HEALTH MANAGEMENT INFORMATION SYSTEM
We have over ten years’ experience in deployment and managing locally developed and proprietary electronic medical records (EMR) systems and other electronic clinical decision support solutions. Our EMR systems are set up with patient unique identification numbers that allow us to monitor patients on a long term basis. This has been deployed at over 500 HIV clinics in 8states of Nigeria. Our electronic clinic decision support systems also support community-facility testing and referral management and treatment response monitoring systems.
APIN is able to customize and deploy these solutions for standalone clinics, a network of providers or across an entire state. Our Patient Biometric Solution has been deployed to over 200 health facilities in 8 states of Nigeria. This solution has boosted APIN patients accountability and eased access to ART service care. As the health sector is increasingly embracing technology, this experience positions us as a technical partner of choice for organizations and government agencies who would want to buy-in into such systems in their health facilities and other supported programmes.
IMPLEMENTING AND TECHNICAL ASSISTANCE
Leveraging on our staff mix of professionals from the health and non-health sector we have extensive experience in both direct implementation and technical assistance for health service delivery.
Our technical assistance activities include systems and service delivery assessment, patient flow and laboratory work flow redesign, development of work tools, job aids and standard operating procedures and direct service provider mentorship.
We are also well versed in both facility and community based direct service delivery for HIV testing, Linkage, Advocacy, Care and Support. This combined approach to delivering public health interventions has given us a bird’s eye view of the landscape and enables us to respond to public health needs in a coordinated manner.
HUMAN RESOURCE FOR TRAINING AND CAPACITY BUILDING
APIN is recognized as a key player in the human resource for health capacity building and training in Nigeria. In 2013, we became a Certified continuing professional development provider for Medical and Dental Council of Nigeria and have trained over 1,000 doctors in all areas of HIV service delivery and health systems improvement.
In addition, we have in-house capacity to review and develop training curricula and manuals for health care workers at the 3 level of the health system. We developed a 400 page clinical pharmacy training Manual on HIV medicine that can be adopted for training pharmacists at the tertiary and secondary levels, we have also developed comprehensive modules for training pharmacist Technicians/Assistants in basic ARV dispensing and drug management were also developed for these cadres of health care workers.
In recognition of our capacity for laboratory staff training, we were awarded CLASS, a project designed to build institutional capacity of Nigerian indigenous organizations laboratory development.
We are also consortium members on the BRAINS project, a research capacity building project for junior faculty at the University Of Lagos College Of Medicine.
DESIGN, DEVELOPMENT AND MANAGEMENT OF CLINICAL LABORATORY INFRASTRUCTURE
We are committed to the design and development of quality laboratory and diagnostic infrastructures required to support the delivery of clinical, public health and research services in Nigeria.
To ensure the attainment of quality diagnostic services, we support the provision and utilization of appropriate and standard diagnostic laboratory technologies that include diagnostic equipment, analytical methods and commodity management. The laboratory services directorate provides capacities for screening, diagnosis and treatment monitoring of diseases of clinical and public health importance. Over the years, we have supported the selection, procurement, state-of-the-art diagnostic equipment required for Hematological, Biochemical, Immunological, Bacteriological and Molercular services.
We have also supported, and is still supporting the provision and use of point-of-care testing (POCT) devices to facilitate\ the delivery of quality laboratory services of PHCs and other remote health facilities.
LOGISTICS AND SUPPLY CHAIN MANAGEMENT OF HEALTH COMMODITIES
Over the past sixteen years, we provided commodity logistics services to health facilities in Nigeria. We have built in efficiency into our Logistics and Supply Chain Management functions. Constantly innovating, evaluating and improving the visibility along the entire supply. Utilizing National tools to elicit reports/data, reviewing and analyzing the data, providing feedback, making projections, and forecasts based on validated data, warehousing, and redistribution (as it may be). We also have very strong collaboration with the major stakeholder, to ensure adequacy within the supply chain. We have strong laboratory expertise in the procurement and management of laboratory commodity and supplies. The capacity has always be applied to ensure regular supply of reagent and consumable to supported facility laboratories. We have also developed software that supports efficient store and inventory management of commodity both at the central warehouse and the supported facilities. We are currently coordinating the procurement and management of EID laboratory commodities for the Global fund program in Nigeria through NACA.
RESEARCH MONITORING AND EVALUATION
In APIN, we believe that ‘’ the worth of policy and the programmatic decision cannot be better than the quality of available evidence ‘’. Our monitoring, evaluation and research activities are therefore focused on building system that makes high-quality information available to the client, caregiver, programme managers and policy makers at different levels of the health care system. We use multiple strategies to strengthen both the demand and supply side of Strategic Information.
As an Implementing Partner, APIN has developed a strong capacity in Monitoring and Evaluation (M&E), that allows us to get accurate data about our field activities as quickly as possible, analyse them and make data-informed decisions. Our M&E infrastructure, run by highly qualified and motivated staff is anchored on the National M&E system and guidelines in keeping with the principles of the 3 ‘one’ of M&E system strengthening. Our M&E experience covers the following areas: facility and community-based HIV prevention, care and treatment services, TB services, including TB/HIV integration activities and human resource for the health capacity development activities. We also work with government agencies to strengthen the M&E system. In our role as lead USG IP in different States, APIN supported Borno, Oyo and Plateau States to carry out their first ever M&E system assessment in order to ensure the availability of the M&E system plan. In addition to routine M&E, we have a vibrant and productive research infrastructure led by APIN staff that collaborates with research and academic institutions within and outside Nigeria. In the last 5 years, we have published over 80 articles in peer-reviewed journals and presented over 100 abstracts at national and international conferences. Some of our recent research endeavours include:
- Care4life project: a 5 year (2013-2018) NIH funded grant that aims to examine decisional conflict at the patients level and its association with the loss to follow up (LTFU) and care interruption
- Adolescent care transition project: a 5 years NIH grants on adolescent care transition in HIV. This grant was awarded to the Nigeria Implementation Science Alliance that comprises sister IPs in Nigeria.
- NACA/WAIDI Research projects aimed at understanding the effect of task shifting on the quality of PMTCT services and the determinants of male involvement in PMTCT.
- Care Integration Project: A study assessing clinical screening, diagnosis and management of Non-Communicable Diseases (NCDs) in HIV clinic settings at the primary and secondary levels of care in Nigeria.
We are able to deploy our research and operations research competencies for short term projects to help other organizations generate the evidence they need for their work.
You can visit our publications and articles page here.
COMMUNITY DIRECTED INTERVENTIONS
APIN, since 2000 has been involved in promoting positive social support system in promoting positive support system in the implementation of public health programs (inclusive of HIV/AIDS, Sexual and Reproductive Health (SRH) and Maternal, Neonatal and Child Health (MNCH), targeting various vulnerable populations; children, adolescents (boys and girls), women, PLHIVs, etc and reaching a wider target audience, including those in hard to reach areas and most at risk populations, with a pool of community-based organizations, community development associations, ward health communities and the three tiers of government to ensure an effective and sustainable programs.
ORGANIZATION DEVELOPMENT FOR HOSPITALS, CSOS
As part of building capacity indigenous stakeholders to implement comprehensive health services, APIN has built the capacity of well over 40 Civil Society Organizations (CSO) across our current State of operations by training and retraining of CSO staff, provision of office equipment, IT infrastructure and organizational capacity development programs. aging all business-related relationships with our Funders.