- 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 HITSystem 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.
- Protection and Assistance to Cameroonian Refugees (PACR)
In April 2018, United Nations High Commission for Refugees (UNHCR) awarded HIFASS a grant of ₦41,413,336.00 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. During the 6-month project implementation, five thousand six hundred and one (5,601) refugees in both Benue and Cross River states accessed different levels of care on a need by need basis while four hundred and eight (468) pregnant women accessed ANC services.
- HJF Medical Research International LTD, Gte. (HJFMRI Ltd/Gte) funded programs/projects
- Research RV-515: HIV and STI incidence and Risk Behaviours among Men Who Have Sex with Men (MSM) and Female Sex Workers (FSWs) in Nigeria.
- 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.
- RV 230: was 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.
- RV 352: was an evaluation of HIV and Malaria co infection in two Nigerian Military Hospital
- HAF II Grant Implementation in Benue State
In December 2013, 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 includes 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.Projectimplementationwas 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)
In January 2014, 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 includes 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.Projectimplementationwas 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 project is at advanced stage of completion. 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.