PEPFAR

BACKGROUND OF THE RSSH GRANT

The RSSH 2024 – 2026 grant is designed to contribute to making foundational changes by strengthening the health systems in Nigeria through targeted interventions that support the federal government to set policies, strategies and standards as well as plan, monitor, and review progress against those standards; governance and planning reforms that align with national policies, standards, and strategies to drive sustainable improvements to maximize impact on HIV, Tuberculosis and Malaria (ATM) and other diseases. The Community Systems Strengthening of the RSSH grant is geared towards three priority interventions: (i) community-led monitoring, (ii) community-led advocacy and research and, (iii) Institutional capacity building, planning and leadership development. Gaps that are identified through the monitoring activities will be noted, prioritized and remediation sought through advocacy to decision-makers at the government and community levels. This will lead to more effective service delivery, improved accessibility, affordability and investments by communities and governments at local and state levels for health and particularly ATM.

The ATM networks (NEPWHAN, TB Network and ACOMIN) are Technical Service Organisations working on the RSSH grant, with the National Tuberculosis, Leprosy and Buruli Ulcer Control Program (NTBLCP) as the Principal Recipient. The ATM networks implement a wide array of activities, in 36 states and FCT, with each network assigned to lead designated set of activities. The key activities under Community-led monitoring as an intervention area include: Update the 2019 CSS Framework; Validation of the updated CSS framework; Printing and dissemination of the updated CSS Framework; Meeting of the leadership to ATM Networks to define operation modalities of the National CLM Plan; Biannual coordination meeting of the CSS leadership to monitor the National CLM Plan; Development of SOPs to guide the formation of new CLM programs and ensure its coordination across all disease and populations; Validation of SOPs to guide the formation of new CLM programs and ensure its coordination across all disease and populations; Production of a shadow report on progress made with National and State strategic health development plans with a focus on the likelihood of impact on the ATM response and prevalence of diseases; Validate the assessment report on the effectiveness and appropriateness of the CLM; Validation of the shadow report on progress made with National and State strategic health development plans with a focus on the likelihood of impact on the ATM response and prevalence of diseases; and Validation of information flow and accountabilities for responses to issues flagged by CLM data.

The key activities under Community-led research and advocacy as an intervention area include: Expand staffing capacity of CL/BO to deliver CLM effectively; Identification and formalization of information flow and accountabilities for responses to issues flagged by CLM data; Annual review of CLM programs to ensure the needs of all populations are addressed; and Development of a digital CLM platform to link all the CLM eMIS platforms in the country to facilitate access to and generate CLM relevant reports.

The key activities under Capacity building and leadership development as an intervention area include: Attendance at one leadership course each year; Attendance at two conferences each year; Office rent to support the functioning of the national secretariat; Support the functioning of the national secretariats  with office equipment, information management systems; Support the functioning of the national secretariats  with training of 4 qualified programme staff; Learning exchange for CL/BO to include site visits, online/virtual mentoring; Conduct an assessment of the effectiveness and appropriateness of the CLM intervention supported by this grant; Analyze the cost-effectiveness of the CLM-CHIPS engagement model for scale-up; Training on data interpretation and use for advocacy to improve access and quality of services; Training on governance, accountability and domestic resource mobilization; Community observatory to coordinate and action human rights and gender issues; Development of manuals, templates and guidelines for CBOs providing data for the CLM electronic platform; Validation of developed manuals, templates and guidelines for CBOs providing data for the CLM electronic platform; and Regular in-house training on qualitative data collection, legal literacy, gender and monitoring of human right abuses.

 

 

BACKGROUND OF THE C19RM GRANT

Global Fund is presently supporting the COVID-19 Response Mechanism (C19RM) grant in 21 states for the period, January 2024 – December 2024. The C19RM Grant is being implemented through the National Agency for the Control of HIV/AIDS (NACA) as the Principal Recipient (PR). The C19RM grant seeks to address gaps in the systems and infrastructures for efficient and effective outcomes in the health systems as well as the communities and CSOs’ integration into the COVID-19 response, such that all contribute their quota in achieving results.

The ATM networks (NEPWHAN, TB Network and ACOMIN) are partners and Technical Service Organizations (TSOs) to NACA implementing the C19RM grant in 21 states. NEPWHAN coordinates the implementation of the grant in 7 states – Akwa Ibom, Bauchi, Edo, Nasarawa, Ondo, Oyo and Sokoto; TB Network coordinates the implementation of the grant in 7 states – Anambra, Cross River, Ekiti, FCT, Lagos, Plateau and Rivers and; ACOMIN coordinates the implementation of the grant in 7 states – Delta, Gombe, Jigawa, Kaduna, Kano, Kwara and Ogun.

The major responsibilities of ATM networks on the project are to establish Community Led Monitoring Teams (CLMTs) and strengthen the capacity of facility-based, community networks, frontline staff and volunteers; advocate for increased national, state and LGA support for ATM and COVID-19; and to improve the coordination of CSOs and community structures for informed inputs into the C19RM intervention at the community, state and national level. 

 The C19RM grant is geared towards four priority interventions: (i) community-led monitoring, (ii) Gender-based violence/response to human rights, (iii) Advocacy and stakeholder engagement, and (iv) CSOs Coordination and Capacity Enhancement.

The key activities under Community-led monitoring as an intervention area include: Focused Group Discussions (Entry and Exit); Client Exit Interviews; Key Informant Interviews at facilities and LGAs; Monthly supportive supervision by the State program Officers (SPOs); and National and State quarterly supportive supervision conducted by the National team and State ATM Coordinators.

The key activities under Gender-based violence/response to human rights as an intervention area include: Community Outreaches on IPV and GBV; Small Group Sensitization campaigns by the GBV Case Managers; Linkage of reported GBV incidences for Post GBV services; and Support for GBV Case Managers.

The key activities under Advocacy and stakeholder engagement as an intervention area include: Advocacies and follow-up advocacies by the Community Based Organizations (CBOs)/Community Led Monitoring Teams (CLMTs); Set-up of the State-level Advocacy Teams in the new implementing states (Akwa Ibom, Bauchi, and Sokoto); Monthly advocacies conducted by the State Advocacy Teams; and Quarterly advocacies conducted by the National Advocacy Team.

The key activities under CSOs Coordination and Capacity Enhancement as an intervention area include: Training and retraining of the CBOs; Training of GBV Case Managers; Monthly Coordination meetings with state partners; and Monthly GBV review meetings with key stakeholders.