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Improving Comprehensive AIDS Response Enhanced for Sustainability (iCARES)

Award Number: NU2GGH002098
ORGANIZATION: COORDINATING OFFICE OF GLOBAL HEALTH
OPDIV: CDC
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: HEALTH SERVICES

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Improving Comprehensive AIDS Response Enhanced for Sustainability (iCARES) - Despite progress in HIV programming and stabilization of HIV prevalence at 4%, Nigeria still has the 2nd largest burden of disease. Challenges including weak health systems, poor quality of services, laboratory infrastructure and human resources remain barriers to effective service delivery. Data driven programming reveals specific areas and populations with disease prevalence and burden much higher than national averages. Attaining epidemic control calls for feasible, culturally acceptable and cost effective interventions at prioritized subunits to reduce disease incidence below mortality. The PEPFAR program adopted this model in 32 LGAs and rapid scale up activities are ongoing aimed at epidemic control along the UNAIDS 90-90-90 targets. This FOA intends to attain very ambitious outcomes using sustainable, cost-effective strategies and service delivery models. It also aims at better data management for program improvement and increased government ownership. Our “Improving Comprehensive AIDS Response Enhanced for Sustainability” (iCARES) project, -a hybrid of facility and community based interventions, seeks to improve on the gains of ongoing scale up efforts in 4 LGAs and possibly other geographic areas, This proposed project also builds on gains of our star program: Comprehensive AIDS Response Enhanced for Sustainability, with greater emphasis on sustainability. To ensure that at least 90 of all PLHIV % know their status, APIN will mobilize key populations for quality assured testing, retesting of positives, maximize Provider Initiated Testing and Counseling (PITC) at high yield facilities, and expand PMTCT services in diverse settings, and scale up of Option B+. To ensure that 90% of PLHIV are placed on treatment, we will undertake instant enrolment of all new HIV+ patients to treatment using the TEST and START strategy, institute effective linkages, structured adolescent transition, retention, adherence enhancement and community ART delivery models, while providing quality services and empowerment for OVCs, households and communities. To ensure that at least 90% of PLHIV on treatment are virally suppressed, APIN will in addition to retention strategies, deploy its Viral Load (VL) and EID testing infrastructure, which at a stage before rationalization supported 82% and presently more than 40% of all VL and EID testing in Nigeria. This will be further optimized to continue supporting other IPs, with no VL and EID testing capabilities. We will optimize TB diagnosis among HIV+ patients, intensify TB case finding, and implement Isoniazid Prevention Therapy (IPT) and infection control strategies. All these strategies, will be implemented to achieve epidemic control in priority subnational units, while ensuring quality patient care in sustained LGAs. Our test-link-retain, VL Monitoring, EID, PMTCT and TB/HIV Co-infection cascade analyses would provide output and outcome data for tracking short term outcome indicators. iCARES project would be implemented by a team of long standing collaborators led by APIN Public Health Initiative, the first indigenous and one of the top performing PEPFAR treatment partners in Nigeria, with Harvard School of Public Health (HSPH), North Western University (NWU) and 42 grantees from Government, Universities, Faith Based, Private Sector and Community Based Organizations. APIN Strategic Information (SI) capabilities include fully inter operable EMR at all comprehensive sites, web enabled, smart phone based reporting systems for remote health facilities, real time monitoring of PLHIV linkage to ART from facility and community testing sites and robust databases. This capacity will be strengthened for timely reporting of quality data, and continuous use for program improvement. APIN’s strengths lies in its tested automated business processes consisting of multiple IT systems and solutions to ensure efficient and effective management of project resources.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2023 ( Subtotal = $0 )
2023	2022	APIN PUBLIC HEALTH INITIATIVES LTD/GTE	PLOT 1551, JIWA ZAKWOI STREET	ABUJA	province			NGA	Global AIDS	11	5	7/20/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2022	APIN PUBLIC HEALTH INITIATIVES LTD/GTE	PLOT 1551, JIWA ZAKWOI STREET	ABUJA	province			NGA	Global AIDS	09	5	3/21/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2022	APIN PUBLIC HEALTH INITIATIVES LTD/GTE	PLOT 1551, JIWA ZAKWOI STREET	ABUJA	province			NGA	Global AIDS	10	5	4/24/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2021	APIN PUBLIC HEALTH INITIATIVES LTD/GTE	PLOT 1551, JIWA ZAKWOI STREET	ABUJA	province			NGA	Global AIDS	10	5	4/24/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2021	APIN PUBLIC HEALTH INITIATIVES LTD/GTE	PLOT 1551, JIWA ZAKWOI STREET	ABUJA	province			NGA	Global AIDS	11	5	7/20/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2021	APIN PUBLIC HEALTH INITIATIVES LTD/GTE	PLOT 1551, JIWA ZAKWOI STREET	ABUJA	province			NGA	Global AIDS	09	5	3/21/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2020	APIN PUBLIC HEALTH INITIATIVES LTD/GTE	PLOT 1551, JIWA ZAKWOI STREET	ABUJA	province			NGA	Global AIDS	11	5	7/20/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2020	APIN PUBLIC HEALTH INITIATIVES LTD/GTE	PLOT 1551, JIWA ZAKWOI STREET	ABUJA	province			NGA	Global AIDS	10	5	4/24/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2020	APIN PUBLIC HEALTH INITIATIVES LTD/GTE	PLOT 1551, JIWA ZAKWOI STREET	ABUJA	province			NGA	Global AIDS	09	5	3/21/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2019	APIN PUBLIC HEALTH INITIATIVES LTD/GTE	PLOT 1551, JIWA ZAKWOI STREET	ABUJA	province			NGA	Global AIDS	11	5	7/20/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2019	APIN PUBLIC HEALTH INITIATIVES LTD/GTE	PLOT 1551, JIWA ZAKWOI STREET	ABUJA	province			NGA	Global AIDS	09	5	3/21/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2019	APIN PUBLIC HEALTH INITIATIVES LTD/GTE	PLOT 1551, JIWA ZAKWOI STREET	ABUJA	province			NGA	Global AIDS	10	5	4/24/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2018	APIN PUBLIC HEALTH INITIATIVES LTD/GTE	PLOT 1551, JIWA ZAKWOI STREET	ABUJA	province			NGA	Global AIDS	10	5	4/24/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2018	APIN PUBLIC HEALTH INITIATIVES LTD/GTE	PLOT 1551, JIWA ZAKWOI STREET	ABUJA	province			NGA	Global AIDS	11	5	7/20/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2018	APIN PUBLIC HEALTH INITIATIVES LTD/GTE	PLOT 1551, JIWA ZAKWOI STREET	ABUJA	province			NGA	Global AIDS	09	5	3/21/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2017	APIN PUBLIC HEALTH INITIATIVES LTD/GTE	PLOT 1551, JIWA ZAKWOI STREET	ABUJA	province			NGA	Global AIDS	11	5	7/20/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2017	APIN PUBLIC HEALTH INITIATIVES LTD/GTE	PLOT 1551, JIWA ZAKWOI STREET	ABUJA	province			NGA	Global AIDS	10	5	4/24/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2017	APIN PUBLIC HEALTH INITIATIVES LTD/GTE	PLOT 1551, JIWA ZAKWOI STREET	ABUJA	province			NGA	Global AIDS	09	5	3/21/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $0

