization of union members for VCT uptake.
The training of the HMA will last 3 days where they shall be equipped with knowledge on mobilization and
appropriate strategies to reduce stigma and discrimination against PLWHA.
To ensure greater uptake of care, support services, development and use of solid referral networks, AED-
SMARTWork will establish or strengthen referral, counter referral and linkages between enterprise service
sites, public health facilities and other CBOs providing HIV/AIDS-related prevention, care and support
services. This will include creating links with other PEPFAR projects and interventions for PMTCT,
prevention and treatment of TB and STIs, family planning and other services. Additional linkages will be
established with HBC and OVC support groups to promote testing among persons with HIV-related
illnesses and members of their households. This networking will include but not be limited to the following:
GHAIN for effective provision of quality HCT services; Society for Family Health on condom supply logistic
and distribution activities; CEDPA on palliative care, OVC and PMTCT; John Snow International/MMIS on
safe injection techniques; and Columbia University ICAP program on a potential collaboration to support
capacity building initiative for HIV prevention, care and treatment, including infrastructure improvement and
training programs for health care sites. AED will continue to collaborate with NACA, NASCP and SACAs in
the states of operation. Networking will be maintained with private hospitals, company clinics and other
public and private structures through which the workers and their family members could be reached with
HCT services and referrals.
AED will conduct routine onsite mentoring and quarterly monitoring and site assessment to ensure that
standards are being maintained. In addition, ELISA testing will be done on every 20th Client (5%) for quality
To systematically assess progress in the HCT activities, AED will utilize the National HCT M&E and data
collection tools managed by NASCP. The forms will continue to be distributed to and used at the HCT sites
and by the mobile teams. The overall program data will be linked to the Nigeria National Response
Information Management System (NNRIMS) managed by NACA.
The project will continue to maintain its established relationship with JSI/Supply Chain Management System
(SCMS) for the procurement and supply of test kits to the HCT sites. AED will work with SCMS to determine
and order for appropriate quantity of supplies to be procured and supplied to the HCT sites. HCT partners
Activity Narrative: will ensure appropriate medical waste management and disposal by close collaboration with the Biomedical
Prevention Team and the states' Waste Management Agencies (e.g. Lagos State Waste Management
Agency) for the supply of sharp boxes and color-coded plastic bags for sorting of medical (infectious) waste
at service points.
Service promotion strategies will include branding of HCT facilities and mobile units with the national "Heart
to Heart" logo. The logo will also be reflected in the production of IEC materials which will be distributed at
workshops, seminars, company-level meetings, participation in special events such as World AIDS Day
Campaign, Workers' Day and integration of preventive messages into company newsletters. AED will
continue to work with NASCP in achieving a proper branding of the HCT intervention within the national
promotion strategies. The service promotion will utilize multiple channels and will include mobilization of
union members directly by the unions, mobilization of workers and family members of the SMEs and
coordination of special events as well as the PEs' activities in the unions and companies.
For effective technical guidance, AED will continue to collaborate with the GON agencies and the HCT
Technical Working Group. AED will attend all the TWG technical sessions so that coordination of the
program will be in line with the strategies and direction of PEPFAR. The HCT program will be coordinated
primarily by the HCT officer in collaboration with other technical staff in the AED team and under the
supervision of the Country Director.
New/Continuing Activity: Continuing Activity
Continuing Activity: 21681
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
21681 21681.08 U.S. Agency for Academy for 9407 9407.08 USAID Track $152,887
International Educational 2.0 AED
ACTIVITY DESCRIPTION: POLICY DEVELOPMENT AND HEALTH SYSTEMS STRENGTHENING
Under COP 09, AED will utilize a multifaceted approach to develop and implement HIV/AIDS programs and
policies in the work place. While some progress has been made in developing workplace policies, much
work remains to ensure that workers living with HIV/AIDS can live positively and that those vulnerable to the
disease have the knowledge and skills to protect themselves. As a result, AED will focus efforts on working
hand-in-hand with management of large and small and medium enterprises (SME) to develop effective
AED's ongoing technical assistance and logistical support to targeted enterprises (both large and SME) will
ensure that the companies' workplace HIV/AIDS policies and programs are appropriately developed and
implemented. The following activities describe AED's proposed SMARTWork approach to building a
comprehensive HIV/AIDS program to support project partners.
