ACTION PLUS UP

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AIDS Care and Treatment in Nigeria (ACTION) is a CDC Nigeria (PEPFAR) funded project of the Institute of Human Virology Nigeria (IHVN). It started in 2004 as a five year project, with a one year extension from 2010 t0 2011. It was changed to the ACTIONPLUS project in 2011; this was a one year grant which expired in 2012. However, in 2012 it was upgraded to the ACTIONPLUS UP project which is a five-year CDC funded PEPFAR grant (2012-2017). The project implements public health intervention programs on HIV/AIDS care, treatment and prevention intervention, providing services free of charge at public/government owned health facilities. For effective coordination and successful implementation, the project works in partnership with the Agency for Control of AIDS at the Federal (NACA) State (SACA) and Local (LACA) government levels; Federal and State Ministries of Health (FMOH and SMOH); as well as the Primary Health Care Development Agency at the Federal and State level to ensure harmony with the National, State and Local Government HIV treatment guidelines and programs.
EHAI has been implementing the ACTION Plus Up project since the Country Operational Plan (COP) year ’13 which started in October 2012 in Ondo and Ekiti States (Southwest Nigeria). For the successful implementation and smooth running of the project, EHAI engages all relevant stakeholders in the states of operation apart from the SMOH and SACA. These include the State Hospitals Management Boards (HMB), Primary Health Care Boards (PHCB) as well as Community Based Organizations (CBOs).

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HIV Testing and Counseling (HTC)

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Prevention of Mother to Child Transmission of HIV (PMTCT)

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Early Infant Diagnosis (EID)

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The HIV Testing and Counselling (HTC) is the entry point to the ACTION Plus Up HIV project. Various approaches used include the Voluntary Counselling and Testing (VCT), Provider Initiated Testing and Counselling (PITC), Partner HIV testing, Couple HIV Counselling and Testing (CHCT) in the supported health facilities or voluntary through several outreaches supported on the project. HIV positive clients are then referred to antiretroviral (ART) clinics in the same or nearest supported health facility for enrolment into the relevant care and treatment services. All “testers” and “counselors” involved in HTC have undergone necessary and standardized trainings and capacity building exercises.Laboratory consumables and relevant guidelines and documents with necessary job aids are also provided.

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PMTCT is the focus program for HIV positive pregnant women.
Pregnant women who are confirmed HIV positive are enrolled into this program. In line with national and international guidelines the activities carried out on the program include: HTC, ARV prophylaxis, Safe Obstetrics delivery, infant feeding counselling, family planning and early infant diagnosis (EID). Others include regular and relevant baseline and follow up laboratory tests, enrollment into support groups, supply of basic care packages, and other care and support services. It is important to note that the PMTCT program is a critical entry point into the ART program (adult and paediatric).
All EHAI supported health facilities provide PMTCT services. However, 48 of them are PMTCT stand alone sites while the others provide comprehensive services including PMTCT. Supported facilities are also encouraged to conduct outreaches to other locations where pregnant women congregate.

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This is the final step in the PMTCT cascade. HIV positive mothers present their newborns in their 6th week for collection of blood samples (dried blood spot – DBS) for HIV PCR test in a process known as the early infant diagnosis (EID). Babies whose tests results come back positive are referred to the pediatric clinic for enrolment into pediatric ART program. Those whose tests are negative are followed up till 18months of age for a repeat HIV rapid antibody test.

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Adult and Pediatric Care and Support Services

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Adult and Pediatric ART Service

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HIV/Tuberculosis Co-Infection

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– Prevention of Opportunistic Infections (OIs)
– Home Based Care Services
– Positive Health, Dignity and Prevention (PHDP)
– Basic Care Packages (Water Guards, Water Jerry cans and Insecticide Treated Nets (ITN)
– Condoms (male and female)
– Support Group meetings
– Assessment of functional state
– pain and symptoms, family and household, psychosocial, safe drinking water, malaria infection and nutrition

