Prevention Organizational Systems AIDS Care and Treatment Project – Pro-ACT, Nigeria Quarterly Progress Report, January – March, 2016

The project is implemented by Management Sciences for Health (MSH) and is funded by the United States Agency for International Development (USAID) under the agreement number AID-620-A-00-09-00013-00. The project's intermediate results include strengthening civil society organizations (CSOs) and community structures for sustained HIV/AIDS and TB services, sustained access to quality integrated HIV/AIDS and TB services and products, and strengthened public and private sectors to increase demand for HIV/AIDS and TB services and interventions, especially among target groups. During the quarter from January to March 2016, the project made significant progress in implementing its activities. The implementation status of the project's intermediate results is as follows: IR 1: Strengthened CSO and community structures for sustained HIV/AIDS and TB services. The project supported the establishment of 15 new CSOs and strengthened the capacity of existing ones. A total of 2,500 community health extension workers (CHEWs) were trained on HIV/AIDS and TB services. IR 2: Sustained access to quality integrated HIV/AIDS and TB services and products. The project supported the provision of HIV/AIDS and TB services to 10,000 clients, including 5,000 pregnant women and 3,000 children. A total of 2,500 patients were initiated on antiretroviral therapy (ART). IR 3: Strengthen public, private, and community enabling environments. The project supported the development of standard operating procedures (SOPs) for HIV/AIDS and TB services in 10 health facilities. A total of 500 health care workers were trained on HIV/AIDS and TB services. The project also faced some implementation challenges, including inadequate funding, lack of infrastructure, and limited human resources. However, the project is working to address these challenges through the development of a sustainability plan and the establishment of partnerships with local organizations. The project's monitoring and evaluation (M&E) plan is being updated to ensure that it is aligned with the project's objectives and the USAID Forward priorities. The plan includes indicators for measuring the project's progress and impact, as well as a system for tracking and reporting on the project's activities and outcomes. The project is also integrating cross-cutting issues and USAID Forward priorities into its implementation. The project is working to address gender issues, sustainability mechanisms, local capacity development, and science, technology, and innovation impacts. The project has a strong stakeholder participation and involvement plan, which includes regular meetings with stakeholders, community engagement, and the establishment of a technical working group (TWG). The project is also working to address management and administrative issues, including financial management, human resources management, and logistics management. The project has several upcoming events, including a stakeholder meeting and a training program for health care workers. The project is also working to establish partnerships with local organizations and to develop a sustainability plan. The project's financial report for the quarter from January to March 2016 shows that the project has made significant progress in implementing its activities. The project's accrued expenditures for the quarter were $2,954,582.47, and the project's cumulative accrued expenditures to date were $73,091,558.12. The project's estimated expenditures for the next quarter are $2,779,781.28.