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Clinical Services Department

Department Head
Dr. Ernest Ekong
MBBS, MPH, PhD, FACP

 

The Clinical Services Department is one of the founding departments of the ACTION (AIDS Care and Treatment in Nigeria), now ACTION Plus Up program since its inception in 2005. Quality of all ART services is its catchword. The foundation in clinical care by the Clinical Services department is to focus on a sustainable high quality clinical care outcomes for all recipients of services at our points of care. The Clinical department collaborates with about 362 centers for antiretroviral treatment, 177 for tuberculosis treatment, and 757 for HIV-related palliative care for adults and children throughout Nigeria with presence of services at all levels of the public health care system. As at September 2016, there are 435,790 adults in care and out of which 290,611 have received treatment at supported sites.

In order to effectively decentralize facilitatory supervision, the department has focused on mentorship through practical training and consultation that fosters ongoing professional development through participation. Currently the department has 3 divisions for technical oversight: Adult treatment, Pediatric treatment and Pharmacy, with emphasis on Quality Improvement to provide patient-related benchmarks of quality care.

GOAL:

To engender global best practices in ART care and treatment by enabling a learning culture at all supported sites in Nigeria. The department, in line with the strategic objectives of ACTION now ACTION Plus-Up project, has been supporting the Government of Nigeria as well as supporting the decentralized delivery of HIV treatment, care and prevention in many treatment sites across the country. IHVN identifies patients through HCT services, including community and facility-based, mobile and family-centered strategies. Local capacity at the various facilities is built in various areas of clinical care. The department contributes in the review of the National ART training curricula as well as job aids at various levels of the health care system in Nigeria. Training is synergized across centers at different levels of care using cross-training and adaptation of materials. Curricula training and mentoring techniques are continuously being improved based on evidence as well collaborating with the Applied Health Research and Quality (AHQ) unit to employ QIP processes derived from a routine quality of care assessment (ACTIONQUAL).

Summary of Current Activities

  • Development of curricula, and manuals in all relevant clinical thematic areas some of which have been adapted for National use
  • 362 centers for antiretroviral treatment
  • 177 for tuberculosis treatment
  • 757 for HIV-related palliative care
  • Professional development-orientation training for all new staff engaged in the treatment of HIV/AIDS, participation in National training courses, organizing international preceptorship for Physicians at sites/staff, CMEs through clinical meetings at sites as well as organizing retreats, and conference updates for lead ART providers in Nigeria
  • Gwagwalada Model Care and Treatment Center – a built facility that allows IHVN staff as well as other experts to provide ongoing medical and consulting services. It provides clinic for patient-based trainings and preceptorship as well as to conduct research on best practices and models of care.

ACHIEVEMENTS

  • As of September 2016, 290,611 patients have received ART
  • Action Plus up trained Master Trainers using the IMAI curriculum through decentralized training at all the regions.
  • In conjunction with the Applied Health Quality (AHQ unit) trained on Clinical Quality Improvement Programs across all service areas and formed clinical quality working groups and committees at facilities.
  • Adoption of the hub and spokes model with continuous mentoring of all hubs on best clinical practices being decentralized to support and mentor the spokes (mainly PHCs).
  • Clinical Associates are present in some hubs with high patient load of at least 1000.
  • Task shifting encouraged at sites especially those with high patient load.

The Unit supports the Government of Nigeria to adapt and adopt WHO PMTCT guidelines and collaborates with the Federal Ministry of Health, relevant United States Government and UN agencies in their respective in-country implementation of MNCH/PMTCT and Safe Motherhood programs.

Unit contact email: This e-mail address is being protected from spambots. You need JavaScript enabled to view it

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:: Support and Funding

The Institute of Human Virology, Nigeria AITRP Training Programmes are supported and funded by the Fogarty International Center.
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