Issue Date FY: 2022 ( Subtotal = $34,558,108 )
2022	2022	APIN PUBLIC HEALTH INITIATIVE S LTD/GTE	No. 10 Ndagi Mamudu Close Behi	Jabi District Abuja	province			NGA	Global AIDS	08	5	9/12/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2022	APIN PUBLIC HEALTH INITIATIVE S LTD/GTE	No. 10 Ndagi Mamudu Close Behi	Jabi District Abuja	province			NGA	Global AIDS	06	5	6/10/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2022	APIN PUBLIC HEALTH INITIATIVE S LTD/GTE	No. 10 Ndagi Mamudu Close Behi	Jabi District Abuja	province			NGA	Global AIDS	07	5	9/1/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2022	APIN PUBLIC HEALTH INITIATIVE S LTD/GTE	No. 10 Ndagi Mamudu Close Behi	Jabi District Abuja	province			NGA	Global AIDS	05	5	5/17/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$215,000
2022	2022	APIN PUBLIC HEALTH INITIATIVE S LTD/GTE	No. 10 Ndagi Mamudu Close Behi	Jabi District Abuja				NGA	Global AIDS	04	5	3/2/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2022	APIN PUBLIC HEALTH INITIATIVE S LTD/GTE	No. 10 Ndagi Mamudu Close Behi	Jabi District Abuja				NGA	Global AIDS	03	5	12/21/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2022	APIN PUBLIC HEALTH INITIATIVE S LTD/GTE	NO. 10 NDAGI MAMUDU CLOSE BEHI	JABI DISTRICT ABUJA	province			NGA	Global AIDS	02	5	11/22/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$34,343,108
2022	2021	APIN PUBLIC HEALTH INITIATIVE S LTD/GTE	No. 10 Ndagi Mamudu Close Behi	Jabi District Abuja				NGA	Global AIDS	04	5	3/2/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2020	APIN PUBLIC HEALTH INITIATIVE S LTD/GTE	No. 10 Ndagi Mamudu Close Behi	Jabi District Abuja				NGA	Global AIDS	04	5	3/2/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2020	APIN PUBLIC HEALTH INITIATIVE S LTD/GTE	No. 10 Ndagi Mamudu Close Behi	Jabi District Abuja				NGA	Global AIDS	01	5	11/10/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $34,558,108

