Ended Projects

LIST OF Ended Projects:

1. Supporting and Strengthening Women Capacity for Inclusive Participation in Politics and Governance in Anambra and Imo States:
Economic and Social Empowerment of Rural Communities (ESERC); one of the recipients CSOs to United Nations Development Programme (UNDP) on the Project "Grant to CSOs to the Implementation Project Activities on Women's Participation in Politics in Nigeria". The project commenced on January, 2019 and ended in March 2019 upon signing the contract agreement with UNDP.

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2. GF HIV-NFM Project:
Global Fund HIV/AIDS New Funding Model (GF HIV-NFM)
ESERC is the Sub-Recipient to Society for Family Health (SFH); one of the Principal Recipients of the Global Fund HIV project in Nigeria. SFH was responsible for the implementation of HIV Prevention programmes for the General Population, Key Population-Men who have Sex with Men (MSM), Female Sex Workers (FSW) and People who Inject Drugs (PWID) and an Action Research among Adolescent and Young Persons. The project was implemented in ten States of Akwa Ibom, Edo, Enugu, Kano, Kaduna, Gombe, Anambra, Imo, Lagos, Oyo and FCT Abuja.

ESERC was responsible for the implementation of HIV prevention for the Men who have Sex with Men (MSM) in Enugu State using Minimum Prevention Package Intervention (MPPI) strategy . The project started in October 2015 and ended in December, 2017.

The approach of the NFM was "Investing for Impact against Tuberculosis and HIV" so as to achieve the following outcomes by December 2017:

1. To reduce new HIV infections, and improve the quality of life for the infected and affected.
2. To provide Nigerians with universal access to high-quality, patient-centred prevention, diagnosis, and treatment services for TB, TB/HIV, and drug-resistant TB by 2020.
3. To contribute to the restoration of public confidence in primary health care services in Nigeria, and thereby reverse declines in the utilization of primary health care facilities.

The specific objectives of the NFM grant are to:
1. Attain universal coverage for bridge populations with mobile HIV Testing services as part of a package of prevention services.
2. Increase availability and access to condom and lubricants to about 1,137,877 general populations over the period of the grant.
3. Reach a total of 54,407 KPs with minimum prevention package of interventions (MPPI)
4. Unravel factors that increase vulnerability of girls (15-24 years) to HIV and AIDS through an action research.
5. Generate, implement and share evidence, innovations and lessons learnt through the action research.

Worked in 4 Local Government Areas of Enugu state; mainly the urban and semi-urban LGAs of Enugu State;

1. Enugu East LGA
2. Enugu North LGA
3. Enugu South LGA
4. Nsukka LGA

ESERC recruited and trained MSM Peer Educators in each of these LGAs who carried out HIV/AIDS peer sessions in different sites. ESERC also carried out HIV/STIs Testing Services (HTS) for the MSM in these LGAs. Those that tested positive to HIV or other STIs were referred to designated health facilities in Enugu State.

Output Indicator:


Number of MSM counseled, tested and received results 202
Number of referral made from community for STI services at health facility 49
Number of HIV + individuals referred by Mobile HIV Testing Services (MHTS) counselor testers to health facility for care 112
Number of completed referrals (number access health services) 89
Number of male condoms distributed 355,320
Number of Co packaged (lubricant and Condom) distributed 67,200
Number of lubricants distributed 16,870
Number of peer reached with MPPI 277



Despite the achievements and new leanings, there were challenges in the implementation of the project which included:

• Same Sex Marriage Prohibition ACT which hindered many MSM from identifying with the project.
• High level of stigma against the MSM community.
• Non-disclosure of HIV positive status to Counselor testers.
• Erroneous belief in cure due to long placement on anti-retroviral.

In the course of implementation of the project, there were new leanings of which some of them are:

• Accompanied referrals and engaging the Facility Health care workers in community outreaches improved linkages to care and increased uptake of integrated HIV services.
• Active participation of MSM also referred to as community members in programme implementation through their Community-Based Organizations (CBOs) increased service uptake especially among the MSM community.
• The use of Peer tracking card to a large extent minimized the issues with double counting and duplication of services among highly mobile MSM.
• Ensuring commodity availability at the onset of programme implementation is sine-qua-non to continuous service provision and overall grant performance.
• Meaningful engagement with State Actors during project implementation promotes ownership and sustainability at the state levels.


