Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011 2012 2013 2014 2015 2016 2017 2018

Details for Mechanism ID: 10004
Country/Region: Nigeria
Year: 2010
Main Partner: Association of Public Health Laboratories
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: HHS/CDC
Total Funding: $400,000

APHL Narrative from CDC-Nigeria

Association of Public Health Laboratories (APHL) over the past four years has provided technical assistance and technical support to the CDC, Global AIDS Program (GAP) in building laboratory infrastructure in Nigeria through the President's Emergency Plan for AIDS Relief (PEPFAR). During the last four years, laboratory testing services have been scaled up in order to match the increasing need for HIV treatment services. In the course of scale up, the numbers of Implementing Partners (IPs) supporting laboratory services in Nigeria has more than doubled. IPs are responsible for providing technical assistance through training laboratory scientists, providing technical advice, supervision and mentoring and have also provided support in the past through supplying equipment, reagents and general consumables. In COP09, APHL has continued to provide technical assistance for evaluation of the recently adopted HIV diagnostic algorithm, quality assurance activities associated with sentinel surveillance activities and mentoring/training to the Government of Nigeria (GON) and Nigeria Central Public Health Lab (NCPHL).

Activities In COP10 APHL will propose to use funds for technical assistance in three major areas; 1. Senior laboratory advisors to provide CDC/GAP with on-going technical assistance to improve quality and access to laboratory services in Nigeria. This activity will include supporting persons with the appropriate expertise and experience to provide CDC/GAP Nigeria with continuous technical assistance for laboratory operations and for coordination of laboratory programs. 2. Technical assistance support to the Government of Nigeria (GON) for surveillance and test evaluation activities. 3. Technical support to the Nigeria Central Public Health Laboratory, the provision of TA for the continued evaluation of the recently adopted HIV diagnostic algorithm, quality assurance activities and mentoring and training. 4. Technical assistance for the development and implementation of a National Laboratory Policy and a National Laboratory Strategic Plan and the implementation of Quality Management Systems. APHL Co-operative Agreement Goals that Activities relate to:

Activity 1, activity 2 and activity 3 support the following APHL goals: • Goal 5 (SOPs) which calls for 15 national public health laboratories and their 1st tier (provincial and regional hospital laboratories) using approved SOPs for all testing services. • Goal 6 (Safety) which calls for 15 national public health laboratories and laboratories at all tiers in the health system have appropriate safety procedures incorporated in SOPs. • Goal 11 (Technical Assistance) which calls for 100 supervisory supportive assistance visits to laboratories per year in each PEPFAR supported country. • Goal 13 (Quality Systems) which calls for 15 countries having a trained National Quality Assurance Manager by 2012. Activity 4 supports the following APHL goal: • Goal 1 (Strategic Planning Implementation) which calls for all ministries of health in PEPFAR supported countries to have 5 year national laboratory strategic plans completed by end of 2010.

Funding for Laboratory Infrastructure (HLAB): $400,000

APHL COP 10 Budget

The total cost estimates for each activity are listed below;

Activity 1 and 2 require two or more senior lab advisors to provide continued support to CDC Nigeria and

GON. The cost for two advisors, each providing 6-months TA, is estimated at $216,000.

Activity 3 requires TA for mentoring and training and should be provided by consultant through two 2-

week trips for a total estimated cost of $30,000.

Activity 4 can be supported by the senior lab advisor but should be supplemented by additional senior

laboratory consultants. The cost of two or more additional consultants to provide TA for two visits would

be an estimated $74,000.

Cross Cutting Budget Categories and Known Amounts Total: $260,000
Human Resources for Health $260,000
Key Issues Identified in Mechanism
End-of-Program Evaluation