Program Strategy

The goal of SUSTAIN is to reduce Morbidity and mortality due to HIV infection in Nigeria.

Its Strategic Objectives are:
Prevention of New HIV infections in target populations;;
Providing access to quality care and treatment for People infected and affected by HIV to optimize their quality of life;
Collaborating with GoN and SDFs to effectively manage HIV programs
The SUSTAIN program is driven by the following ideologies:


1. Efficiency – the adoption of only proven and evidence based interventions to implement services to scale for the right populations at the least cost and for the highest coverage and quality.


2. Synergy and Referral Linkages – linking up with complementary programs and facilitates collaborations with other Implementing Partners (IP) to reduce duplication, expand coverage, achieve greater results and provide holistic support to beneficiaries; strengthening  referral systems within facilities and communities through appropriate trainings, establishment of referral networks, and supply of referral tools to maximize opportunities.


3. Scalability – mobilization of sub-grants to support indigenous approaches that are expanded in a cost-effective manner and are consistent with good medical science; designing scale up activities to further achieve health in a stepped approach of site selection, assessment, preparation and activation.


4. Sustainability – adopting approaches that are sustained over the long-term, with particular focus on building the capacity of PTFss and GoN; strengthening health and community systems and supporting an expanded response through GoN increased funding and ownership.


5. Coordination – basing programs and activities on the national plans, policies and guidelines of the GoN in order to promote effective coordination and supervision of national and state responses through technical and organization development of GoN agencies


The Primary strategies for implementation of Project SUSTAIN are:


Capacity Building (CB): This is important to the accomplishment of the objectives of this project. SUSTAIN works with implementing partners and treatment facilities to strengthen capacities in service delivery to clients.  SUSTAIN adopts a two pronged approach of strengthening the leadership and management capacity of Government of Nigeria (GoN), improving the technical and organizational capacity of partners. SUSTAIN facilitates organizational learning, conducts capacity gap assessments, adopt participatory CB strategies and develop detailed CB plans addressing systems, policies, organizational, technical and workforce needs while monitoring CB activities, documenting and sharing best practices/lessons learnt.


SUSTAIN provides routine technical assistance/mentoring of its partners at the service delivering points to ensure implementation of standard  practices in line with its program goals and objectives.



Community Mobilization:  The Catholic Church has established HIV structures, Parish Action Committees on AIDS (PACA) in every community; the members (Parish AIDS Volunteers (PAVs) provide free services to PLHIV. SUSTAIN draws upon past experience to guide community mobilization, establishing strong linkages between PACAs and Partner Treatment Facilities (PTF) and training PAVs and PLHIV to serve as resources for mobilizing and providing care in communities.


Partnerships: SUSTAIN forges and nurtures constructive partnerships to expand and sustain HIV care and treatment. SUSTAIN partners with GoN at all levels and other Implementing Partners (FHI 360, IHVN, MSH, CHIP, APIN Plus and ARHF), promotes Public Private Partnership to expand care through private facilities and mobilize resources for enhanced GoN HIV response.


Health Systems Strengthening: SUSTAIN supports infrastructural development in Partner Treatment Facilities (PTFs), develop proactive leadership, skilled workforce and enhances service delivery. The Site Capacity Assessment (SCA) tool which assesses the overall capacity of health facilities to deliver quality HIV care and treatment in line with WHO HSS building blocks is used to assess PTFs. It assesses program operations rather than program outcomes, enabling supported PTFs to plan and prioritize technical assistance in collaboration with SUSTAIN.


Strengthened State and Community Ownership: SUSTAIN  supports activities that promote state and community ownership of the project. SUSTAIN supports target states to develop HIV sector strategic plans, promote active participation of the state and community in all the phases of the project, strengthens state oversight and regulatory functions. Organizations best suited to promote ownership in Faith Based PTFs are the owners of the facilities. SUSTAIN works with the Catholic Bishops Conference of Nigeria and other such umbrella organizations to develop and implement policies and procedures that promotes ownership and sustainability.