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FAITH COMMUNITIES AS BRIDGES OF SUPPORT
FOR THOSE LIVING WITH HIV.
THE CONTRIBUTION OF CHRISTIAN HEALTH
ASSOCIATION OF NIG...
WHO ARE WE
•Christian Health Association of Nigeria (CHAN) is a Faith Based
Organization (FBO) bringing together Nigerian ...
WHO ARE WE
• CHAN has nearly 500 healthcare facilities reaching out through
over 3000 other outlets by its member intuitio...
VISION, MISSION AND GOAL
VISION
Delivering wholistic, efficient
and responsive healthcare for
all people in Nigeria
MISSIO...
NETWORKING AND PARTNERSHIP
ACHAP VISION MISSION AND MEMBERSHIP
Vision
“Health and Healing
for all in Africa”
Mission
“ACHAP supports
Church related h...
HIV/AIDS Services funded by USG in the past 5 years
Project Donor Implementing
status
Amount
(Naira)
Period
1 Service Expa...
Where we work
Project Date
Started
Project Sites Status
Service Expansion and Early Detection
for Sustainable HIV Care (SE...
Overview of Accomplishments
• Health Systems strengthening
Strengthened Governance and leadership of CHAN National
executi...
Accomplishments cont.
• Through SCMS, Supply Chain System of CHAN through CHAN
Medi Pharm is strengthened for National log...
Sustainability
• NKST Hospital Zakibiam, Benue state increased ANC from 56 to
over 600 in 3 years cleared arrears of salar...
People Reached
• As at 2013, PEPFAR funded partners in CHAN MIs have;
• Reached over 60,000 Nigerians who had access to tr...
PMTCT
• Increased attendance at ANC and post partum visits using
TBAs/CBOs in the communities and 90% of clients counseled...
Challenges
• HRH – quantity and quality and high turnover of skilled staff.
• PMTCT- getting males as partners for couple ...
Lessons Learned
• FBO facilities remain the only accessible point of health care for
most rural communities
• With adequat...
Emir of Bali and his council members at the activation
and community mobilization ceremony in Bali, Taraba State.
The wife of Taraba State Governor Hajia Hauwa Danbaba Suntai cutting the
tape to activate HIV/AIDS Comprehensive services ...
CHAN Zonal Coordinator explaining and demonstrating at
community PMTCT mobilization in Taraba State.
CONCLUSION
WE CAN DO MUCH WITH LITTLE SUPPORT TO
REACH THE UNREACHED PEOPLE OF NIGERIA
THANK YOU
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Ccih 2014-faith-communities-hiv-daniel-gobgab

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Dr. Daniel Gobgab, MD, Secretary General of the Christian Health Association of Nigeria explains the organization's response to HIV/AIDS and the programs CHAN implements to help those in need in partnership with the U.S. government and other donors.

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Transcript of "Ccih 2014-faith-communities-hiv-daniel-gobgab"