3. World Bank HPDPII:

HIV/AIDS Programme Development Project (HPDP2)

BACKGROUND

ESERC worked as Performance Monitoring Service Support Organization (PM-SSO) in South East Zone for Performance Monitoring of Civil Society Organizations (CSOs) in South East zone (Abia, Anambra, Ebonyi, Enugu and Imo States). This project was funded by National Agency for the Control of AIDS (NACA) commenced in August 2014 and ended in December, 2015. And was extended for another 3 Months (December 2016 – February 2017).

The HPDPII Objective is "to reduce the risk of HIV infections by scaling up prevention interventions and to increase access to and utilization of HIV counselling, testing, care and support services".

The HPDP2 has 3 components:
• Expanding the Public Sector Response
• Expanding the civil and private sector response to the HIV/AIDS Epidemic: this component will support the civil society response through a system of grants to NGOs (the HIV/AIDS Fund - HAF)
• Strengthening mechanisms for project coordination and management

Under component 2, supports were provided to civil society and private sector organizations through a system of grants, but with greater emphasis on improving results:

(i) evidence-based target setting, prioritization of interventions based on state-specific data;
(ii) strengthen performance-based monitoring systems;
(iii) communicate expected indicators of success, targets and results to be achieved by the CSOs and PSOs;
(iv) lengthen the funding period and increase funding amounts going to individual grantees, and
(v) Address gaps in the response by contracting outside specialists to fill the gaps.

ESERC was hired by National Agency for the Control of AIDS as a Service Support Organizations (SSOs) to support NACA and SACAs gather independent evidence that CSOs contracted under the HAF are fulfilling the terms of their contracts (performance audit), i.e. ensuring that contracted CSOs are delivering expected results.

OBJECTIVES
The specific objectives of the service support are:
1. To objectively verify that funded organizations implement activities and deliver results as set out in the agreed contracts.
2. To collect program and M &E data from contracted CSOs on a monthly basis and forward summary to SACA & NACA every quarter.
3. To ensure that financial data is made available by contracted CSOs and to confirm the accuracy and reliability of this data.
4. To make recommendation to SACA & NACA based on performance of contracted CSOs and their capacity needs
5. To verify accuracy and reliability of reports submitted by contracted CSOs
6. To provide on the spot mentoring & technical assistance to the contracted CSOs on M&E and programme implementation as required

ACTIVITIES
Some of the activities carried out by ESERC under the project included:
• Attended start-up workshop of States in South East zone and held a session with contracted CSOs on what to expect from the PM-SSO;

• Conducted monthly visits to all contracted CSOs and:

• Provided Technical Assistance (TA) and carried out Data Quality Assurance (DQA).
• Ensured compliance with the approved work plan of grantees
• Collected data from CSOs monthly and reported to NACA on a quarterly basis showing the degree to which contracted CSO have delivered results as set out in their contract and the reliability of data reported by CSOs.
• ESERC staffs in each State visited project sites to further authenticate reported activities;
• ESERC attended quarterly review meetings with NACA to debrief and interact with other SSOs to share experiences and lessons learnt;
• ESERC identified and collated capacity gaps that cannot be bridged on the spot and informed NACA and SACAs.
• Submitted rapid reports to NACA & SACA on situations that required immediate action that could not wait for the usual quarterly reporting.

OUTCOME: ESERC built the capacity of all the CSOs in South East zone on programme implementation and all the contracted CSOs produced validated results.

ESERC built the capacities of the Contracted CSO on:
• HIV/AIDS Minimum Prevention Package of Intervention (MPPI) strategy.
• MPPI data capturing tools
• DHIS
• Program reporting
• Program documentation
• Effective financial system
• Monitoring and Evaluation.


4. PATHS2 Project:
Primary Health System strengthening Project funded by Partnership for Transforming Health System II (PATHS2) Project: 1st May 2013 – 31st May 2016:

ESERC/PATHS2 Voice and Accountability (V&A) work focused on encouraging citizens to voice their experiences of, and concerns with health services, and to place pressure through effective advocacy on government to be more responsive and accountable in their delivery.