– Referrals to other necessary services e.g. treatment, economic empowerment etc.[/fusion_modal][/fusion_builder_column][fusion_builder_column type=”1_3″ layout=”1_4″ spacing=”” center_content=”no” hover_type=”none” link=”” min_height=”” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” class=”” id=”” background_color=”” background_image=”” background_position=”left top” background_repeat=”no-repeat” border_size=”0″ border_color=”” border_style=”solid” border_position=”all” padding=”” dimension_margin=”” animation_type=”” animation_direction=”left” animation_speed=”0.3″ animation_offset=”” last=”no”][fusion_modal name=”apas” title=”Adult and Pediatric ART Services” size=”large” background=”#ffffff” border_color=”” show_footer=”yes” class=”” id=””]Eligible clients (Adult and pediatric) are initiated on ART according to the national guideline (and best pharmaceutical care practices) after necessary clinical and laboratory evaluation have been carried out. The ART initiation is preceded by a structured adherence preparation program to ensure adherence on commencement of ARVs. All ART clients are followed up both clinically and with laboratory investigations. Adherence counselling also continues to support clients on ART. Eligible clients are also commenced on cotrimoxazole to prevent opportunistic infections.[/fusion_modal][/fusion_builder_column][fusion_builder_column type=”1_3″ layout=”1_4″ spacing=”” center_content=”no” hover_type=”none” link=”” min_height=”” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” class=”” id=”” background_color=”” background_image=”” background_position=”left top” background_repeat=”no-repeat” border_size=”0″ border_color=”” border_style=”solid” border_position=”all” padding=”” dimension_margin=”” animation_type=”” animation_direction=”left” animation_speed=”0.3″ animation_offset=”” last=”no”][fusion_modal name=”hivtb” title=” HIV/Tuberculosis Co-Infection” size=”large” background=”#ffffff” border_color=”” show_footer=”yes” class=”” id=””]

Under this program, all HIV positive clients enrolled into care undergo routine clinical screening for TB. Suspected TB cases are then referred for further laboratory and radiological investigations. All confirmed TB cases are commenced on ART (if not yet) and referred to the TB clinic for appropriate management. Also, all TB suspects presenting at the TB clinic are also routinely screened for HIV(HCT). HIV positive clients are then referred to the nearest ART clinic while TB management commences at the TB clinic. All co-infected clients are commenced on cotrimoxazole to prevent opportunistic infections.

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Care for Vulnerable Children

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Community Support Services

[/fusion_title][fusion_separator style_type=”none” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” class=”” id=”” sep_color=”” top_margin=”6″ bottom_margin=”10″ border_size=”” icon=”” icon_circle=”” icon_circle_color=”” width=”200px” alignment=”center” /][fusion_button link=”” title=”” target=”_self” link_attributes=”” alignment=”center” modal=”css” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” class=”” id=”” color=”default” button_gradient_top_color=”” button_gradient_bottom_color=”” button_gradient_top_color_hover=”” button_gradient_bottom_color_hover=”” accent_color=”” accent_hover_color=”” type=”” bevel_color=”” border_width=”” size=”” stretch=”default” shape=”” icon=”” icon_position=”left” icon_divider=”no” animation_type=”” animation_direction=”left” animation_speed=”0.3″ animation_offset=””]Read More[/fusion_button][/fusion_builder_column][fusion_builder_column type=”1_3″ layout=”1_3″ spacing=”no” center_content=”no” hover_type=”none” link=”” min_height=”” hide_on_mobile=”no” class=”” id=”” background_color=”” background_image=”” background_position=”left top” undefined=”” background_repeat=”no-repeat” border_size=”2″ border_color=”#d3d3d3″ border_style=”solid” border_position=”all” padding=”5 5 5 5″ margin_top=”” margin_bottom=”” animation_type=”” animation_direction=”left” animation_speed=”0.1″ animation_offset=”” last=”no”][fusion_title margin_top=”” margin_bottom=”” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” class=”” id=”” size=”5″ content_align=”left” style_type=”none” sep_color=””]

