Detailed Mechanism Funding and Narrative

Years of mechanism: 2013 2014 2015 2016 2017 2018

Details for Mechanism ID: 14169
Country/Region: Nigeria
Year: 2013
Main Partner: Abt Associates
Main Partner Program: NA
Organizational Type: Private Contractor
Funding Agency: USAID
Total Funding: $804,119

Inadequate funding allocation for HIV/AIDS by the GON remains the greatest challenge in sustaining HIV/AIDS programs in the country. Lack of capacity in generating and using information for budget negotiations at the national level continue to affect NACAs abilities to mobilize adequate internal GON resources for the national program. In addition, this is negatively impacting on how allocation decisions are made and on how resources are used. This activity focuses on building the capacity of the GON in making evidence based decisions in resource mobilization and use. Capacity will be built in economic analysis and costing of providing, scaling-up and sustaining HIV/AIDS services, while also building the capacity in using such evidence to generate adequate internal resources for the national HIV/AIDS program. Support will particularly be provided to NACAs Resource Mobilization Department so that the agency can effectively deliver on its mandate of mobilizing adequate resources. In addition, the program will help the GON to link financing and budgeting to performance; and in improving transparency and accountability in resource allocation and utilization. Furthermore, the program will employ appropriate tools and methodologies to update all national HIV/AIDS service related cost data. All activities will be implemented in close collaboration with the FMOH, NACA and other relevant GON agencies as well as other stakeholders including but not limited to the World Bank. The activity will have an M&E system to track progress over time.

Funding for Health Systems Strengthening (OHSS): $804,119

This activity will support USGs effort to increase GONs contribution in funding the national HIV/AIDS program through building the capacity of NACA and FMOH and their corresponding structures at state levels to generate high quality evidence and skillfully use such information during budget negotiations at all levels. Such capacity will be built be built through providing tools trainings and mentoring. The program will particularly support the Resource Mobilization Department of NACA through seconding international and local health economists and health policy professionals who can build the capacity of the current staff in economic/policy analysis, budget negotiation, and financial planning and advocacy. Limited support will also be provided for equipment and office facilities for the unit. The activity is expected to significantly enhance NACAs ability in health financing and policy analysis to effectively engage in budgetary dialogue at the national level and to be able to plan and execute resource mobilization strategies.

In addition, the activity will support economic analysis and modeling to inform the design and implementation of cost effective HIV/AIDS interventions in the country. Costing studies will be conducted to understand the current cost and projected needs of providing and sustaining comprehensive HIV/AIDS services in Nigeria. The activity will promote Performance Based Budgeting to link resource allocation decisions to performance and health outcomes. Building on the interventions initiated by HS20/20 Project, this mechanism will work closely with all stakeholders to improve transparency and accountability in resource utilization in the public health sector through supporting the institutionalization of Financial Expenditure Reviews and Resource Tracking Systems and other innovative approaches. This activity will also help the USG to be able to monitor the progress towards achieving the GON financial contribution target set in the PF.