• Home
• What We Do
• Where We Work
• Resources
• News
• Data
• About

Nigeria

Health Systems 20/20, collaborating with Nigeria’s National Action Committee on AIDS (NACA), Federal Ministry of Health (FMOH), and National AIDS and Sexually Transmitted Diseases Control Program (NASCP), recently completed a nationwide HIV and AIDS Service Delivery Assessment (SPA).

The SPA is intended to help Nigeria reach its domestic and PEPFAR-related targets. Nigeria has adopted ambitious goals for HIV service provision. Its National Strategic Framework aims to reduce HIV incidence and prevalence by 25 percent and increase access to HIV and AIDS prevention, treatment, and care and support by 50 percent by 2009. PEPFAR targets are to provide counseling and testing (CT) to 3.5 million people, antiretroviral treatment (ART) to 350,000, and drug prophylaxis for prevention of mother-to-child transmission to 40,000 pregnant women. While HIV programs and activities are expanding, Nigeria is not on track to meet its targets without a change in approach.

The SPA looked at 300 public and faith-based facilities. Findings provide critical information on the availability of services, identifying specific disparities in services between rural and urban areas as well as among the three tiers of the national health care delivery system. These findings provide policymakers at the national and state levels with the evidence-based information required to make appropriate and strategic reform policies.

Health Systems 20/20 and predecessor projects have collaborated on a number of key health systems strengthening and HIV programming activities with the government of Nigeria (GON). In 2003-04, the Partners for Health Reformplus (PHRplus) carried out an extensive ART costing study that yielded a costing tool which positively impacted the national ART program expansion process and provided a baseline for a realistic costing of the provision of CT, and treatment of highly active ART and opportunistic infections in the public sector.

PHRplus also partnered with NACA, the FMOH, and state ministry of health authorities on an assessment of human resources in the public health sector. Results provided information on the distribution of health workers geographically and by level of health care, and presented projections of human resource needs required for reaching Millennium Development Goals and PEPFAR targets.

Health Systems 20/20 and the GON have begun preliminary activities for an assessment of human resources in the private sector, a TB costing study, and an assessment of the overall health system, including service delivery, financing, governance, and health information systems.