Home Based Care Services

[/fusion_title][fusion_separator style_type=”none” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” class=”” id=”” sep_color=”” top_margin=”6″ bottom_margin=”10″ border_size=”” icon=”” icon_circle=”” icon_circle_color=”” width=”200px” alignment=”center” /][fusion_button link=”” title=”” target=”_self” link_attributes=”” alignment=”center” modal=”hbcs” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” class=”” id=”” color=”default” button_gradient_top_color=”” button_gradient_bottom_color=”” button_gradient_top_color_hover=”” button_gradient_bottom_color_hover=”” accent_color=”” accent_hover_color=”” type=”” bevel_color=”” border_width=”” size=”” stretch=”default” shape=”” icon=”” icon_position=”left” icon_divider=”no” animation_type=”” animation_direction=”left” animation_speed=”0.3″ animation_offset=””]Read More[/fusion_button][/fusion_builder_column][/fusion_builder_row][/fusion_builder_container][fusion_builder_container hundred_percent=”yes” overflow=”visible”][fusion_builder_row][fusion_builder_column type=”1_1″ layout=”1_1″ background_position=”left top” background_color=”” border_size=”” border_color=”” border_style=”solid” spacing=”yes” background_image=”” background_repeat=”no-repeat” padding=”” margin_top=”0px” margin_bottom=”0px” class=”” id=”” animation_type=”” animation_speed=”0.3″ animation_direction=”left” hide_on_mobile=”no” center_content=”no” min_height=”none” last=”no” hover_type=”none” link=”” border_position=”all”][/fusion_builder_column][fusion_builder_column type=”1_3″ layout=”1_4″ spacing=”” center_content=”no” hover_type=”none” link=”” min_height=”” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” class=”” id=”” background_color=”” background_image=”” background_position=”left top” background_repeat=”no-repeat” border_size=”0″ border_color=”” border_style=”solid” border_position=”all” padding=”” dimension_margin=”” animation_type=”” animation_direction=”left” animation_speed=”0.3″ animation_offset=”” last=”no”][fusion_modal name=”cfcv” title=”Care for Vulnerable Children” size=”large” background=”#ffffff” border_color=”” show_footer=”yes” class=”” id=””]

The Care for Vulnerable Children program of the ACTION Up project provides care and support for orphans and vulnerable children (VC), which are mostly children infected or affected by HIV infection. These children are enrolled into this program based on the outcome the determination of their child status index. EHAI empowers some CBOs to provide core services to these children. Some of these services include: educational support, psychological support, shelter, child and legal protection, food(ACTION MEAL), nutritional services, health and household economic strengthening. These CBOs also provide community level or home-based services to paediatric clients being managed at the EHAI supported health facilities. They also participate in running paediatric ART clinics, Mother-2-Mother/adult support group meetings both at the facility and within the community. The selection of these CBOs is based on their capacity and experience in the care of vulnerable children.

