HIV and AIDS Comprehensive Care Initiative (HACCI)
Funded by: US Centers for Disease Control and Prevention through the President's Emergency Plan for AIDS Relief
Project Duration: 2008 to present
Countries: Nigeria
Geographic Focus: Enugu and Ebonyi States
Partners:
Federal Ministry of Health (HIV/AIDS Division);
State health ministries in Enugu and Ebonyi; State Action Committee on AIDS (in
both states); Ministry of Women Affairs and Social Development (in Enugu);
Ministry of Education (in Enugu); Supply Chain Management System (a project
funded by the U.S. Agency for International Development and a PEPFAR
implementing partner); Clinton Health Access Initiative (donating ready-to-eat
therapeutic food); Society for Family Health (donating condoms and supplying
Water Guard)
Overview
URC is supporting the Government of Nigeria to expand access to and improve the quality of HIV/AIDS prevention, care, and treatment services and to build sustainable capacity in those areas at primary and secondary facilities in Enugu and Ebonyi States. By supporting mobilization of the communities served by these facilities, HACCI is fostering local ownership of the delivery of comprehensive HIV/AIDS services.
Key Activities
- Provide technical
assistance to improve clinical training, strengthen staff competency, upgrade
infrastructure, provide supplies and pharmaceuticals, and train health care
workers and community volunteers.
- Help establish and
integrate testing and counseling for HIV, the prevention of mother-to-child
transmission of HIV, antiretroviral therapy, TB/HIV integrated care, and care
and support services.
- Implement and expand
pediatric HIV care, support, and treatment and improve services for orphans and
vulnerable children and families affected by HIV/AIDS.
- Develop facility- and
home-based services to optimize the quality of life for HIV clients and their
families.
- Support community
outreach to reduce stigma, disseminate prevention messages, and increase
awareness of HIV/AIDS services among remote and vulnerable populations.
Achievements
- Renovated five
secondary health facilities and fully equipped their laboratories to provide
HIV diagnosis and monitoring, greatly improving 1) access to and the quality of
care for people with HIV and AIDS and 2) patient monitoring.
- Expanded community
outreach by training and supporting about 200 community volunteers to
disseminate prevention messages, work with communities to reduce stigma, and
increase access to HIV services. As a result, over 2000 people have been
referred for counseling and testing.
- Expanded services to
six private for-profit health facilities, thereby extending access to quality
HIV services to the middle class, who prefer to use private for-profit
services.
- Fifty-three
HACCI-supported health facilities have provided counseling and testing to over
27,000 pregnant women since the project launched.
Expertise
HIV/AIDS; Tuberculosis
Approaches
Quality Improvement; Health Systems Strengthening; Health Communication and Behavior Change