$53,777,417

GH22-2234: DELIVERING COMPREHENSIVE AND SUSTAINABLE HIV/AIDS CLINICAL AND COMMUNITY SERVICES TO ACHIEVE HIV EPIDEMIC CONTROL IN SUBNATIONAL UNITS IN NIGERIA UNDER THE PRESIDENT'S EMERGENCY PLAN FOR AIDS RELIEF (PEPFAR - ACCESS PROJECT ABSTRACT THE ACCESS (ACCELERATED CONTROL OF HIV EPIDEMIC AND SUSTAINABILITY SOLUTION) PROJECT AIMS TO ACCELERATE TARGETED SCALE UP OF LIFESAVING ART ACROSS STATES IN NIGERIA WITH TREATMENT COVERAGE GAPS WITHIN AGE AND SEX BANDS AND TO STRENGTHEN HIV PREVENTION PROGRAMS INCLUDING KP SERVICES AND PMTCT AT THE COMMUNITY AND FACILITY LEVELS. ACCESS WILL SUPPORT RAPID SCALE UP OF HIV SERVICES IN AN EFFICIENT AND SUSTAINABLE MANNER WHILE COLLABORATING WITH THE GOVERNMENT OF NIGERIA TO STRENGTHEN PROGRAM OWNERSHIP AND LEADERSHIP OF THE HIV RESPONSE IN NIGERIA. THE STRATEGIC OBJECTIVES OF THE ACCESS PROJECT ARE: 95% OF PLHIV IN TARGET SNUS KNOW THEIR STATUS AND ARE LINKED TO TREATMENT; UPTAKE OF COMPREHENSIVE HIV CARE AND TREATMENT SERVICES, COMMUNICABLE AND NON-COMMUNICABLE DISEASES IS INCREASED FOR PLHIV AND THEIR FAMILIES; HEALTH SYSTEMS IN SNUS IS STRENGTHENED TO ACHIEVE AND SUSTAIN HIV EPIDEMIC CONTROL; AND GON AND CSOS HAVE INCREASED CAPACITY TO MANAGE AND SUSTAIN HIV PROGRAMS. THROUGH THESE STRATEGIC OBJECTIVES ACCESS PROJECT IN COLLABORATION WITH PARTNERS, WILL WORK TOWARDS ACHIEVING AND SUSTAINING EPIDEMIC CONTROL AND ACHIEVE THE UNAIDS 95-95-95 TARGET, WHICH FOCUSES ON ENSURING 95% OF PEOPLE LIVING WITH HIV (PLHIV) KNOW THEIR STATUS; 95% OF PLHIV ARE PLACED ON ANTIRETROVIRAL THERAPY AND RETAINED ON TREATMENT AND 95% OF PLHIV ON ANTIRETROVIRAL THERAPY (ART) ACHIEVE VIRAL SUPPRESSION. CARITAS NIGERIA WILL IMPLEMENT THE ACCESS PROJECT IN PARTNERSHIP WITH CATHOLIC RELIEF SERVICES (CRS), BROADREACH, AFRICAN DISEASE PREVENTION AND RESEARCH DEVELOPMENT INITIATIVE (ADRAP) AND DIADEM CONSULTING LIMITED (DCL). ALL PARTNERS HAVE A LONG-STANDING HISTORY OF COLLABORATION AND CLOSE RELATIONSHIPS, WHICH WILL ENSURE SYNERGY AND EFFICIENCY IN PROGRAM IMPLEMENTATION AND ULTIMATELY, THE ACHIEVEMENT OF THE PROJECT GOAL. THIS STRUCTURE IS ALSO DESIGNED TO BUILD ON LESSONS LEARNED BY PARTNERS FROM PREVIOUS TREATMENT PROGRAMS. THE ACCESS PROJECT WILL BUILD ON THE ACHIEVEMENTS OF THE 4GATES PROJECT. IN FOUR YEARS, 166,665 PLHIV ARE ON HIGH QUALITY, SUSTAINABLE, AND DURABLE ART IN 162 HEALTH FACILITIES ACROSS 4 STATES. 4GATES REACHED 3,183,340 PEOPLE WITH HTS (INCLUDING 722,536 PREGNANT WOMEN AND 94,848 MEMBERS OF KEY POPULATION), PLACED 128,718 PLHIV NEWLY ON TREATMENT, AND PROVIDED ARV PROPHYLAXIS TO 8,803 PREGNANT WOMEN WHILE ENSURING THAT 12,035 EXPOSED INFANTS RECEIVED EARLY INFANT DIAGNOSIS TO ESTABLISH THEIR STATUS. PRIOR TO APRIL 2019 CARITAS NIGERIA MANAGED 52,025 PLHIV ON TREATMENT. WITH THE ART SURGE LAUNCH IN APRIL OF 2019, CARITAS NIGERIA HAS GROWN THE NUMBER OF PLHIV ON TREATMENT BY 114,640 AS AT SEPTEMBER 2021. CCFN IMPLEMENTS IN THREE OF THE SIX RED STATES SUPPORTED BY CDC. IN THE FIRST YEAR OF THE PROJECT ACCESS AIMS TO INCREASE THE NUMBER OF PLHIV ON LIFE SAVING ART BY 65,882, PROVIDE HIV TESTING SERVICES TO 1,637,600 AT A YIELD OF ABOUT 3.0%. INDEX TESTING SERVICES, HIV SELF TESTING AND RECENCY SURVEILLANCE WILL BE PRIORITIZED TO REACH THE REMAINING PEOPLE LIVING WITH HIV THAT ARE YET TO KNOW THEIR HIV STATUS IN TARGET SNUS. ACCESS WILL WORK TO CLOSE THE TREATMENT GAP WITHIN AGE AND SEX BANDS, TARGET CHILDREN, ADOLESCENTS AND YOUNG ADULTS, MEN AND KEY POPULATIONS. ACCESS WILL PROMOTE COMMUNITY ART, ADVANCED HIV DISEASE AND DIFFERENTIATED SERVICE DELIVERY MODELS, THIS IS TO ENSURE WE ARE TAKING CARE AND TREATMENT TO WHERE THE PATIENTS ARE. ACCESS WILL SUPPORT GON TO TAKE RESPONSIBILITY FOR LEADING AND COORDINATING THE HIV RESPONSE AND INVEST INTO THE RESPONSE. ACCESS WILL PROMOTE DATA DEMAND AND INFORMATION USE FOR DECISION MAKING IN TARGET SUBNATIONAL UNITS.

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