HIV and AIDS Comprehensive Care Initiative (HACCI)

Supported the Government of Nigeria to expand access to and improve the quality of HIV/AIDS prevention, care, and treatment services and to build sustainable capacity in those areas at primary and secondary facilities in Enugu and Ebonyi States. By supporting mobilization of the communities served by these facilities, HACCI fostered local ownership of the delivery of comprehensive HIV/AIDS services.

Objectives included:

  • Provided technical assistance to improve clinical training, strengthen staff competency, upgrade infrastructure, provide supplies and pharmaceuticals, and train health care workers and community volunteers.
  • Helped establish and integrate testing and counseling for HIV, the prevention of mother-to-child transmission of HIV, antiretroviral therapy, TB/HIV integrated care, and care and support services.
  • Implemented and expanded pediatric HIV care, support, and treatment and improve services for orphans and vulnerable children and families affected by HIV/AIDS.
  • Developed facility- and home-based services to optimize the quality of life for HIV clients and their families.
  • Supported community outreach to reduce stigma, disseminate prevention messages, and increase awareness of HIV/AIDS services among remote and vulnerable populations.

Achievements

  • Renovated five secondary health facilities and fully equipped their laboratories to provide HIV diagnosis and monitoring, greatly improving 1) access to and the quality of care for people with HIV and AIDS and 2) patient monitoring.
  • Expanded community outreach by training and supporting about 200 community volunteers to disseminate prevention messages, work with communities to reduce stigma, and increase access to HIV services. As a result, over 2000 people have been referred for counseling and testing.
  • Expanded services to six private for-profit health facilities, thereby extending access to quality HIV services to the middle class, who prefer to use private for-profit services.
  • Fifty-three HACCI-supported health facilities have provided counseling and testing to over 27,000 pregnant women since the project launched.

Duration
2008–2013

Countries
Nigeria

Regions
Africa

Expertise
Health Systems Strengthening, HIV/AIDS, Quality Improvement, Social and Behavior Change

Funders
Centers for Disease Control and Prevention (CDC), U.S. President's Emergency Plan for AIDS Relief (PEPFAR)

Partners
Clinton Health Access Initiative (CHAI), Nigeria Ebonyi State Ministry of Health, Nigeria Enugu State Ministry of Education, Nigeria Enugu State Ministry of Women Affairs and Social Development, Society for Family Health (SFH)