[/fusion_modal][/fusion_builder_column][fusion_builder_column type=”1_3″ layout=”1_4″ spacing=”” center_content=”no” hover_type=”none” link=”” min_height=”” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” class=”” id=”” background_color=”” background_image=”” background_position=”left top” background_repeat=”no-repeat” border_size=”0″ border_color=”” border_style=”solid” border_position=”all” padding=”” dimension_margin=”” animation_type=”” animation_direction=”left” animation_speed=”0.3″ animation_offset=”” last=”no”][fusion_modal name=”css” title=”Community Support Services” size=”large” background=”#ffffff” border_color=”” show_footer=”yes” class=”” id=””]The Community Support Structure (CSS) is an extension of the HIV care and treatment services initiated at the facility into the community where the clients reside. Its role is to provide ARV medication adherence counselling to people living with HIV in the community. The community support staff also conduct home visit, client tracking and ensure enrolled clients are retained in care. There are 3 levels of CSS staff: the supervisor (Public health nurse or Social worker), intermediate staff(Mentor Mother, TSS, CHEW, and Nurse) and the basic staff (PLHIV, Family members, Volunteers).
– Certain numbers of enrolled PLHIV Clients are attached to both the basic and the intermediate staff while the supervisor collates monthly reports and do spot checks on the visited homes.
– The team also conducts monthly meetings with the supervisor where, challenges, way forwards are discussed.
– CSS volunteers also perform HBC services according to the PLHIV needs.
– CSS team also join in community outreaches for HTC
*** Mentor Mothers and Treatment Support Specialists (TSS) are role model PLHIV[/fusion_modal][/fusion_builder_column][fusion_builder_column type=”1_3″ layout=”1_4″ spacing=”” center_content=”no” hover_type=”none” link=”” min_height=”” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” class=”” id=”” background_color=”” background_image=”” background_position=”left top” background_repeat=”no-repeat” border_size=”0″ border_color=”” border_style=”solid” border_position=”all” padding=”” dimension_margin=”” animation_type=”” animation_direction=”left” animation_speed=”0.3″ animation_offset=”” last=”no”][fusion_modal name=”hbcs” title=”Home Based Care Services” size=”large” background=”#ffffff” border_color=”” show_footer=”yes” class=”” id=””]Home Based Care (HBC) Services
This is the provision of health services by formal and informal care givers in the home in order to promote, restore, and maintain the PLHIV’s maximum level of comfort and function. The goals of this service is to provide care and support in patient’s home, maintain quality of care available to them, appropriate to help PLHIV with their families to maintain their independence and live with dignity and achieve improved quality of life. HBC responds to the need of PLHIV and the services include:
– Symptoms and pain management
– Patient and family education and preparation
– Clinic/hospital referral (routine visit and acute care)
– Treatment support (Adherence and side effect management)
– Nutritional support
– Emotional support
– Spiritual support (Linked with appropriate religious organization)
– Social services (income generation, child support, food support etc.)
– End of life care (pain management, funeral and grieving support for the family)
– Future planning for self/family, preparing will, identifying guardian for children.
There is an individualised kit set aside for the above mentioned procedure. The components of the kit include: Mackintosh, Disposable gloves, Bath towel, Face towel, Apron, Small wash bowl, Pill container, GV paint, Calamine lotion, Cotton wool , Gauze, Plaster, TCP lotion, Paracetamol tablet.
HBC providers – PLHIV and their families are the ultimate home–care providers. However, others include: Community Volunteers, Nurses, CHEWs, Social workers, Women union, CBOs, NGOs, FBOs/Religious leaders.[/fusion_modal][/fusion_builder_column][/fusion_builder_row][/fusion_builder_container][fusion_builder_container admin_label=”” hundred_percent=”no” equal_height_columns=”yes” menu_anchor=”” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” class=”” id=”” background_color=”” background_image=”” background_position=”center center” background_repeat=”no-repeat” fade=”no” background_parallax=”none” enable_mobile=”no” parallax_speed=”0.3″ video_mp4=”” video_webm=”” video_ogv=”” video_url=”” video_aspect_ratio=”16:9″ video_loop=”yes” video_mute=”yes” video_preview_image=”” border_size=”” border_color=”” border_style=”solid” margin_top=”” margin_bottom=”” padding_top=”” padding_right=”” padding_bottom=”” padding_left=””][fusion_builder_row][fusion_builder_column type=”1_3″ layout=”1_3″ spacing=”no” center_content=”no” hover_type=”none” link=”” min_height=”” hide_on_mobile=”no” class=”” id=”” background_color=”” background_image=”” background_position=”left top” undefined=”” background_repeat=”no-repeat” border_size=”2″ border_color=”#d3d3d3″ border_style=”solid” border_position=”all” padding=”5 5 5 5″ margin_top=”” margin_bottom=”” animation_type=”” animation_direction=”left” animation_speed=”0.1″ animation_offset=”” last=”no”][fusion_title margin_top=”” margin_bottom=”” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” class=”” id=”” size=”5″ content_align=”left” style_type=”none” sep_color=””]

Prevention Service for Most at Risk Population (MARPs)

[/fusion_title][fusion_separator style_type=”none” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” class=”” id=”” sep_color=”” top_margin=”6″ bottom_margin=”10″ border_size=”” icon=”” icon_circle=”” icon_circle_color=”” width=”200px” alignment=”center” /][fusion_button link=”” title=”” target=”_self” link_attributes=”” alignment=”center” modal=”marps” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” class=”” id=”” color=”default” button_gradient_top_color=”” button_gradient_bottom_color=”” button_gradient_top_color_hover=”” button_gradient_bottom_color_hover=”” accent_color=”” accent_hover_color=”” type=”” bevel_color=”” border_width=”” size=”” stretch=”default” shape=”” icon=”” icon_position=”left” icon_divider=”no” animation_type=”” animation_direction=”left” animation_speed=”0.3″ animation_offset=””]Read More[/fusion_button][/fusion_builder_column][fusion_builder_column type=”1_3″ layout=”1_3″ spacing=”no” center_content=”no” hover_type=”none” link=”” min_height=”” hide_on_mobile=”no” class=”” id=”” background_color=”” background_image=”” background_position=”left top” undefined=”” background_repeat=”no-repeat” border_size=”2″ border_color=”#d3d3d3″ border_style=”solid” border_position=”all” padding=”5 5 5 5″ margin_top=”” margin_bottom=”” animation_type=”” animation_direction=”left” animation_speed=”0.1″ animation_offset=”” last=”no”][fusion_title margin_top=”” margin_bottom=”” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” class=”” id=”” size=”5″ content_align=”left” style_type=”none” sep_color=””]

