BACKGROUND• The Global Fund Project to provide HCT and SRH/HIV integration services: A PERFORMANCE BASED PROJECT• By Nov 2011 (Qrt 5) the targets for: HCT was 492,948 (54,828) 657,264 Sites providing services was 486 (206) 486 SRH/HIV integrated services 169,350 (42,231) 225,800

Late grant signingStock out of commodities

Cut off date for periodic review was setting in Fear by staff to be labelled non performer

Services were not provided optimally

ACTION FOR CHANGE: What did we do?• Develop a contingency plan• Situated the plan within a theoretical model - Kotter's 8-Step Model

i. Urgencyii. Create work sub groupsiii. Develop shared visioniv. Communicate vision widelyv. Empower staffvi. Develop short term goalsvii.Consolidate and create opportunity for changeviii.Stick to the change and create more change

Change Outcomes and Lessons Learnt cont. 1. Change performance of:

- Site: Health Facilities- HCT 79%- SRH/HIV integrated services

2. The overall grant performance was 113% (rated A1 by the Global Fund)3. Given the right condition of work, health personnel can overcome the challenges in

performance based grant4. Intensive mobilisation and shared vision is an important condition for managing change in

performance based grant

Acknowledgement1. IPPF Colleagues: Dr Yilma Melkamu; Dr. Ginette Hounkanrin; 2. PPFN Colleaques: Dr. I. M. Ibrahim; I. O. Ogo; Dr. O. Opeyemi; Dr. D. Toki; 3. The Global Fund 4. Government of Nigeria5. The proprietors of health facilities

THANK YOU