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Cooperative Agreement AID-620-A-00002

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Cooperative Agreement AID-620-A-00002 Cooperative Agreement AID-620-A-00002 Activity Summary Implementing Partner: Family Health International (FHI 360) Activity Name: Strengthening Integrated Delivery of HIV/AIDS Services (SIDHAS) Activity Objective: To sustain cross sectional integration of HIV/AIDS and TB services by building Nigerian capacity to deliver sustainable high quality, comprehensive, prevention, treatment, care and related services. This will be achieved through three key result areas: 1) Increased access to high-quality comprehensive HIV/AIDS and TB prevention, treatment, care and related services through improved efficiencies in service delivery. 2) Improved cross sectional integration of high quality HIV/AIDS and TB services 3) Improved stewardship by Nigerian institutions for the provision of high-quality comprehensive HIV/AIDS and TB services. USAID’s Assistance Objective 3 (AO 3): A sustained, effective Nigerian-led HIV/AIDS and TB response Life of Activity (start and end dates): Sept 12, 2011 – Sept 11, 2016 Report Submitted by: Phyllis Jones-Changa Submission Date: July 30, 2014 2 Table of contents Activity Summary................................................................................................................................... 2 Table of contents................................................................................................................................. 3 Acronyms and abbreviations............................................................................................................. 4 Executive Summary............................................................................................................................ 6 Background............................................................................................................................................ 8 Progress in Specific Program Areas ..................................................................................................... 10 Program Management......................................................................................................................... 17 State Specific Accomplishments.......................................................................................................... 18 AKWA IBOM STATE (Tier 1 State) ........................................................................................................ 18 CROSS RIVER STATE (Tier 2 State)........................................................................................................ 19 LAGOS STATE (Tier 2 State).................................................................................................................. 21 RIVERS STATE (Tier 2 State) ................................................................................................................. 22 Maintenance States............................................................................................................................. 23 ABIA STATE .......................................................................................................................................... 23 ADAMAWA STATE................................................................................................................................ 24 ANAMBRA STATE................................................................................................................................. 26 BAUCHI STATE...................................................................................................................................... 27 BAYELSA STATE .................................................................................................................................... 28 BORNO STATE...................................................................................................................................... 29 EDO STATE ........................................................................................................................................... 30 JIGAWA STATE ..................................................................................................................................... 32 KANO STATE......................................................................................................................................... 32 TARABA STATE..................................................................................................................................... 32 Overarching Challenges....................................................................................................................... 34 Highlights of Plans for the NeXt Quarter ............................................................................................. 34 Appendices: ....................................................................................................................................... 35 SIDHAS M&E Datasheet for USAID Quarterly Report: April – June, 2014.......................... 35 SIDHAS Q3 FY 14 Achievement data by state ............................Error! 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Success story .................................................................................................................................... 41 3 Acronyms and abbreviations ANSUTH Anambra State University Teaching Hospital CH Central Hospital CIMCI Community Integrated Management of Childhood Illness CME Continuing Medical Education CMP Change Management Process CQI Continuous Quality Improvement CRRIF Combined Reports, Requisition and Issue Form CTRR Counseled, Tested for HIV and Received Results DBS Dried Blood Sample DLMH Dr Lawrence Henshaw Memorial Hospital DTS Dried Tube Specimen EID Early Infant Diagnosis EQA External Quality Assurance FMC Federal Medical Center FMWASD Federal Ministry of Women Affairs and Social Development FSW Female Sex Workers GBV Gender Based Violence GCLP Good Clinical Laboratory Practice GH General Hospital HCW Healthcare Workers HMB Hospital Management Board INH Isoniazide IPAC Infection Prevention and Control IPT Isoniazid Preventive Therapy LIT Local Government Implementation Teams LMCU Logistics Management and Coordination Unit MACA Mothers against Child Abandonment 4 MARP Most at Risk Population MDR Multi Drug Resistant MMD Media Materials Development NASCP National AIDS and STI Control Program NAUTH Nnamdi Azikiwe University Teaching Hospital NBTS National Blood Transfusion Service NEPWHAN Network of People Living with HIV/AIDS in Nigeria NTBLCP National TB and Leprosy Control Program OVC Orphans and Vulnerable Children PCR Polymerase Chain Reaction PHDP Positive Health Dignity and Prevention PITC Provider Initiated Testing And Counseling PLHIV People Living With HIV PMTCT Prevention of Mother-to-Child Transmission POWER Partnership Opportunities for Women Empowerment Realization PTQA Program and Technical Quality Assessment Q-MAP Quality Monitoring and Accountability Program QRM Quarterly Review Meeting SBAF Safe Blood for Africa Foundation SMWA&SD State Ministry of Women Affairs and Social Development TACA Taraba State Agency for the Control of AIDS TBA Traditional Birth Attendants UUTH University of Uyo Teaching Hospital 5 Executive Summary Cumulative achievements in the third quarter of SIDHAS project implementation show steady progress towards reaching set targets for the current financial year. The project remained on course across the different thematic areas. Following performance results at semi-annual progress reporting, project teams together with their government counterparts instituted mechanisms for improving and sustaining performance across board. This quarter, 54 additional sites were activated to provide comprehensive ART services. The activations were preceded by pre-activation trainings in readiness for service provision at the new sites, as well as post-activation mentoring activities to assess quality of service and supply necessary tools and commodities. PMTCT sites also benefited from the post- activation mentoring services. Other activities aimed at increasing access to available services included HTC at the facility and community levels among the general population, MARPS, and pregnant women. Supportive supervisory visits were sustained during the quarter to ensure continuous quality improvement in service provision. On-site capacity building activities such as infection prevention and control, and continuous medical education took place. Local Government Implementation Teams (LIT) were mentored to provide quality supportive supervision to PHCs including data collation, review and validation. Facilities selected for WHO-AFRO accreditation were mentored to sustain service quality in preparation for accreditation exercise. Other capacity building events included trainings of healthcare workers (HCW) on pharmacy best practices, good clinical laboratory practices, gender mainstreaming, and isoniazid preventive therapy (IPT). Laboratory equipment including GeneXpert machines were procured and installed in supported laboratories in some states in efforts to promote provision of quality services. Three GeneXpert machines obtained from USAID were installed at NAUTH in Anambra State, GH Ogoja in Cross River State, and Braithwaite Memorial hospital in Rivers State. SIDHAS team facilitated a training on logistics management of health commodities for Borno and Yobe facility staff. The training was conducted from June 22 – 27, 2014 in Bauchi. The aim was to address gaps in supply chain management and data collection that emerged as a result of the security challenges
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