Strengthening Health Systems Using HIV Services as an Entry Point in Plateau State, Nigeria.

Abstract

Aim: The AIDS Prevention Initiative in Nigeria, Jos University Teaching Hospital’s Community Directed Intervention (CDI) approach to prevention and control of the spread of HIV/AIDS, in Plateau state, Nigeria commenced in July, 2008. Management of Tuberculosis and Sexually Transmitted Infections were also included in the package. METHODS: The project utilized the ‘hub and spoke’ principle with the Jos University Teaching Hospital as the hub. Provision of health services commenced in December, 2008 after a period of community sensitization, advocacy and mobilization as well as training and re-training of various cadres of health staff and volunteer community members. RESULTS: To date (July, 2009), thirty PHCs have been renovated and furnished; more than 300 healthcare workers trained, about 115 communities reached and about 8000 patients managed. Other outcomes of the project include equipping of the PHCs, strengthening of the PHC and referral systems, and improved community involvement in programme implementation. CONCLUSION: The project methodology utilized showed that it is possible to achieve additional long term benefits from programmes primarily aimed at controlling HIV/AIDS. It is recommended that other programmes adapt this methodology for the control of diseases, so as to achieve similar impact and strengthen existing health care systems.