Issue Date FY: 2021 ( Subtotal = $38,867,633 )
2021	2021	APIN PUBLIC HEALTH INITIATIVE S LTD/GTE	No. 10 Ndagi Mamudu Close Behi	Jabi District Abuja	province			NGA	Global AIDS	00	5	9/2/2021	NON-COMPETING CONTINUATION	$15,703,876
2021	2021	APIN PUBLIC HEALTH INITIATIVE S LTD/GTE	No. 10 Ndagi Mamudu Close Behi	Jabi District Abuja				NGA	Global AIDS	04	4	4/15/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2021	2021	APIN PUBLIC HEALTH INITIATIVE S LTD/GTE	No. 10 Ndagi Mamudu Close Behi	Jabi District Abuja				NGA	Global AIDS	03	4	3/1/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2021	2021	APIN PUBLIC HEALTH INITIATIVE S LTD/GTE	No. 10 Ndagi Mamudu Close Behi	Jabi District Abuja				NGA	Global AIDS	02	4	12/17/2020	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$10,430,744
2021	2021	APIN PUBLIC HEALTH INITIATIVE S LTD/GTE	No. 10 Ndagi Mamudu Close Behi	Jabi District Abuja	province			NGA	Global AIDS	05	4	5/17/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$12,733,013
2021	2020	APIN PUBLIC HEALTH INITIATIVE S LTD/GTE	No. 10 Ndagi Mamudu Close Behi	Jabi District Abuja				NGA	Global AIDS	07	4	9/21/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2021	2020	APIN PUBLIC HEALTH INITIATIVE S LTD/GTE	No. 10 Ndagi Mamudu Close Behi	Jabi District Abuja	province			NGA	Global AIDS	00	5	9/2/2021	NON-COMPETING CONTINUATION	$0
2021	2020	APIN PUBLIC HEALTH INITIATIVE S LTD/GTE	No. 10 Ndagi Mamudu Close Behi	Jabi District Abuja	province			NGA	Global AIDS	05	4	5/17/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2021	2020	APIN PUBLIC HEALTH INITIATIVE S LTD/GTE	No. 10 Ndagi Mamudu Close Behi	Jabi District Abuja				NGA	Global AIDS	02	4	12/17/2020	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2021	2020	APIN PUBLIC HEALTH INITIATIVE S LTD/GTE	No. 10 Ndagi Mamudu Close Behi	Jabi District Abuja				NGA	Global AIDS	01	4	10/27/2020	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2021	2020	APIN PUBLIC HEALTH INITIATIVE S LTD/GTE	No. 10 Ndagi Mamudu Close Behi	Jabi District Abuja				NGA	Global AIDS	04	4	4/15/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2021	2020	APIN PUBLIC HEALTH INITIATIVE S LTD/GTE	No. 10 Ndagi Mamudu Close Behi	Jabi District Abuja				NGA	Global AIDS	03	4	3/1/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2021	2020	APIN PUBLIC HEALTH INITIATIVE S LTD/GTE	No. 10 Ndagi Mamudu Close Behi	Jabi District Abuja				NGA	Global AIDS	06	4	7/14/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $38,867,633

Issue Date FY: 2020 ( Subtotal = $46,236,664 ) (Continued on the next page)
2020	2020	APIN PUBLIC HEALTH INITIATIVE S LTD/GTE	No. 10 Ndagi Mamudu Close Behi	Jabi District Abuja		90017		NGA	Global AIDS	04	3	1/7/2020	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2020	2020	APIN PUBLIC HEALTH INITIATIVE S LTD/GTE	No. 10 Ndagi Mamudu Close Behi	Jabi District Abuja	province	postal_code		NGA	Global AIDS	00	4	8/17/2020	NON-COMPETING CONTINUATION	$25,601,878
2020	2020	APIN PUBLIC HEALTH INITIATIVE S LTD/GTE	No. 10 Ndagi Mamudu Close Behi	Jabi District Abuja		90017		NGA	Global AIDS	08	3	6/19/2020	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2020	2020	APIN PUBLIC HEALTH INITIATIVE S LTD/GTE	No. 10 Ndagi Mamudu Close Behi	Jabi District Abuja		90017		NGA	Global AIDS	05	3	3/16/2020	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2020	2020	APIN PUBLIC HEALTH INITIATIVE S LTD/GTE	No. 10 Ndagi Mamudu Close Behi	Jabi District Abuja	province	postal_code		NGA	Global AIDS	03	3	12/26/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$10,545,003
Grand Total All Awards = $191,428,426

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Improving Comprehensive AIDS Response Enhanced for Sustainability (iCARES)

Award Number: NU2GGH002098

ORGANIZATION: COORDINATING OFFICE OF GLOBAL HEALTH

OPDIV: CDC

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: HEALTH SERVICES

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