OGUN STATE OFFICE
Ogun State is one of the states in South West Nigeria. It has a population of 3,728,098 and 20 local government areas (LGAs) of population ranging from 55,093 to 539,170 in each LGA. APIN is the lead implementing partner (IP) in HIV service delivery in Ogun, and supports facilities in 13 LGAs.
The Ogun State field office was created as part of APIN Public Health Initiatives’ expansion from 3 (three) to 8 (eight) states of the federation under the Improving Comprehensive AIDS Response Enhanced for Sustainability (iCARES) project.
Pursuant to the UNAIDS 90-90-90, since inception on January 22, 2018, the APIN Ogun team has been providing support across 30 facilities to 13,170 clients.
Figure 1: Facility distribution in Ogun State
Figure 2 STATE TEAM LEAD
Various activities to improve human capital, service processes and facilities’ structure have been done since inception of the Sate office in January 2018. These include:
Training of various cadres of Health Care Workers at the service delivery points.
TLD Rollout and Distribution
Following the approval for in-country use as preferred first-line regimen, Dolutegravir, an integrase strand transfer inhibitor, was introduced. It was flagged off on the 30th August, 2018with convergence of stakeholders including the state, all HIV Implementing partners and service providers at the facility front.The implementation started in October 2018 with enrolment of treatment-naive patients on TLD and substitution of Efavirenz-intolerant and in November, transition from Tenofovir-Lamivudine-Efavirenz (TLE) to TLD November 2018 commenced in the State.As at November 2018, over 500 clients have already been either enrolled on or transitioned to TLD with the numbers increasing every other week.
- Renovation of 5 selected ART and PMTCT sites in the State
Quality Improvement Project in the State
Olabisi Onabanjo Teaching Hospital QI project aimed at improving ART Initiation
Project Period – January 2018 till date
Aim: To improve ART Uptake among newly positive clients from 32% to 70% by September 2018
Change Ideas Implemented – Use of linkage tracker
Weekly compilation of clients in pre-ART pool
Fast tracking of adherence counseling sessions
Reduced number of baseline investigations
Outcome: Improved linkage rate from 32% to 84% by September 2018