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Strategic HIV/AIDS and Tuberculosis Response Program Task Order 2 (SHARP TO2)

  • Nigeria
U.S. Agency for International Development (USAID), U.S. President’s Emergency Plan for AIDS Relief (PEPFAR)
2020 - 2022

FHI 360 leads the Strategic HIV/AIDS and Tuberculosis Response Program Task Order 2 (SHARP TO2) project to provide HIV prevention, care and treatment services in three states in Nigeria: Bayelsa, Edo and Lagos. With funding from the U.S. President’s Emergency Plan for AIDS Relief through the U.S. Agency for International Development, the project supports the Government of Nigeria in improving the quality and effectiveness of evidence-based interventions for controlling the country's HIV epidemic.

The project is committed to transferring expertise to local health-sector counterparts responsible for scaling up proven interventions and strengthening systems to achieve and maintain epidemic control. The project uses a rapid surge approach to achieve epidemic control targets while increasing the mobilization of domestic resources to ensure government ownership and sustainability by the end of the project.


  • Howard University – provides expertise in the decentralization of medication refills through community pharmacies and other private-sector pharmacies and strengthens pharmacy systems and pharmacists’ capacity to manage antiretrovirals and clients on antiretroviral treatment
  • Achieving Health Nigeria Initiative (AHNi) – leads state-level teams and operational support, provides technical assistance and strengthens capacity in HIV and related services in the states
  • Khulisa Management Services – supports operations research to answer key questions for improved program performance
  • Abt Associates – strengthens government financial-management capacities, including increasing domestic resources for HIV programming
  • SHARP TO2 also provides grants under contracts to state ministries of health, autonomous tertiary hospitals and faith-based clinics to deliver clinical mentoring and supportive supervision to their health facilities and communities, as well as to provide direct HIV and TB services


  • Improving HIV/AIDS and tuberculosis (TB) case identification and linkages to care and treatment through targeted and efficient approaches
  • Enrolling patients on HIV/AIDS-TB therapy with adequate adherence and minimal loss to follow-up
  • Suppressing HIV viral load
  • Offering specialized services targeting key populations, which includes men who have sex with men, sex workers and people who inject drugs
  • Increasing government capacity to expand, oversee and finance HIV/AIDS and TB services
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