Excellence Community Education Welfare Scheme (ECEWS), an indigenous Nigerian organization, proposes to lead a consortium to support 5 South West states of Lagos, Oyo, Ogun, Ondo and Osun states in their push toward sustainable HIV epidemic control. The consortium also has the geographical spread to intervene in all 19 CDC supported states. The consortium partners include Achieving Health Nigeria Initiative (AHNi), Association of Reproductive Family Health (ARFH), FHI 360 (Technical Assistance partner) and Howard University Global Initiative in Nigeria (HUGIN) (Technical Assistance partner). The ECEWS led consortium will assist the five states of Lagos, Ogun, Ondo, Oyo and Osun achieve treatment saturation and sustained epidemic control, especially the local government areas (LGA) with the highest unmet need for antiretroviral therapy (ART). The ECEWS-led consortium is well-placed to not only maintain these significant gains but also has the skills and experience to identify the nearly 115, 803 HIV+ individuals who remain undiagnosed across the five states with a specific focus on LGAs such as Alimosho and Kosofe in Lagos and other LGAs across the 5 states that have the highest PLHIV burden and low treatment coverage.
ECEWS, the Prime and the lead service delivery partner in Lagos, Ogun and Oyo state. AHNi, the lead for service delivery in Osun and Ondo. ARFH, the lead for Orphaned and Vulnerable Children (OVC) across all states. FHI 360 will be the lead technical assistance (TA) provider for M&E/Strategic Information, Health Informatics, Surveillance, and Laboratory services. HUGIN will provide valuable expertise for differentiated service delivery (DSD) including decentralization of ART in the private sector and strengthen public and private pharmacy systems.
The ECEWS consortium proposes a granular data-driven approach to improve on current strategies, saturate the five target states and achieve sustainable HIV epidemic control. We have organized the work plan using the results CDC provided: Intermediate Outcome 1: Increased coverage of ART among PLHIV, Intermediate Outcome 2: Increased uptake of HIV testing, diagnosis and linkage for high- risk persons and underserved populations across all ages, sexes, and geographic locations, Intermediate Outcome 3: Increased uptake of evidence-based HIV prevention services for at-risk populations, Intermediate Outcome 4: Improved clinical management of HIV through utilization of diagnostic services to optimize patient care, Intermediate Outcome 5: Improved utilization of patient-level HIV service delivery data for continuous quality improvement (CQI) and Intermediate Outcome 6: Increased financial and programmatic ownership by the state government and Civil Society Organizations (CSOs) to lead and manage comprehensive HIV programs.
To attain these results, our approach will be technology driven, innovative, inclusive, context-specific, evidence-based and client-centered prevention and treatment services; robust community engagement; collaboration with state government agencies, CSOs and private sector; data use for decision-making and scale-up of interventions; leverage existing investments, resources and results and empowerment of state and local actors to accelerate sustainability.
Evaluation and Performance Measurement Plan (EPMP). The project’s rigorous EPMP will seamlessly strengthen M&E systems at state, LGA, facility and community levels. We will continue enhancing government ownership of M&E structures and systems, including data utilization. The M&E system will be responsive to emerging data requirements according to the Monitoring, Evaluation and Reporting (MER) guidance, ensure quality assessments and improvements as guided by the Site Improvement through Monitoring System (SIMS) and ensure routine quarterly reporting to the donor through the Data for Accountability and Transparency and Impact Monitoring (DATIM) reporting instance.