ccih 2014-faith-communities-hiv-daniel-gobgab

FAITH COMMUNITIES AS BRIDGES OF SUPPORT FOR THOSE LIVING WITH HIV.

THE CONTRIBUTION OF CHRISTIAN HEALTH ASSOCIATION OF NIGERIA (CHAN).

A PRESENTATION AT CCIH ANNUAL CONFERENCE, MARYMOUNT

UNIVERSITY ARLINGTON, VIRGINIA USA. 22nd JUNE 2014

BY DR DANIEL N. GOBGAB SECRETARY GENERAL

WHO ARE WE

•Christian Health Association of Nigeria (CHAN) is a Faith Based

Organization (FBO) bringing together Nigerian churches involved in

the provision of healthcare services and human resources for health

development.

• CHAN is registered with the Corporate Affairs commission (CAC) of

Nigeria as an umbrella organization for the coordination of all

Christian Health services in Nigeria. CAC number1449

CHAN was founded in 1973 by:

• The Catholic Bishop’s Conference of Nigeria (CBCN),

• The Christian Council of Nigeria (CCN), and

• The Northern Christian Medical Advisory Council of Nigeria (NCMAC).

WHO ARE WE

• CHAN has nearly 500 healthcare facilities reaching out through

over 3000 other outlets by its member intuitions (MIs) that are

run by 20 different Church denominations involved in provision of

wholistic health care services including collaboration and

complementation of government efforts in health care provision.

• There are 36 different training institutions for Nursing,

Laboratory, Community health and other allied health fields thus

contributing to the HRH development in Nigeria.

• CHAN provides support to its MIs through capacity building,

coordination of activities, Drug supply through CHANMedi-Pharm,

lobbying and advocacy, public relations and translation of

government policies into action in line with the teaching of the

churches.

VISION, MISSION AND GOAL

VISION Delivering wholistic, efficient and responsive healthcare for

all people in Nigeria

MISSION To provide efficient services by building the capacity of members and to collaborate with partners to improve the health for all in Nigeria

GOAL Improve the health status of people in Nigeria, especially

the most disadvantaged and

the poor of the poorest, in

fulfillment of Christ healing ministry.

NETWORKING AND PARTNERSHIP

ACHAP VISION MISSION AND MEMBERSHIP

Vision “Health and Healing for all in Africa” Mission “ACHAP supports Church related health associations and organizations to work and advocate for health for all in Africa, guided by equity, justice and human dignity”.

HIV/AIDS Services funded by USG in the past 5 years

Project Donor Implementing status

Amount (Naira)

Period

1 Service Expansion and Early Detection for Sustainable HIV Care (SEEDS)

Centre for Clinical Care and Research Nigeria (CCCRN) , CDC Grant

Sub grantee 120,000,000 Oct. 2012 to date

2 Sustainable HIV care and Treatment Action in Nigeria (SUSTAIN)

Catholic Caritas Foundation (CCFN), CDC Grant

Sub grantee 90,000,000 Oct. 2012 to date

3 Comprehensive HIV and AIDS Response, the Interfaith Solution (CHARIS)

US Centre for Disease Control (CDC)

Prime 1,800,000,000 Oct. 2011-Dec.2012

4 CHAN-AIDS Relief US President’s Emergency plan for AIDS Relief (PEPFAR).

Prime -1 year transition

142,000,000 Oct 2010-sept 2011

5 Nigeria Indigenous Capacity Building (NiCAB) for Comprehensive HIV/AIDS Services to the PHC level

USAID Prime 1,307,514,083 Oct. 2007- March 2012

6 Global Fund TB R5 phases 1 Project

Global Fund for HIV/AIDS, Malaria and TB

Prime

2,925,000,000

2007-June 2010

Strengthening the Advocacy Work of CHAN

Breath for the World (Formerly EED Germany)

270,000,000

2003 -date

8 HIV/AIDS budget Tracking

Action Aid International Sub grant 170,000,000

2005- 2011

9

Where we work

Project Date

Started

Project Sites Status

Service Expansion and Early Detection for Sustainable HIV Care (SEEDS)

October 2012 to date

Anambra, Imo, Ebonyi & Abia States On Going

Sustainable HIV care and Treatment

Action in Nigeria (SUSTAIN)

Oct. 2012 to

date

Delta, Edo, Ugun, Ondo, Oshun &

Oyo States

On Going

CHAN Comprehensive AIDS Response

interfaith solution(CHAN-CHARIS)

Oct.2011-

Dec. 2012

Abia, Anambra, Benue, Kogi, Ondo, Enugu, Imo, Delta, Edo, Oyo, Kaduna, Kano, Adamawa, Plateau States

