CDC ASPIRE Project

 ASPIRE Project (2022-2027)

The CDC ASPIRE Project, funded by PEPFAR through the U.S. Centers for Disease Control and Prevention (CDC), is a five-year initiative aimed at achieving sustained epidemic control of HIV in Nigeria. EHAI, in partnership with the Institute of Human Virology Nigeria (IHVN), implements the project in 14 health facilities across Nasarawa State (Nasarawa Eggon, Wamba, and Akwanga LGAs) and two facilities in Kwali LGA, FCT.

Objective:

The ASPIRE Project focuses on strengthening laboratory capacity, improving HIV testing, and providing treatment and support to both people living with HIV (PLHIV) and those unaware of their status. The goal is to enroll treatment-naive individuals into care while enhancing the continuum of care for those already on treatment.

Target Population:

  • People living with HIV (PLHIV) who are currently on treatment.
  • Treatment-naive individuals who need to be tested and enrolled into HIV care and treatment.

Key Activities:

  • HIV Testing: Using rapid test kits, self-test kits, and Early Infant Diagnosis (EID) PCR testing.
  • Enrollment into Care: Positive cases are immediately enrolled into treatment and care services.
  • Treatment and Drug Administration: Providing antiretroviral drugs and necessary care for people living with HIV.
  • Laboratory Management: Conducting essential tests such as CD4 counts, viral load testing, TB, and Cryptococcal meningitis.
  • Retention and Adherence: Ensuring that patients remain on their medications without being lost to follow-up.
  • Viral Suppression: Aiming for patients to achieve a viral load of less than 1000, ideally under 20 copies/ml.
  • Integrated Health Services: Offering additional services like cervical cancer screening, reproductive health (e.g., family planning), COVID testing and referrals, and screening for non-communicable diseases.
  • Community Engagement: Conducting joint mentoring and supervision with IHVN to ensure that all healthcare workers are equipped to provide comprehensive HIV care and support.

The ASPIRE Project aims to bridge gaps in HIV care by ensuring that all individuals, whether living with HIV or needing to be tested, receive timely treatment and support. Through its integrated approach, the project seeks to significantly reduce the burden of HIV in Nigeria.

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