ONDO STATE OFFICE
APIN’S ROLES in ONDO STATE HIV RESPONSE.
Ondo State is a state in Nigeria created on 3 February 1976 from the former. It originally included what is now Ekiti state, which was split off in 1996. Akure is the state capital. Ondo state borders Ekiti state to the north, Kogi State to the northeast, Edo State to the east, Delta State to the southeast, Ogun State to the southwest, and Osun State to the northwest. Ondo state covers an area of 15,500 km2 (6,000 sq mi) with a population of over 4.6 million. The HIV prevalence for Ondo has dropped to 1.6% from the 4.6% recorded in the 2006 survey.
The CDC had implemented the HIV program in Ondo state in the last five years through the IHVN and the CCFN whose area of coverage were the catholic hospitals. The IHVN covers a total of 25 facilities with 11 spokes facilities. The CCFN worked in 4 catholic hospitals. Some of the facilities where IHVN once worked have been transitioned to the state Government by the CDC. Program activities which included HIV testing, care and support for HIV clients, Laboratory support, gender based violence 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 Ondo. 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 9500 clients in Ondo state.
The current grant which officially took off in October 2017 is meant to achieve the following in the 30 supported sites spread across 17 of the 18 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 ministry, SACA and HMB. All areas of service provision, clinical, pharmacy, Laboratory, prevention and community services are covered.
- Introduction of Partners notification service 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 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 office 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 state ministry of health, SACA and Hospital Management board for program planning and implementation, joint supervision and data validation.
- Provision of technical assistance to the state owned PCR machine to further boast the state capacity for Molecular diagnosis.
- 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)
- Working with the facilities to improve targeted HTS services with a view to a more productive testing.
- 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.
- Joint supervisory visits with state actors to supported facilities
- Capacity building towards quality service delivery
- Viral load testing for all eligible clients and rigorous follow of unsuppressed clients with enhanced adherence counselling.
- Biometric capturing of clients towards better client authentication.