LAGOS STATE OFFICE
APIN as a development Partner in Lagos has supported the state since year 2000 in reducing the scourge of HIV/AIDS. APIN has capable team in the Lagos office who have worked assiduously in scaling up HIV prevention and early detection services such as conducting community outreaches, and offering prevention services to key populations and other at risk groups in times past. We realized that by focusing on key populations and other at risks population, provided a stronger drive to prevent new HIV infections and ensure reduction in transmission risk of the virus.
The Lagos team has capable technical team with expertise in different thematic areas who provide programmatic support to healthcare workers that offer clinical services to PLHIVs accessing care and treatment at APIN supported ART clinics across the state.
Although, the iCARES CDC program in Lagos was transitioned to another Implementing Partner in September 2019, APIN is currently a Sub-Recipient (SR) of the HIV component of the Global Fund Integrated grant (NGA-C-LSMOH) where Lagos State Government is the Principal Recipient (The PR). During the iCARES, 7 LGAs were supported by APIN Public Health Initiatives under the CDC/PEPFAR project in Lagos State.
HIV/AIDS services are carried out in all of the scale-up and sustained support LGAs in Lagos State. The activities include supportive supervision and mentorship, data validation, and continuous quality improvement for all HIV services at supported sites in Lagos State.
The Lagos APIN team routinely conducts on-site mentorship and localized training. The objective of the training is to build the capacity of health care workers in providing standard and improved HIV services. The prevention directorate mentors service providers on counselling skills, adherence, providing HIV services for the key population, couple counselling, provision of PMTCT services, just to mention a few. The clinical and PSCM directorates conduct Adult and pediatric ART training and a couple of TB/HIV trainings. The lab directorate also trains service providers in HIV testing services, EID services and proficiency testing.
The team is committed to the continuous improvement of strategy and modifications thereof, to achieve results.
Other services offered include but is not limited to:
- Care for pregnant women with HIV to reduce mother to child transmission.
- Provide comprehensive ART services to PLHIV to ensure they are retained on ART and are virally suppressed.
- Support for key populations- Female sex workers, Men who have sex with men and prisoners.
- HIV testing services and linkage to ART for incarcerated persons in the state prisons.
- Promoting strategic testing in facilities, communities and hotspots to ensure HIV positive clients know their status as early as possible.
Impact made so far.
A total of 530179 clients where tested for HIV in 2018 by the APIN’s iCARES project and 6086 people tested positive. 6005 clients newly commenced ART in FY 18.
APIN iCARES project has 26404 patients that are currently on ART in Lagos state.
APIN Public Health Initiatives is a non-governmental donor-funded organization dedicated to the prevention, treatment, care and support of diseases of public health importance in Nigeria, including HIV/AIDS, tuberculosis and malaria, among others. APIN works in partnership with the Federal and State Governments of Nigeria, United States Center for Disease Control (CDC), as well as the Global Fund to fight AIDS, Tuberculosis and Malaria in Nigeria. We offer professionals opportunities for career advancement, a good working environment and competitive remuneration. We are seeking qualified and suitable candidates to assume the vacant position below:
APIN’s work in the State since inception- GLOBAL FUND PROJECT
APIN is the Sub-Recipient (SR) to Lagos State Ministry of Health (the PR) in the Global Fund new funding mechanism since 2017. After the 2017 GF one year grant, APIN received two GF grant extensions: – January 2018 to June 2019 and this new grant (NGA-C-LSMOH) which is from July 2019 to December 2020.
APIN’s role as the Sub-Recipient (SR) on the HIV component of the integrated grant includes provision of technical assistance for delivery of quality HIV services covering HTS, PMTCT including EID, SRH/HIV, Adult ART, Pediatrics ART, TB/HIV, M&E, Laboratory, Pharmacy and supply chain management in the GF supported facilities. The activities include supportive supervision and mentorship, data validation, and continuous quality improvement for all HIV services at supported sites in Lagos State.
