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HIV/AIDS Service Provision Assessment (SPA)

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), completed a nationwide HIV and AIDS Service Provision 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.