- Global Fund (GF) -HIV New Funding Model (NFM)
In October 2018, HIFASS was sub-awarded a 9-month (3 October, 2018– 30 June, 2019) contract of NGN47,666,572.50 Society for Family Health (SFH) to implement the GF-HIV-NFM project. The project was implemented alongside with an FSW-led CBO, Passion and Concern for Women Welfare and Empowerment Initiative (PACOWWEI) in 3 LGAs of the Federal Capital Territory. It sought to reduce the impact of HIV and AIDS among the key population by strengthening the capacity of Key Affected Populations (KAP) local organizations to deliver and impact positively in the lives of female sex workers with their clients at the grassroots level with key, high-quality HIV prevention and Minimum Prevention Package Intervention (MPPI) within Bwari, Gwagwalada and Kwali Area Council. The FSW component of the project was aimed at reaching high to higher risk Female Sex Worker (FSW) who are vulnerable to HIV using different approach that can best achieve a behavioral change and also the uptake of several biomedical services which include; STI syndromic management, HIV Testing Services, Condom use, Gender Based Violence referral. The MPPI target of 2440 given was reached and surpassed by 2658.
- HJF -Provision of workforce (Research protocols at sites in Kaduna, Lagos and Abuja)
HIFASS has recruited and managed staff to support several research protocols- RV 230 and RV 352that are funded by Henry Jackson Foundation for the Advancement of Military Medicine.
- HJF -RV 230was a cross sectional study aim at mapping the common strains of HIV found in indigenous communities in Nigeria and aimed at developing an effective HIV vaccine.
- HJF -RV 352 was an evaluation of HIV and Malaria co infection in two Nigerian Military Hospital
- HJF-Research RV-368: The contract was aimed at HIV and STI prevalence, incidence and risk behaviours Men Who Have Sex with Men (MSM) in Nigeria and the impact of providing HIV medical and prevention services to Nigeria MSM at a trusted community centre.
- Protection and Assistance to Cameroonian Refugees (PACR)
In April 2018, United Nations High Commission for Refugees (UNHCR) awarded HIFASS a grant of NGN41,413,336.00 to provide emergency assistance to refugees in Cross River and Benue states respectively. The response included distribution of food and non-food items, health assistance and shelter. The project whose goal was PB Emergency response was executed within 6 months (April 1– September 30, 2018). Public Health, Nutrition and Water, Sanitation and Hygiene (WASH) services were provided to registered Cameroonian refugees in Benue and Cross River States and other new arrivals of Cameroonian refugees.
- Strategic Integration of Nigeria Military HIV/AIDS Response (SINM-HAR)
30th September 2018 marked the final day of the Strategic Integration of Nigeria Military HIV/AIDS Response (SINM-HAR) project that lasted five years. Many lessons have been learned and many achievements have been made. The projects partners and all involved will now continue to spread knowledge about HIV Prevention and treatment; Family planning; HIV integration activities amongst others and hope to inspire others to take action!
The project SINM-HAR was a 3 year (2013-2016) structured comprehensive HIV/AIDS technical support program aimed at increasing access, improving quality and transitioning towards fully Nigerian owned sustainable services in the Nigeria Military. However, the Cooperative Agreement had further modifications which extended the project to 2018.
HIFASS supported key areas of HIV/AIDS services in the military under the SINMHAR project which were; Basic Health Care and Support (HBHC), Laboratory infrastructure (HLAB), Health System Strengthening (OHSS), ARV drugs (HTXD), Adult Treatment (HTXS), HIV Counselling and Testing (HVCT), and Strategic Information (HVSI). Services provided by HIFASS in the SINMHAR project pertained mainly in Human Resources Management and strengthening which was crosscutting among all programme areas listed above.
To ensure the quality of service delivery provided by HIFASS under the SINMHAR, HIFASS ensured the recruitment of an adequate number of staff required to run the project. However, in order to ensure sustainability of the services provided, a steering committee was set up in November 2017 and mandated to brainstorm approaches to sustainability and make recommendations. A list of 39 staff has been submitted for absorption into Nigerian Ministry of Defence.