The GF grant provides support to eighty-eight (88) health facilities comprising 7 ART sites, 32 PMTCT sites (of which Ita-Elewa PHC and Ilasa PHC also serve as ART refill sites in Ikorodu and Oshodi-Isolo LGAs respectively) and 49 HTS standalone sites.
We realized that to holistically tackle PMTCT in Lagos State, the community component has to come in place to support the facility effort. Patronage of Traditional Birth Attendants (TBAs) in Lagos is a huge business in Lagos State and thus necessitating APIN’s collaboration with Civil Society Organization (CSO) to provide testing of pregnant women at TBA centres and linkage of identified positive pregnant women to the nearest health facility for the provision of complete PMTCT services.
The Lagos team has a capable technical team with expertise in different thematic areas who provide programmatic support to healthcare workers that offer clinical services to PLHIVs accessing care and treatment at APIN Global Fund-supported ART clinics across three (3) LGAs (Epe, Ikorodu and Oshodi-Isolo) in Lagos state.
APIN’s capable team in the Lagos office has worked assiduously to reduce the impact of HIV/AIDS in Lagos, by scaling HIV prevention, early detection services, care and treatment. The team is committed to the continuous improvement of strategy and modifications thereof, to achieve results.
The impact made so far (January 2017 to December 2019):
- A total of 889,230 Lagosians (Adult and children) have been tested and received their HIV results across the supported 3 LGAs – Epe, Ikorodu and Oshodi-Isolo from January 2017 to December 2019, out of a cumulative grant target of 937,504. Giving a cumulative performance of 95%.
- A cumulative of 7,226 new HIV positive cases were identified across the 3 LGAs. Out of this, 6,213 were linked and enrolled into HIV care at 86% enrolment rate, and 6,106 of the enrolled HIV+ cases were started on Antiretroviral treatment (ART), which is at a 98% ART Initiation rate.
- A total of 169,568 Pregnant Women (Facility and Community/TBAs) have known their HIV status across the supported 3 LGAs – Epe, Ikorodu and Oshodi-Isolo from January 2017 to December 2019, out of a cumulative grant target of 181,342. Giving a cumulative performance of 94%.
- A total of 1,245 HIV+ Pregnant Women cumulatively received Antiretroviral Therapy (ART) for the prevention of mother-to-child transmission between January 2017 and December 2019.
- A cumulative of 10,879 PLHIV are currently receiving Antiretroviral Therapy (ART) across the supported 7 ART sites in the 3 LGAs.
- The implementation ensured 100% TB screening for all PLHIVs enrolled in the programme across the supported facilities in the 3 LGAs (including Pregnant Women on PMTCT), and that over 90% of identified TB positives received treatments for both HIV and TB.
- The Laboratories in the GF support ART sites were also supported as there was an enrolment of the 7 Laboratories at the ART centres in Lagos State for 2019 National External Quality Assurance (EQA) /Proficiency Testing (PT).
- APIN implemented ART decentralization from high volume and busy ART site (GH Ikorodu and GH Isolo) to PHCs (Ita-Elewa and Ilasa PHCs) where 549 and 519 patients go for their ARV refill respectively. This significantly reduced workload as well as patient waiting time for PLHIVs receiving care at GH Ikorodu and GH Isolo. Fifteen (15) Community Pharmacists have recently started serving as ARV refill centres for PLHIVs across the three (3) LGAs. Devolvement from the busy ART sites to this community Pharmacist is ongoing.
- Capacity building was a major focus as APIN conducted training in the various thematic areas (HTS, PMTCT, ART, Laboratories and Pharmaceutical services) which helped to improve the knowledge and skills of HCWs towards the provision of quality HIV care and treatment across the 3 GF supported LGAs in the State.
APIN Global Fund project has 10,879 patients that are currently on ART in 3 LGA of Lagos State.
APIN will continue to ensure the provision of quality treatment care and support to 12,672 PLHIVs who are currently on ART, in the course of the grant implementation across the 3 GF supported LGAs.
List of GF Facilities where APIN work in the State