Workplace Awareness Building Presentations for Senior Management
In order to familiarize and educate management of the target enterprises about HIV/AIDS issues in the
workplace, AED will arrange meetings to highlight the critical need for effectively responding to HIV/AIDS
and the ease with which programs can be developed. During these meetings, AED will provide short
presentations to clarify the components, strategies, and activities of an effective workplace program. The
meetings will take place prior to launching program activities in order to build awareness for HIV/AIDS
issues and to answer any concerns participants may have. Following each meeting, participants will be
canvassed to assess interest in developing policies and prevention and care programs.
GIPA Principles promotion
AED will build the capacity of a pool of people living positively and openly with HIV through the Greater
Involvement of People Living with HIV/AIDS (GIPA) program in order to support the development and
implementation of HIV & AIDS Workplace programmes and policies in the targeted SMEs and enterprises.
These GIPA officers will drive the implementation of workplace programs and the development of HIV/AIDS
workplace policies for the SMEs and enterprises in which they work. They will also be used as trainers to
build capacity for PEs, HIV/AIDS committee members and for sensitization exercises of the workplace
program. GIPA programs remain a viable means of quickly and practically of addressing issues of stigma
and discrimination in workplaces as well as accelerating HIV/AIDS workplace programs.
Capacity Building for Workplace HIV/AIDS Committees
AED will establish committees whose members will represent various aspects of the workplace, share a
commitment to addressing HIV/AIDS, and have the credibility and skills to "sell" the program to others in the
workplace. AED will provide assistance in identifying appropriate persons to represent the diverse interests
and needs of workforce. The Joint Management-Labor Committee will ensure that differences are taken
into account and policies and programs can be developed that work for all areas of the workplace. AED will
then conduct a three-day capacity building training session for members of the HIV/AIDS Planning
Committee. In 25 SMEs and 10 other enterprises, the training will include all aspects of HIV/AIDS policy
and program development and serve to ensure that committee members can play a leading role in the
management of each enterprise HIV/AIDS workplace program.
Peer Educator Training - Prevention, Education, and HIV/AIDS Sensitization
HIV/AIDS prevention, education, and training activities in the workplace are designed to educate and
encourage workers to change or adopt behaviors that will reduce the spread of HIV. Peer educators have
proven to be an extremely effective component of prevention education, as they are co-workers who have
been specially trained to conduct informal education and training activities. AED will provide technical
assistance to target enterprises in selecting up to 150 appropriate staff to participate in a three-day training
to become HIV/AIDS peer educators. These peer educators will reach out to their co-workers through
informal small group discussions and one-on-one interactions to discuss HIV/AIDS, teach safer sex
practices, answer questions, distribute materials, and generally foster an environment of greater awareness
and understanding about HIV/AIDS.
Support to Community-Based NGOs and Their HIV/AIDS Activities
AED will work to build capacity of the selected partner organizations to carry out effective HIV/AIDS
prevention education activities. Additionally, AED will provide continued technical assistance to the
planning committees and peer educators on implementing HIV/AIDS prevention education activities and
linking programs with counseling, testing, and care and treatment service providers. In COP09, at least 2
new partner organizations will be provided with technical assistance for HIV-related institutional capacity
CONTRIBUTION TO OVERALL PROGRAM
The development of effective policies will assist in addressing emerging issues, for example, in the area of
mandatory HIV testing, disclosure of medical information without consent, and discrimination of infected
workers based on real or perceived sero-status. Through the development and scale-up of workplace
education, policy development, and institutional capacity building activities, SMARTWork will contribute to
the Nigerian National Strategic Framework 2005-2009.
LINKAGE TO OTHER ACTIVITIES
AED will collaborate with GHAIN, MEASURE, COMPASS, and SFH in order to share effective approaches
and materials and to foster referral networks.
KEY LEGISLATIVE ISSUES ADDRESSED
Working with enterprises to develop effective policies will lead to an increased understanding of workplace
HIV/AIDS prevention efforts and will assist in removing barriers toward HIV/AIDS prevention through
ensuring workplace protection and guaranteed human rights of workers infected and/or affected by
HIV/AIDS. AED hopes to partner with other organizations to encourage the National Assembly to pass the
Activity Narrative: anti-stigma law.