Key Project Achievements
- Training of over 300 staff on HIV comprehensive care;
- More than 28646 clients on ART treatment;
- Establishing well-equipped laboratories including two reference laboratories;
- A total of eight hundred and forty eight (848) HIV Exposed Infants and three hundred and sixty four (364) PMTCT were made into the HIT System within the period under review which ended on the 30th September 2018;
- Key indicators buttress the claim that these efforts have been fruitful: 93% of the DBS PCR tests taken have results available in the HIT System, 93% out of mothers were informed of their child’s results and 94% of infants who tested positive were initiated on ART;
- About half a million people have received quality treatment, counseling and testing through this program and 80% of them are civilians who live in communities surrounding the program facilities;
- Transitioning of 69 staff to Henry Jackson Foundation for the advancement of Military Medicine;
- Throughout the life of the project, advocacy visits were also carried out to Government of Nigeria (Nigerian Ministry of Defense) and military hospital Commanders to commit resources to ownership and support sustainability of the Military HIV program
- HAF II Grant Implementation in Benue State
Benue State Agency for Control of AIDS (BENSACA) through the World Bank credit awarded HIFASS a grant of ₦5, 941,000 to provide demand creation for prevention of mother-to-child transmission of HIV (PMTCT) amongst pregnant women in 35 Benue State communities. These communities are spread across 4 LGAs in the state. The objectives of the project include increased uptake of Antenatal Care (ANC) services, increased number of women who know their HIV status during pregnancy and, eventually, increased facility based deliveries amongst these same women. Project implementation was in accordance with the National Prevention Plan (2010-2015) and approved National MPPI guideline. The target of the HAF 2 project in Benue State was to mobilize 2800 pregnant women (primary beneficiaries) for ANC/PMTCT services in a health facility within 24 months. By the end of the project in July 2015, a total of 4893 pregnant women were referred for ANC/PMTCT services during peer sessions, out of which 3,067 pregnant women received ANC/PMTCT services exceeding the project target by 9.5%.
- HAF II Grant Implementation in the Federal Capital Territory (FCT)
The FCT Agency for Control of AIDS (FACA) also through the World Bank credit awarded HIFASS a grant of ₦21, 743,000 to provide demand creation for PMTCT amongst pregnant women in 7 wards within the Federal Capital Territory. The objectives of both projects include increased uptake of Antenatal Care (ANC) services, increased number of women who know their HIV status during pregnancy and, eventually, increased facility based deliveries amongst these same women. Project implementation was in accordance with the National Prevention Plan (2010-2015) and approved National MPPI guideline. By September 2015, 2225 pregnant women have received ANC/PMTCT services in PHCs spread across the project LGAs of the FCT thereby exceeding the project target of 1790 beneficiaries by 24.3%. The projects collaborate with Traditional Birth Attendants (TBAs) and community volunteers to refer clients for primary health care services including PMTCT, malaria prevention, and control. The project was completed in July 2016.
- NACA Operational Research (The Models Of Decentralization of Art Services and their Level of Effectiveness in Nigeria), Benue, Delta And Oyo State
- Our Work in Malaria Diagnostics
HIFASS in partnership with MOD-HIP/DoD WRP-Nigeria had been involved in the capacity building of malaria Microscopists. HIFASS has, among the trainers on malaria diagnosis in Nigeria, one and the only WHO External Competency Assessment of Malaria Microscopists Trainer/Facilitator in the English speaking West African countries. HIFASS also has WHO level 1 Expert Malaria Microscopist.
HIFASS has involved these staff in:
- Basic Malaria Microscopy Training: 10-day training for would-be malaria microscopist that involves parasite detection (ability to detect the presence or absence of malaria parasites), parasite species identification and parasite quantitation. The program has trained over 640 malaria microscopists nationwide since 2010
- Quality Assurance on Malaria Diagnosis: 5-day training for malaria slide validators and supervisors. Randomly selected slides from a specified period are validated to determine the competency and performance of microscopists in the health facilities
- Refresher Training on Malaria Diagnosis: This is a training conducted for those whose competencies and performances have reduced after some lay off from service bench
- WHO External Competency Assessment of Malaria Microscopists: This is WHO certification of malaria microscopists who have scored >80% in parasite detection, >80% in parasite species identification and >50% in parasite quantitation.
- External Quality Assurance/Control of Malaria Diagnosis: This is on-site activities to assess the competency of malaria microscopists. It is based on
- The HIFASS External Competency Assessor of Malaria Microscopists (trainer/facilitator) (ECAMM) was recently invited with 2 WHO international representative from (AMREF Kenya) and Malaria Diagnosis Centre of Excellence, Kisumu Kenya to conduct competency assessment on 12 Nigerian malaria microscopists in February 2016.
- HIFASS with National Malaria Elimination Programme (NMEP) in conjunction with other implementing partners has established and produced;
- National Guidelines on Diagnosis and case management of malaria
- External Quality Assurance on Malaria Microscopy
- Standard Operating Procedures on Malaria Diagnosis
- Training manual for Malaria Microscopy
- Training manual on “How to perform mRDT”