EKITI STATE OFFICE
APIN’S ROLES in EKITI STATE HIV RESPONSE.
Ekiti State is a state in Nigeria created on 1st October, 1996 from the old Ondo State. The capital of Ekiti State is Ado-Ekiti. It has 16 Local Government Areas. It is bordered by Ondo State to South-East, Osun State to South-West, Kogi State to North-East and Kwara State to North-West. Ekiti State covers an area of 6,353 km2 (2,453 sq mi) with a population of 2,398,957 (2006 Census). The HIV prevalence for Ekiti State has risen from 0.2 (NARHS, 2012) to 2.9% (Sentinel Survey, 2014).
The CDC had implemented the HIV program in Ekiti state in the last five years through the IHVN. The IHVN covered a total of 11 facilities with 12 spokes facilities. Some of the facilities where IHVN once worked have been transitioned to the Ekiti State Government by the CDC. Program activities which included HIV testing services (HTS), Care and Support for HIV clients, Laboratory support, Gender based violence (GBV) screening, Care and Treatment and M/E were implemented. Support was also provided for power generating sets and fueling, equipment for monitoring treatment progress, like CD4, Chemistry, Haematology analyzers and TB GeneXpert testing.
APIN Public Health Initiatives is a Non-Governmental organization registered with the CAC of Nigeria. The organization is a leading implementing partner of the CDC that currently support over 200,000 clients living with HIV in eight states of Nigeria including Ekiti. The organization currently runs a five year CDC grant with the name ‘’Improving Comprehensive AIDS response Enhanced For Sustainability’’ (iCARES). APIN is currently providing treatment and care to over 2800 clients in Ekiti State.
The current grant which officially took off in October 2017 is meant to achieve the following in the 11 supported sites spread across 10 of the 16 LGA in the state.
- Increase the proportion of people with known HIV status in the state through quality HIV testing
- Increase the proportion of people in the state with known status receiving HIV drugs
- Increase the proportion of people with known status receiving HIV drugs with better treatment outcome through viral suppression.
- Provision of Laboratory services including equipment maintenance for the diagnosis and monitoring of treatment outcomes for HIV clients
- Prevention of Mother to Child transmission of HIV (PMTCT).
The strategies employed by APIN to achieve these include the following
- Capacity building of health workers towards quality service delivery. This is also extended to the officials of the State Ministry of Health (SMoH), State AIDS Control Agency (SACA) and Hospitals Management Board (HMB). All areas of HIV service provision, clinical, pharmacy, Laboratory, prevention and community services are covered.
- Introduction of Partners notification service (PNS) to enhance improved testing outcomes including offering testing services to inmates in the four prisons in the state and linkage to the nearest government hospitals for treatment and support.
- Working with the Traditional birth attendants (TBAs) and their association across the state towards reducing mother to child transmission of HIV.
- Technical assistance to the facilities by staff of the state and central offices of APIN through regular visits and mentorship.
- Ensuring all eligible clients are monitored for treatment efficacy through timely viral load testing. All inherited samples have been cleared and turnaround time has been reduced.
- Working with the SMoH, SACA and HMB for program planning and implementation, joint sites supervision and data validation.
- Infrastructural upgrade of facilities to support service provision.
- Supporting the Maintenance of adequate stocks for drugs and laboratory reagents and consumables in collaboration with the state LMCU
- Creation and maintenance of patient- level electronic database system in all supported sites.
- A comprehensive maintenance program for all supported equipment in the state for uninterrupted service provision
- Introduction of differentiated model of care to aid retention in care and enhance quality of client experience.
The following are some of the program achievement of APIN Public Health Initiatives since commencement of program till November 2018.
Description of achievement
Number of individuals who received HIV Testing Services and received their test results, disaggregated by HIV result
Number of pregnant women with known HIV status at first antenatal care visit (ANC1) (includes those who already knew their HIV status prior to ANC1)
Number of HIV-positive pregnant women who received ART to reduce the risk of mother-to-child-transmission during pregnancy. Numerator will auto-calculate from the Maternal Regimen Type Disaggregates.
Number of adults and children newly enrolled on antiretroviral therapy (ART).
Number of adults and children currently receiving antiretroviral therapy (ART)
- Shared FY19 targets with facilities disaggregated into Annual/Semi-Annual/Quarterly/ Monthly/Weekly for ease of tracking by facilities on weekly basis.
- Working with the facilities to improve targeted HTS with a view to a more productive testing.
- Conduct of joint sites visits by the multi-disciplinary team to facilities to trouble-shoot, provide technical assistance and bridge identified gaps
- Expanding access to differentiated care program to further meet the varying needs of the clients that we serve both in the health facilities and the community where they live.
- Capacity building towards quality service delivery.
- Viral load testing for all eligible clients and rigorous follow up of unsuppressed clients with enhanced adherence counselling.
- Biometric capturing for better client authentication