Laboratory Services

[/fusion_title][fusion_separator style_type=”none” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” class=”” id=”” sep_color=”” top_margin=”6″ bottom_margin=”10″ border_size=”” icon=”” icon_circle=”” icon_circle_color=”” width=”200px” alignment=”center” /][fusion_button link=”” title=”” target=”_self” link_attributes=”” alignment=”center” modal=”lab” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” class=”” id=”” color=”default” button_gradient_top_color=”” button_gradient_bottom_color=”” button_gradient_top_color_hover=”” button_gradient_bottom_color_hover=”” accent_color=”” accent_hover_color=”” type=”” bevel_color=”” border_width=”” size=”” stretch=”default” shape=”” icon=”” icon_position=”left” icon_divider=”no” animation_type=”” animation_direction=”left” animation_speed=”0.3″ animation_offset=””]Read More[/fusion_button][/fusion_builder_column][fusion_builder_column type=”1_3″ layout=”1_3″ spacing=”no” center_content=”no” hover_type=”none” link=”” min_height=”” hide_on_mobile=”no” class=”” id=”” background_color=”” background_image=”” background_position=”left top” undefined=”” background_repeat=”no-repeat” border_size=”2″ border_color=”#d3d3d3″ border_style=”solid” border_position=”all” padding=”5 5 5 5″ margin_top=”” margin_bottom=”” animation_type=”” animation_direction=”left” animation_speed=”0.1″ animation_offset=”” last=”no”][fusion_title margin_top=”” margin_bottom=”” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” class=”” id=”” size=”5″ content_align=”left” style_type=”none” sep_color=””]

Strategic Knowledge Management

[/fusion_title][fusion_separator style_type=”none” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” class=”” id=”” sep_color=”” top_margin=”6″ bottom_margin=”10″ border_size=”” icon=”” icon_circle=”” icon_circle_color=”” width=”200px” alignment=”center” /][fusion_button link=”” title=”” target=”_self” link_attributes=”” alignment=”center” modal=”skm” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” class=”” id=”” color=”default” button_gradient_top_color=”” button_gradient_bottom_color=”” button_gradient_top_color_hover=”” button_gradient_bottom_color_hover=”” accent_color=”” accent_hover_color=”” type=”” bevel_color=”” border_width=”” size=”” stretch=”default” shape=”” icon=”” icon_position=”left” icon_divider=”no” animation_type=”” animation_direction=”left” animation_speed=”0.3″ animation_offset=””]Read More[/fusion_button][/fusion_builder_column][/fusion_builder_row][/fusion_builder_container][fusion_builder_container hundred_percent=”yes” overflow=”visible”][fusion_builder_row][fusion_builder_column type=”1_1″ layout=”1_1″ background_position=”left top” background_color=”” border_size=”” border_color=”” border_style=”solid” spacing=”yes” background_image=”” background_repeat=”no-repeat” padding=”” margin_top=”0px” margin_bottom=”0px” class=”” id=”” animation_type=”” animation_speed=”0.3″ animation_direction=”left” hide_on_mobile=”no” center_content=”no” min_height=”none” last=”no” hover_type=”none” link=”” border_position=”all”][/fusion_builder_column][fusion_builder_column type=”1_3″ layout=”1_4″ spacing=”” center_content=”no” hover_type=”none” link=”” min_height=”” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” class=”” id=”” background_color=”” background_image=”” background_position=”left top” background_repeat=”no-repeat” border_size=”0″ border_color=”” border_style=”solid” border_position=”all” padding=”” dimension_margin=”” animation_type=”” animation_direction=”left” animation_speed=”0.3″ animation_offset=”” last=”no”][fusion_modal name=”marps” title=”Prevention Service for Most at Risk Population (MARPs)” size=”large” background=”#ffffff” border_color=”” show_footer=”yes” class=”” id=””]

