The BRIDGES PLUS project is a project supported through Centers for Disease Control and Prevention (CDC), President’s Emergency Plan for AIDS Relief (PEPFAR) to provide community and hospital based care and treatment using an integrated approach. It involves effective linkages (e.g. “hub and spoke” model) and service coordination to ensure continuity of comprehensive service delivery and local capacity building for stewardship to sustain services on the long term.  The project which commenced in October 2012 currently supports over 637 facilities including 63 facilities providing comprehensive HIV care and treatment in four Nigerian States of Benue, Gombe, Kaduna and Kogi.

Under the BRIDGES plus project, CIHP is using her role as United State Government (USG) lead implementing partner for Prevention of Mother to Child Transmission (PMTCT) to leverage and expand partnerships to harmonize PMTCT support. The project also explore cost-saving partnerships while engaging in periodic reviews and supporting states to generate additional resources for PMTCT.

CIHP is additionally working with local CBOs (Community Based Organizations) to promote a combination prevention approach, prioritizing youth with balanced gender-sensitive messages to address the identified barriers to prevention.  Messages and interventions are developed to target Most at Risk Population (MARP) e.g., young people especially out-of-school youth, the above-noted truck drivers, Sex Workers, MSM (Men having Sex with Men) and prison populations) and strategies focusing on abstinence and the delay of sexual debut (especially in minors and out-of-school youth), partner reduction, and being faithful as well as the distribution, correct and consistent use of condoms.

CIHP is maximizing HIV Testing and Counselling (HTC) resources by targeting MARP (Most at Risk Population) in accordance with each state’s HIV epidemiology while strengthening Provider Initiated Testing and Counseling at health facilities, as an important strategy for reaching those at high risk of HIV infection, including TB patients and suspects and hospital inpatients.

In order to increase access to care and treatment including pediatrics, CIHP is supporting the provision of ongoing health-facility and community/home-based services to optimize the quality of life for HIV-infected clients and their families, while supporting activities that decentralize services to the PHC level based on chronic care model. CIHP is expanding access to quality antiretroviral treatment services and adherence as well as transfer necessary capacities and skills to state and site-level personnel for ensuring quality service provision through Clinical Systems Mentorship, regular clinical and laboratory evaluation and skills for prompt recognition of  treatment failure and switching of  patients as appropriate

CIHP through the BRIDGES Plus project also supports, TB/HIV integration services, Orphans and Vulnerable Children, Laboratory Infrastructure and Strategic Information Management.

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