PATHS2 work stream are:
1. The development of facility Health Committees as a mechanism to promote citizen voice and enable greater accountability of government and health providers to service users.
2. Advocate initiatives to pressure government to improve service delivery
3. Participatory policy/strategy development and resources tracking to improve government responsiveness and the allocation and expenditure of health sector resources.
ESERC assignment focused on the first work stream.
PATHS2 focused on strengthening the health system and health service delivery in order to reduce maternal and neo-natal mortality and contribute in achieving MDGs 4&5

Evidence has shown that FHC work is contributing significantly to improve service delivery as such, a scale up of the FHCs within the PATHS2 supported services delivery sites is now required.

These Committees have three broad operational areas namely;
• Improve health Facility and facility performance
• Involve the community members they are representing in decision making as regards to their health facility.
• Increase community access to health facilities and mobilize community members for better health.
ESERC project tied to strengthening FHCs focused on providing trainings and mentorship to FHCs.

ESERC implemented this project in 29 communities in 5 Local Government Areas of Enugu State, namely:
1. Igboeze North LGA
2. Igboeze South LGA
3. Isi-Uzor LGA
4. Udi LGA 5. Nkanu East East

Other activities carried out by ESERC included:
1. Training of Facility Health Committees in each community
2. Intensive monthly mentoring support spanning a 12 month period for each FHC
3. Conducting quarterly FHC self-assessment
4. Quarterly FHC alliance/experience sharing meetings at LGA levels
5. Quarterly community networking events
6. Bi-monthly review meeting/planning meetings with PATHS2
7. Bi-annual administration of community score card
8. Annual State-wide meeting with government stakeholders.
9. Provide support to ensure the FHCs are able to effectively oversee the Drug Revolving Fund/Sustainable Drug Supply System (DRF/SDSS).

Achievements:
• ESERC constituted, trained and mentored 29 FHCs across the 5 LGAs
• A lot of achievements were recorded by the FHCs such as:
- mobilization of resources to carry out minor repairs in their health facilities.
- ensured health workers were always on duty and reduced absenteeism of health workers.
- DRF/SDSS were effectively utilized
- Carried out series of advocacy visits to undertake to minor projects in their health facilities
- The government became sensitive to problems of the communities etc


5. In School Youth-Zip Up Plus Project - ISY-ZIP PLUS

Period: January 2014 – July 2015

Donor: Global Fund/Society for Family Health

Project Name: ISY RH

Location: Enugu State

Goal/Objectives: To reduce menace of HIV/AIDS in our schools by localizing HIV/AIDS information through training Peer Educators and mentoring instituted Peer Groups in each identified school.

Activities/Interventions:
• Training of 20 Peer Educators in 2 Secondary schools
• Mentoring of 20 Peer Educators for 3 months
• Monitoring of 20 Peer Group sessions thrice in a month
• Establishment of a viable Anti-AIDS Club in the intervention school

Indicator: Number of Peer Educators trained
Number of Peer Groups
Number of Peer Group Sessions Monitored

Challenges: School Administrators are inadequately informed about the project
Constraint in the timing of the activities to fit into already tight school time table Inadequate funding


6. CUBS Project

Community Based Support for Orphans and Vulnerable Children (CUBS) Project:
CUBS project was a USAID project funded through Management Sciences for Health (MSH), ESERC was one of the CSOs that implemented the project in Enugu State.

ESERC implemented the CUBS project in Enugu East LGA, between June 2011 and June 2014. In total ESERC enrolled 1,401 OVC and 550 caregivers and provided 6+1 services to them.

Goal/Objectives: To support the government of Nigeria to implement its National Plan of Action on OVC by developing and strengthening community based services delivery for OVC as well as building community ownership, reducing gender discrimination and increasing OVC involvement and advocacy.

Activities/Interventions: The activities targets OVC aged 0-17 years and adult caregivers. ESERC served 1,401 OVC and 550 households in Enugu East LGA with 6 + 1 in consistency with the National OVC Guidelines. These services included:
• Psychosocial support,
• Health
• Education and skills
• Legal protection
• Shelter and Care
• Food and Nutrition and
• Household Economic Strengthening.

The project additionally offered a variety of innovative OVC service delivery approaches that were community-based and Family-centered, reaching the most venerable and hard-to-reach populations such as Street Children, OVC who do not attend school, church, etc.