Key populations are defined groups who, due to specific higher-risk behaviours, are at increased risk of HIV irrespective of the epidemic type or local context. Also, they often have legal and social issues related to their behaviours that increase their vulnerability to HIV.
They are important to the dynamics of HIV transmission in a given setting and are essential partners in an effective response to the epidemic. Key populations include both vulnerable groups and the Most-at-risk populations(MARPs). These Most-at-risk populations include men who have sex with men (MSM), transgender people, injecting drug users (IDU) and sex workers.
These are disproportionately affected by HIV in all epidemic contexts. Vulnerable populations are groups of people who are particularly vulnerable to HIV infection in certain situations or contexts, such as adolescents (particularly adolescent girls), orphans, street children, people in closed settings (such as prisons or detention centres), people with disabilities and migrant and mobile workers.
On the ACTION Plus Up project, peer educators are trained and empowered through community based organisations (CBOs) to provide safe sex and health education, early detection and treatment of STIs , provision of condoms and HTC for early diagnosis with appropriate referrals.

[/fusion_modal][/fusion_builder_column][fusion_builder_column type=”1_3″ layout=”1_4″ spacing=”” center_content=”no” hover_type=”none” link=”” min_height=”” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” class=”” id=”” background_color=”” background_image=”” background_position=”left top” background_repeat=”no-repeat” border_size=”0″ border_color=”” border_style=”solid” border_position=”all” padding=”” dimension_margin=”” animation_type=”” animation_direction=”left” animation_speed=”0.3″ animation_offset=”” last=”no”][fusion_modal name=”lab” title=”Laboratory Service” size=”large” background=”#ffffff” border_color=”” show_footer=”yes” class=”” id=””]The laboratory services supported on the ACTION Plus Up project include:
– HIV Serology
– Pediatric HIV diagnosis (EID)
– CD4 estimation, Total and Percentages
– Viral Load Assay
– Detection of Viral Resistance
– TB Fluorescent Microscopy and GeneXpert
In addition to this EHAI’s Clinical Laboratory department provides laboratory oversight and coordination, overall mentoring, monitoring, evaluation and supervision through correspondence, consultations and site visits to all project supported sites, as well as capacity building both onsite and offsite and ensure equipment preventive maintenance and functional checks are implemented.
Represents the Laboratory at Logistics and external quality assessment programs.[/fusion_modal][/fusion_builder_column][fusion_builder_column type=”1_3″ layout=”1_4″ spacing=”” center_content=”no” hover_type=”none” link=”” min_height=”” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” class=”” id=”” background_color=”” background_image=”” background_position=”left top” background_repeat=”no-repeat” border_size=”0″ border_color=”” border_style=”solid” border_position=”all” padding=”” dimension_margin=”” animation_type=”” animation_direction=”left” animation_speed=”0.3″ animation_offset=”” last=”no”][fusion_modal name=”skm” title=”Strategic Knowledge Management” size=”large” background=”#ffffff” border_color=”” show_footer=”yes” class=”” id=””]

All projects being implemented by EHAI are managed using a robust and functional Monitoring and Evaluation (M&E) system by the Strategic Knowledge Management (SKM) department of EHAI.
This department coordinates all monitoring and evaluation activities, data quality and analysis, health management information system issues emanating from program implementation to give the organization sufficient quality data on which to build a knowledge base for operational decisions. This is the data bank, data-mining base for tactical decision making; hence plays a strategic integral role in organizations performance monitoring system to measure achievement.
It ensures the availability of quality data, appropriate data capturing tools, management of project reporting cycle, regular program review and stakeholder engagement. The department showcases to the organization (all program units) and stakeholders where any project is at each point in time in its life cycle, giving direction needed for project improvement. It uses monitoring data and indicators from all program areas to measure overall program progress towards the stated objectives.
It tracks and assesses inputs, processes and outputs; routinely looking at the quality of data and services for eventual program evaluation and impact. Other activities of the SKM department include:

– Regular data verification and validation exercises
– Data quality assurance
– Supportive supervision and technical support to all supported facilities and CBOs on M&E
– Capacity building on M&E

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