Closed

CHAN –AIDS Relief October

2010- Sept

2011

Edo and Anambra States Closed

Nigeria Indigenous Capacity Building

(NiCAB) a Comprehensive HIV/AIDS

services to the PHC levels

Oct. 2007 –

Sept. 2012

Abia, Benue, Delta, Oyo, Sokoto, Taraba States and FCT

Closed

Global Fund TB R5 phases 1 Project 2007 - 2010 National -in all 36 states +FCT Closed

Strengthening the Advocacy Work of

CHAN

2003 - date Plateau, Kaduna, Taraba, Adamawa, Benue, Enugu, Abia, Anambra, Imo, Edo, Delta, Oyo, Ogun, lagos, Niger,Nassarawa States

On Going

Overview of Accomplishments

• Health Systems strengthening Strengthened Governance and leadership of CHAN National

executive (Board) Resurrected Moribund Health Facilities in rural areas that

became ‘centers of excellence’ in rural areas • Improved HRH processes, policies SOPs and guidelines • Bolstering the financial skills and knowledge of CHAN and its

network (Improved financial processes and systems at all levels) • Infrastructure Improvement through mobilizing local resources in

communities. • Strengthened Technical Capacity for Quality Clinical Services

Accomplishments cont.

• Through SCMS, Supply Chain System of CHAN through CHAN Medi Pharm is strengthened for National logistics and distribution and also stepped down to facilities to forecast, manage inventories and utilize LMIS.

• Institutionalization of quality improvement culture- Patient Care Team reviews and Project Management Team reviews formed

• CHAN pioneered the decentralization of Comprehensive ARV services to PHC centers in Nigeria.

Sustainability

• NKST Hospital Zakibiam, Benue state increased ANC from 56 to over 600 in 3 years cleared arrears of salaries, has employed additional staff and X ray services now introduced as a result quality services through training and increased clientele.

• SDA Hospital Abia. Reversed a deficit of $8,963 to a surplus of $96,177 in one year because of improved services and demand creation. Now employs more health workers

• Sancta Maria, a rural clinic in Taraba state increased the number of deliveries from less than 100 to more than 300 in 10 months and doubled their facility clientele from 3,500 to more than 8,000 in one year

• DMMM Catholic Hospital Aba increased total clientele from an average of 1,050 a year to over 2,225 the following year.

• The holy Family MCH Clinic in Sokoto obtained finding from a non -US government donor to erect additional building .

People Reached

• As at 2013, PEPFAR funded partners in CHAN MIs have; • Reached over 60,000 Nigerians who had access to treatment

services (Cumulative) with ARVs • Provided palliative care to over 300,000 PLHV • Counseled and tested over 450,000 and received results • Reached over 25,000 pregnant women who were tested and

received their results • Placed over 5,000 positive women on treatment or receiving

prophylaxis. • Trained, mentored or Coached more than 3,500 technical staff • Prevention messages (abstinence and be faithful)to millions based

on our faith. • Reached over 50,000 OVCs.

PMTCT

• Increased attendance at ANC and post partum visits using TBAs/CBOs in the communities and 90% of clients counseled and tested for HIV.

• Leveraging resources to refurbish maternity clinics and providing expertise enhanced clinical skills and increased number of women seeking ANC and delivery services

• Reached over 25,000 pregnant women who were tested and received their results

• Placed over 5,000 positive women on treatment / receiving prophylaxis

Challenges • HRH – quantity and quality and high turnover of skilled staff. • PMTCT- getting males as partners for couple counseling and

support to their partners, an uphill task • Public sector recognising FBO referral of clients especially for

deliveries and TB services. • Insecurity – insurgency, kidnapping affected staff movement and

implementation of activities. • The challenge of repairs and maintenance of laboratory

equipments when they breakdown. • Infrastructure deficiencies and poor state of systems and

structures. • There is still a lot of unmet need for HIV prevention, care and

treatment in rural Nigeria – a ceiling is always put to the number we can take per facility and the rest referred.

Lessons Learned

• FBO facilities remain the only accessible point of health care for most rural communities

• With adequate support, training and patient monitoring, Primary Health level facilities can provide most aspects of the continuum of care required for comprehensive HIV management

• Successful creation of capacity and improved quality of HIV care had positive impact on health seeking behavior of communities and increased health service patronage in all areas, particularly maternal and child health.

• The flexibility of faith-based structures and staff allow facilities to respond to the needs of their clients and communities

• Partnering closely with government and creatively partnering with other NGOs improves access to and quality of services

Emir of Bali and his council members at the activation

and community mobilization ceremony in Bali, Taraba State.

The wife of Taraba State Governor Hajia Hauwa Danbaba Suntai cutting the

tape to activate HIV/AIDS Comprehensive services at UMCN RHP Hospital, Zing.

CHAN Zonal Coordinator explaining and demonstrating at community PMTCT mobilization in Taraba State.

CONCLUSION

WE CAN DO MUCH WITH LITTLE SUPPORT TO REACH THE UNREACHED PEOPLE OF NIGERIA

THANK YOU