Sunday, September 22, 2019
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Prevention / Special Population Unit

Unit Head
Silas Gurumdi 
RN, B.Sc SW, B.Sc Mass Comm. PGD.C&P


The Prevention/Special unit comprises of HIV Testing Services (HTS), Key Populations (KP), Orphans and Vulnerable Children (OVC), Gender- Based Violence (GBV) and Adolescent HIV Care and treatment.

Apart from offering HTS services, this Unit is focused on providing numerous prevention services to the special population aforementioned which primarily serves as the entry point to treatment, care and support services in our Achieving Control of HIV AIDS Epidemic through Evidence (ACHIEVE) project.

HIV Testing Services: Goal is to break the chain of HIV transmission by offering HTS to persons who have been exposed to HIV and linking them to HIV treatment, care and support if HIV positive, or Prevention services (e.g. Post Exposure Prophylaxis (PEP), Pre-Exposure Prophylaxis (PrEP), Condoms services), if HIV negative. HTS is offered both in facilities as well as the communities utilizing strategies that provides high yielding HIV positive clients. These strategies include Provider Initiated Testing and Counseling at strategic point of services, Partner(s) Notification Services (PNS)/Family testing, Social Network Testing and strategic community testing riding on Private Medicine Vendors (PMVs), Private Labs and Traditional Birth Attendance (TBAs). Our objective is that 90% of all people living with HIV within the three states supported under the ACHIEVE project (Nasarawa, Kano and Katsina) and the Federal Capital Territory (FCT) will know their status and linked to core HIV AIDS services.

Key Populations (KP):

The goal here is to reach out to the KPs including, Men having Sex with Men (MSM), Female Sex Workers (FSW) and People Who Inject Drugs (PWID). This is to disrupt the transmission chain through prevention services and link them to appropriate treatment, care and support services. Strategies employed include, intensified case finding by strategically testing KPs who are likely to be positive using a risk profile-based approach. This approach relies on behavioral and biological markers for HIV positivity. These include testing all KPs presenting with sexually transmitted infections (STIs), low condom use, high risk sex, and KPs with sero-discordant partners.

ACHIEVE Project is partnering with Heartland Alliance International, ANAWIM Poorest of the Poor and ICARH to facilitate self -testing options and referral, same day, same site commencement of ART for positive KPs, establishment of One Stop Shops (OSS), intensive focused adherence/support program with viral load testing to ensure community viral suppression and the use of evidence-informed prevention-based peer-led networks which is the fulcrum for the 90-90-90 service delivery.

Orphans and Vulnerable Children: The main goal is to reach out to the children orphaned or vulnerable as a result of losing one or both parents or infected or affected with HIV and AIDS. Our core objectives are:

To attain 70% of healthy children and their households, achieve SAFE environment for 70% of children and their households, achieve 70% STABLE and resilient households, have 80% of children SCHOOLED with basic education, increase OVC program monitoring, data management and use by 90% and achieve social welfare systems strengthening within the ACHIEVE project States.

Gender Based Violence:

The program is focused on stemming the tide of violence among the populace which impacts on the utilization of comprehensive HIV and AIDS prevention, treatment, care and support services. Key objectives are focused on:

Increasing gender equity in HIV/AIDS programs and services, including reproductive health services, preventing and responding to gender-based violence, engaging men and boys to address norms and behaviors around masculinity and sexuality, increasing gender-related policies and laws that increase legal protection, increasing gender equitable access to income and productive resources, including education integrated health service models. Others are community and civil society engagement, meaningful participation of women, girls, boys, men, people with other gender identities and vulnerable groups and health systems strengthening to ensure capacity and quality for gender activities along the HIV continuum of care.

Adolescent HIV Care and Treatment: As a group that falls in between children and adults, this group is most often neglected or forgotten. The ACHIEVE project is determined to, improve case finding for HIV positive adolescents, achieve 90% linkage of HIV positive adolescents to care and treatment services, achieve at least 90% viral load suppression rate in adolescents on ART and achieve 90% twelve-months retention for adolescents on ART.

The ACHIEVE project is working with facilities and community structures to bridge the gap in this area and achieve equitable access for this special group.

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

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