The Strategic HIV/AIDS and TB Response Program Task Order 2 (SHARP TO2) is the follow on to SIDHAS project in Bayelsa, Edo and Lagos States funded by PEPFAR through the United States Agency for International Development (USAID).  With a start date of 25th February 2020, the 2-year project is aimed at improving the quality and effectiveness of high impact, evidence-based Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome (HIV/AIDS) interventions to meet Nigeria’s state and LGA specific goals and objectives. As a follow on to the SIDHAS project, SHARP TO2 approach is to transfer expertise gained in SIDHAS to local counterparts responsible for scaling the proven interventions and strengthening the systems needed to achieve and maintain epidemic control by its end date of 24th Feb 2022. SHARP TO2 puts the Government of Nigeria (GON) in the driver’s seat of focused, data-driven efforts to precisely target limited resources to bridge the remaining LGA-specific gaps to the 95-95-95 goals and achieve epidemic control.

The project is led by the Prime partner FHI 360 along with 4 other consortium partners, namely Howard University, providing expertise to decentralize ART in the private sector and, strengthen pharmacy systems capacity, Achieving Health Nigeria Initiative (ANHI), who will lead state-level teams, provide technical assistance (TA) and strengthen capacity in HIV services and related systems, Khulisa Management Services, who will support operations research (OR) to answer key learning questions and Abt. Associates, who will strengthen GON financial management capacities, including to increase domestic resources for HIV programming. SHARP TO2 will also provide grants to State Ministries of Health (SMOHs) and tertiary hospitals to deliver clinical mentoring and supportive supervision to high-volume health facilities, and some Civil Society Organizations (CSO) to implement community-level activities.

SHARP TO2 seeks to identify and support proven interventions through improvement of service delivery and strengthening health systems with an expanded effort with the GON across 26 LGAs in Bayelsa (4 LGAs), Edo (12 LGAs) and Lagos (10 LGAs) States.  The project aims to improve the quality and effectiveness of high-impact, evidence-based HIV/AIDS interventions and  to sustain cross sectional integration of HIV/AIDS and TB services by building GON capacity to deliver sustainable, high quality, comprehensive, prevention, care, treatment and related services. SHARP TO2 currently supports 3 state governments, 72 public health facilities, 10 private for-profit health facilities and 3 Private not for profit health facilities or faith-based organization (FBOs) facilities.

The National AIDS Indicator and Impact Survey (NAIIS) results released in March 2019 redefined the HIV epidemic in Nigeria. In response, the PEPFAR program in Nigeria has done extensive reprogramming of funds to support HIV service delivery in areas with highest unmet needs.  Activities that will be carried out in FY21 aim to consolidate the major achievements and milestones reached by SIDHAS and the SHARP TO2 interventions in its first year of operations. Implementation will continue to focus on achieving PEPFAR 3.0 strategic priority of epidemic control through 95-95-95, achieving contract and annual targets.      This FY21 workplan takes into account the challenges of the first year of implementation due to disruptions occasioned by the corona     virus pandemic. The conceptual framework guiding the implementation of the contract as shown below is driven on the backbone of GON leadership and implementation of integrated evidenced based interventions and activities to achieve the 95-95-95 goals.

Figure 1:
SHARP TO2 Conceptual Framework


Lagos, Bayelsa and Edo State



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