Other activities carried out by ESERC included:

• Formation of Child Protection Committee (CPC) in 5 Communities in Enugu East LGA
• Provision of Birth certificate
• Re-application of CSI
• School monitoring
• Provision of Block Grant to 3 Schools for education access for the OVC.
• Organized different trainings for the Caregivers on different areas such as; Food and Nutrition, Psychosocial support, household economic strengthening etc
• Provided seed grants for 50 caregivers to start up a business
• Training of community volunteers
• Recreational activities for the OVC
• Home/schools visits
• One-on-one and group counseling for the OVC and their households
• Formation of Adolescent Girls Club in communities of intervention
• Formation of Village Savings and Loans Association (VSLA) in Enugu East LGA
• Formation of Kids' Club in communities of intervention.
• Provision of Life Skills & RH, HIV Prevention activities/HCT through Kids/Youth Club to 90 OVC in 3 communities. (30 in each community)

Project Indicator: Number of OVC enrolled = 1,401
Number of OVC maintained = 1401
Number of caregivers trained on different skills= 550
Number of caregivers empowered economically = 50

Challenges: Some specified interventions are sometimes not consistent with the traditional values of the intervention communities.
Some services like HES do not make provisions for up to 20% of the OVC and their caregivers Inadequate funding which has not reflected into effective household strengthening of the families involved in the programme


7. Community Systems Strengthening – CSS:
ESERC is one of the CSOs that implemented the CSS in Enugu State. This project was funded by the Global fund through the ATM (AIDS Tuberculosis and Malaria).

Period: July 2013 to March, 2014.

Project Location: Oyofo community, Ezeagu LGA, Enugu State

Goal: To generate demand for AIDS, Tuberculosis and Malaria services at Primary and Secondary Health care facilities.

Objectives: To contribute to the restoration of public confidence in grass root health care services in Nigeria thereby reverse the decline in the utilization of PHC Facilities

Activities: Community Sensitization, Escort Service, Monitoring of daily service uptake

Indicator: Number of people referred for ATM services to Oyofo Health Centre

Challenges: during the implementation, ESERC encountered some challenges which included; Insufficient Funding, Deficiency of Health Facilities at the Health Centres hampers quality service delivery, ill-equipped DOT Centres.


8. Roll Back Malaria project: This project was funded by Society For Family Health (SFH). ESERC carried out Rapid Diagnosis Test (RDT) on malaria in Enugu State between 2010 and 2011.
The project revealed that many Nigeria citizens do not go for malaria test before treating malaria, the project took malaria testing to the door steps of the Enugu residence and many tested positive and were referred for treatment.


9. MDGs Project:
Monitoring and Evaluation of 2008 and 2009 MDGs Projects and programmes in Imo State– Civil Society Organization.

ESERC executed consultancy service for the monitoring and evaluation of 2008 and 2009 Debt Relief Gains (DRGs) Funded Millennium Development Goals (MDGs) project and programmes (Civil Society Organization –CSO) in Imo state.

The sectors ESERC monitored included:
1. Health sector
2. Education sector
3. Water and sanitation
4. Agricultural sector

ESERC monitored and supervised all the projects executed in the State by Contractors ensuring standards were met and also interacted with the community beneficiaries of these projects to ascertain whether they were involved in decision making before the projects were sited . ESERC reported her findings to the Office of the Senior Special Assistant to the President on MDGs (OSSAP-MGDs).

Some of ESERC findings were:
1. Many projects were abandoned by the contractors.
2. Some contractors claimed they were not fully mobilized to complete the projects.
3. in most cases, the communities were not involved in decision making about the project, there were no needs assessment before projects were site.
4. There were no community ownership of the projects in most beneficiary communities.
5. Most of the projects lacked maintenance by the community beneficiaries as most of the projects were abandoned as a result of minor problems.


10. CIHPAC Project:
ESERC implemented Comprehensive Integrated Approach to HIV/AIDS Prevention and Care (CIHPAC) project funded by USAID through Society for Family Health (SFH) in Obiagu Community, Enugu North LGA, Enugu State from April 2008 to December 2010.

The project targeted Female Sex Workers (FSW), In-School Youths (ISY) and Out-of-School Youth (OSY) with HIV prevented using Peer Education Plus Model (PEP Model).

Achievements:
Some FSW quitted their sex work and started meaningful businesses with support from ESERC.

220 youth in Obiagu were reached with HIV prevention interventions including HIV Counseling and Testing