The World Health Organisation – Department of Foreign Affairs, Trade and Development (WHO-DFTAD) INSPIRE (Integration of Scaling up PMTCT through implementation research) project is a four year study aimed at assessing the impact of optimizing an integrated Maternal Neonatal Child Health/Prevention of Mother to Child Transmission (MNCH/PMTCT) service delivery approach using Continuous Quality Improvement (CQI) methods. In the INSPIRE study, CIHP is responding to three selected country priority questions, identified during the country priority exercise held mid-2011. It is expected that the outcome of the study will:
- Provide direction on definite steps to integrate MNCH services and PMTCT programs, thus improving quality of care and increasing the availability of essential interventions.
- Provide guidance on strategies to best engage communities in order to improve access and uptake of PMTCT intervention.
- Provide guidance on mechanisms to improve quality and consistency of PMTCT services, thus ensuring that irrespective of delivery place, mother and infant gain full and timely access to PMTCT interventions including early infant diagnosis.
It is also expected that the outcomes of the research will be generalized and scalable nationwide, especially to hard-to-reach and underserved populations, also it is believed that through this research findings, CIHP will be able to galvanize and inform policy changes to policy makers at all levels.
The SCOPE project is a five year grant funded by the Centers for Disease Control and Prevention (CDC), with the aim of strengthening, expanding and developing high-quality pre-service training programs in students and tutors at the undergraduate and post-graduate levels. This would be done through sustainable, innovative and locally owned approaches in line with the PEPFAR’s 3–12–12 global targets. CIHP is working with selected training institutes to equip students and tutors with knowledge and competencies for effective and efficient provision of high-quality comprehensive HIV/AIDS prevention, care and support, and treatment services at the facility level.
Across the 4 states of Benue, Gombe, Kaduna and Kogi, CIHP is partnering with the following institutions:
- School of Nursing, Kafanchan, Kaduna
- School of Nursing, Makurdi, Benue
- School of Nursing, Obangede, Kogi
- School of Nursing, Gombe
- School of Midwifery,Kafanchan, Kaduna
- School of Midwifery, Makurdi Benue
- School of Midwifery, Ayingba, Kogi
- School of Midwifery, Gombe
- College of Health Technology , Makarfi, Kaduna
- College of Health Technology , Agasha, Benue
- College of Health Technology , Idah, Kogi
- College of Health Technology , Kaltungo, Gombe
- Ahmadu Bello University, Zaria, Kaduna
- Ahmadu Bello Univerisity Teaching Hospitl, Shika, Kaduna.
Students upon graduation were being provided with innovative methods, students will be provided with didactics and practical training that will enable effective clinical management of HIV/AIDS.
CIHP would also be working with different regulatory bodies and relevant Government bodies to adapt existing training curricula for these schools for expanded training in HIV/AIDS to enable a more robust capacity building for succeeding generations of graduating students.
CIHP is partnering with Human Resource for Health (HRH) to provide support to Ministry of Health (MOH) to generate a live database of all healthcare workers in the country, which is intended to aid/serve as a platform for National Planning. CIHP works with Medical and Dental Council of Nigeria (MDCN) to build the capacity to provide support to generate database of Medical Doctors to be able to monitor practices status and licensure. CIHP also works with the Postgraduate Medical Colleges to train residents of the faculty of Public Health in Clinical HIV/AIDS Management.
The BRIDGES (“BRIDging the Gaps and Enhancing Sustainability”) Project is a locally driven, all-inclusive effort to further develop comprehensive, family-centered, quality-focused, sustainable HIV/AIDS prevention, treatment and care services in the four Nigerian states of Benue, Kaduna, Gombe, and Kogi (it was initially six states to include Akwa Ibom and Cross River States). The project goals and objectives are to substantially contribute to the Government of Nigeria (GoN) National HIV/AIDS Strategic Framework, the GoN United States Government (USG) Partnership Framework on HIV/AIDS 2010–2015 and PEPFAR’s global 3–12–12 targets.
The services supported through this project are a combination of HIV prevention, care and treatment including interventions to reduce sexual, biomedical, and mother-to-child transmission; HIV counseling and testing; care and support for adults and children; management of TB/HIV co-infection; supportive services for orphans and vulnerable children; and Anti-Retroviral Therapy (ART). Service delivery support is driven with a focus on quality management through Clinical Systems Mentorship and continual quality improvement activities. This project which currently supports 424 sites including 38 comprehensive sites in supported states. CIHP uses eight approaches cutting across all intervention areas that serve to define the project’s core values:
1) Local experience and expertise;
2) Strategic partnerships;
3) Comprehensive, family-centered care;
4) Quality and evidence-driven programming;
5) Skills transfer and capacity building;
6) Advocacy for sustainability and local ownership;
7) Gender-sensitive approaches;
8) Greater involvement of people living with HIV.
Sustainability plan is integral to the success of this project therefore, CIHP currently works with Government of Nigeria (GoN) and non-governmental organisations (NGO) partners to increase their programmatic and financial responsibility for managing comprehensive HIV/AIDS services within an integrated health care system. Over the life of the project, there is a demonstrated progressive increase in local stewardship of high quality comprehensive HIV/AIDS services and other health services in the supported states.
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.
CIHP is implementing a two and a half year comprehensive HIV care and treatment program on the Global Fund Consolidated Round 9 Phase 2 grant. The organisation is as a sub-recipient to the National Agency for the Control of AIDS (NACA) which is the Principal Recipient on the grant.
This grant is being implemented in four states-Benue, Gombe, Kaduna and Kogi and runs from January 2013- June 2015.
The aim is to Scale-Up Gender Sensitive HIV/AIDS Prevention, Treatment, Care and Support Intervention for Adults and Children in Nigeria and strengthening basic health service systems to scale -up AIDS, Tuberculosis and Malaria (ATM) interventions in Nigeria.
The objectives of the project include:
- Scaling up gender sensitive HIV prevention services among children and adults in Nigeria;
- Scaling up chronic HIV/AIDS treatment among adults and children in Nigeria;
- Scaling-up gender sensitive care and support for people living with HIV/AIDS (PLWHAs) and orphans and vulnerable children (OVC).
- Creating a supportive environment for delivery of comprehensive gender sensitive HIV/AIDS services; and
- Enhancing the management and coordination of HIV/AIDS programs in Nigeria.
The project areas include the following:
- HIV Counseling & Testing
- Prevention of Mother to Child Transmission (PMTCT)
- Antiretroviral Treatment and Monitoring
- Prophylaxis and Treatment of Opportunistic Infection
- Early Infant Diagnosis
- Tuberculosis/HIV Collaborative Activities
- Sexual and Reproductive Health/HIV integration
The Y’ello Doctors Medical Mobile Intervention Scheme (YDMMIS) was awarded to CIHP by the Mobile Telephone Networks Foundation (MTNF). The scheme seeks to support the Nigerian Primary Health Care System through the deployment of state of the art mobile medical clinics in six states across six geopolitical zones of Nigeria. The six states are Abia, Delta, Ogun, Taraba, Niger and Katsina.
Primary health care services is being provided in 6 selected state Local Government Areas/Communities with services delivered from mobile project vehicles fitted with medical equipment at designated communities/LGAs. Current health services/ intervention provided include but not limited to Maternal Child Health (MCH), Acute & Chronic diseases for Adolescent and Adult patients, Tuberculosis screening, Malaria Treatment, HIV Testing and Counseling (HTC) and immunization mobilization.