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A Comprehensive HIV Program by an Indigenous Organization in Nigeria: A 5 Year Progress Report

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Title: A Comprehensive HIV Program by an Indigenous Organization in Nigeria: A 5 Year Progress Report
Authors: Oleribe, OO
Osita-Oleribe, P
Nwachukwu, C
Ekom, E
Nwabuzor, S
Amadi, B
Eneche, E
Taiwo, J
Iyalla, G
Taylor-Robinson, SD
Item Type: Journal Article
Abstract: Background: Nigeria has a high HIV burden with over 3,500,000 infected and more than 200,000 deaths annually. Since 2004, international donor agencies and implementing partners managed HIV programs in Nigeria. Excellence and Friends Management Care Centre (EFMC) was the first local organization to be funded to provide comprehensive HIV services in Nigeria. Aim: To document the need, processes and products of five years of indigenous HIV programming in Nigeria. Materials and Methods: PEPFAR funded EFMC from 2011 to provide comprehensive HIV services in Nasarawa State and Abuja, the Federal Capital Territory (FCT). EFMC engaged staff, assessed and activated sites, trained and empowered healthcare workers, provided consumables, enrolled clients and provided preventive, treatment and support services. EFMC also strengthened healthcare systems and refurbished and equipped facilities for integrated HIV services. Results: EFMC decentralized, commonized and integrated HIV services in over 120 service delivery points with an average cost per target of US$ 273.12. We tested 623,148 people for HIV. The positivity rate was 3.3% (annual range 1.9–4.5%). We placed 10,150 on Highly Active Antiretroviral Therapy. In addition, we tested 164,746 pregnant women for HIV with 5,442 (3.3%) positive and provided 4,189 (77.0%) positive pregnant women with ARV prophylaxis. More than 500 healthcare workers in HIV program management. Conclusions: EFMC’s “commonization” model is cost-effective and efficient. Progressively funding local partners will ensure sustainability of HIV programs. Using program results as national figures will save cost from periodic sentinel studies. Government should support local NGOs to control the HIV epidemic in Nigeria.
Issue Date: 10-Jan-2018
Date of Acceptance: 10-Jan-2018
URI: http://hdl.handle.net/10044/1/55838
ISSN: 2141-9248
Publisher: Medknow Publications
Start Page: 101
End Page: 105
Journal / Book Title: Annals of Medical and Health Sciences Research
Volume: 7
Copyright Statement: This open-access article is distributed under the terms of the Creative Commons Attribution Non-Commercial License (CC BY-NC) (http://creativecommons.org/licenses/by-nc/4.0/), which permits reuse, distribution and reproduction of the article, provided that the original work is properly cited and the reuse is restricted to noncommercial purposes. For commercial reuse, contact reprints@pulsus.com
Sponsor/Funder: Wellcome Trust
Wellcome Trust
Wellcome Trust
Funder's Grant Number: 097816/Z/11/ZR
Publication Status: Published
Open Access location: https://www.amhsr.org/articles/a-comprehensive-hiv-program-by-an-indigenousorganization-in-nigeria-a-5year-progress-report-4113.html
Appears in Collections:Department of Surgery and Cancer