  1. 1. FAITH COMMUNITIES AS BRIDGES OF SUPPORT FOR THOSE LIVING WITH HIV. THE CONTRIBUTION OF CHRISTIAN HEALTH ASSOCIATION OF NIGERIA (CHAN). A PRESENTATION AT CCIH ANNUAL CONFERENCE, MARYMOUNT UNIVERSITY ARLINGTON, VIRGINIA USA. 22nd JUNE 2014 BY DR DANIEL N. GOBGAB SECRETARY GENERAL
  2. 2. WHO ARE WE •Christian Health Association of Nigeria (CHAN) is a Faith Based Organization (FBO) bringing together Nigerian churches involved in the provision of healthcare services and human resources for health development. • CHAN is registered with the Corporate Affairs commission (CAC) of Nigeria as an umbrella organization for the coordination of all Christian Health services in Nigeria. CAC number1449 CHAN was founded in 1973 by: • The Catholic Bishop’s Conference of Nigeria (CBCN), • The Christian Council of Nigeria (CCN), and • The Northern Christian Medical Advisory Council of Nigeria (NCMAC).
  3. 3. WHO ARE WE • CHAN has nearly 500 healthcare facilities reaching out through over 3000 other outlets by its member intuitions (MIs) that are run by 20 different Church denominations involved in provision of wholistic health care services including collaboration and complementation of government efforts in health care provision. • There are 36 different training institutions for Nursing, Laboratory, Community health and other allied health fields thus contributing to the HRH development in Nigeria. • CHAN provides support to its MIs through capacity building, coordination of activities, Drug supply through CHANMedi-Pharm, lobbying and advocacy, public relations and translation of government policies into action in line with the teaching of the churches.
  4. 4. VISION, MISSION AND GOAL VISION Delivering wholistic, efficient and responsive healthcare for all people in Nigeria MISSION To provide efficient services by building the capacity of members and to collaborate with partners to improve the health for all in Nigeria GOAL Improve the health status of people in Nigeria, especially the most disadvantaged and the poor of the poorest, in fulfillment of Christ healing ministry.
  5. 5. NETWORKING AND PARTNERSHIP
  6. 6. ACHAP VISION MISSION AND MEMBERSHIP Vision “Health and Healing for all in Africa” Mission “ACHAP supports Church related health associations and organizations to work and advocate for health for all in Africa, guided by equity, justice and human dignity”.
  7. 7. HIV/AIDS Services funded by USG in the past 5 years Project Donor Implementing status Amount (Naira) Period 1 Service Expansion and Early Detection for Sustainable HIV Care (SEEDS) Centre for Clinical Care and Research Nigeria (CCCRN) , CDC Grant Sub grantee 120,000,000 Oct. 2012 to date 2 Sustainable HIV care and Treatment Action in Nigeria (SUSTAIN) Catholic Caritas Foundation (CCFN), CDC Grant Sub grantee 90,000,000 Oct. 2012 to date 3 Comprehensive HIV and AIDS Response, the Interfaith Solution (CHARIS) US Centre for Disease Control (CDC) Prime 1,800,000,000 Oct. 2011- Dec.2012 4 CHAN-AIDS Relief US President’s Emergency plan for AIDS Relief (PEPFAR). Prime -1 year transition 142,000,000 Oct 2010-sept 2011 5 Nigeria Indigenous Capacity Building (NiCAB) for Comprehensive HIV/AIDS Services to the PHC level USAID Prime 1,307,514,083 Oct. 2007- March 2012 6 Global Fund TB R5 phases 1 Project Global Fund for HIV/AIDS, Malaria and TB Prime 2,925,000,000 2007-June 2010 Strengthening the Advocacy Work of CHAN Breath for the World (Formerly EED Germany) 270,000,000 2003 -date 8 HIV/AIDS budget Tracking Action Aid International Sub grant 170,000,000 2005- 2011 9
  8. 8. Where we work Project Date Started Project Sites Status Service Expansion and Early Detection for Sustainable HIV Care (SEEDS) October 2012 to date Anambra, Imo, Ebonyi & Abia States On Going Sustainable HIV care and Treatment Action in Nigeria (SUSTAIN) Oct. 2012 to date Delta, Edo, Ugun, Ondo, Oshun & Oyo States On Going CHAN Comprehensive AIDS Response interfaith solution(CHAN-CHARIS) Oct.2011- Dec. 2012 Abia, Anambra, Benue, Kogi, Ondo, Enugu, Imo, Delta, Edo, Oyo, Kaduna, Kano, Adamawa, Plateau States Closed CHAN –AIDS Relief October 2010- Sept 2011 Edo and Anambra States Closed Nigeria Indigenous Capacity Building (NiCAB) a Comprehensive HIV/AIDS services to the PHC levels Oct. 2007 – Sept. 2012 Abia, Benue, Delta, Oyo, Sokoto, Taraba States and FCT Closed Global Fund TB R5 phases 1 Project 2007 - 2010 National -in all 36 states +FCT Closed Strengthening the Advocacy Work of CHAN 2003 - date Plateau, Kaduna, Taraba, Adamawa, Benue, Enugu, Abia, Anambra, Imo, Edo, Delta, Oyo, Ogun, lagos, Niger,Nassarawa States On Going
  9. 9. Overview of Accomplishments • Health Systems strengthening Strengthened Governance and leadership of CHAN National executive (Board) Resurrected Moribund Health Facilities in rural areas that became ‘centers of excellence’ in rural areas • Improved HRH processes, policies SOPs and guidelines • Bolstering the financial skills and knowledge of CHAN and its network (Improved financial processes and systems at all levels) • Infrastructure Improvement through mobilizing local resources in communities. • Strengthened Technical Capacity for Quality Clinical Services
  10. 10. Accomplishments cont. • Through SCMS, Supply Chain System of CHAN through CHAN Medi Pharm is strengthened for National logistics and distribution and also stepped down to facilities to forecast, manage inventories and utilize LMIS. • Institutionalization of quality improvement culture- Patient Care Team reviews and Project Management Team reviews formed • CHAN pioneered the decentralization of Comprehensive ARV services to PHC centers in Nigeria.
  11. 11. Sustainability • NKST Hospital Zakibiam, Benue state increased ANC from 56 to over 600 in 3 years cleared arrears of salaries, has employed additional staff and X ray services now introduced as a result quality services through training and increased clientele. • SDA Hospital Abia. Reversed a deficit of $8,963 to a surplus of $96,177 in one year because of improved services and demand creation. Now employs more health workers • Sancta Maria, a rural clinic in Taraba state increased the number of deliveries from less than 100 to more than 300 in 10 months and doubled their facility clientele from 3,500 to more than 8,000 in one year • DMMM Catholic Hospital Aba increased total clientele from an average of 1,050 a year to over 2,225 the following year. • The holy Family MCH Clinic in Sokoto obtained finding from a non -US government donor to erect additional building .
  12. 12. People Reached • As at 2013, PEPFAR funded partners in CHAN MIs have; • Reached over 60,000 Nigerians who had access to treatment services (Cumulative) with ARVs • Provided palliative care to over 300,000 PLHV • Counseled and tested over 450,000 and received results • Reached over 25,000 pregnant women who were tested and received their results • Placed over 5,000 positive women on treatment or receiving prophylaxis. • Trained, mentored or Coached more than 3,500 technical staff • Prevention messages (abstinence and be faithful)to millions based on our faith. • Reached over 50,000 OVCs.
  13. 13. PMTCT • Increased attendance at ANC and post partum visits using TBAs/CBOs in the communities and 90% of clients counseled and tested for HIV. • Leveraging resources to refurbish maternity clinics and providing expertise enhanced clinical skills and increased number of women seeking ANC and delivery services • Reached over 25,000 pregnant women who were tested and received their results • Placed over 5,000 positive women on treatment / receiving prophylaxis
  14. 14. Challenges • HRH – quantity and quality and high turnover of skilled staff. • PMTCT- getting males as partners for couple counseling and support to their partners, an uphill task • Public sector recognising FBO referral of clients especially for deliveries and TB services. • Insecurity – insurgency, kidnapping affected staff movement and implementation of activities. • The challenge of repairs and maintenance of laboratory equipments when they breakdown. • Infrastructure deficiencies and poor state of systems and structures. • There is still a lot of unmet need for HIV prevention, care and treatment in rural Nigeria – a ceiling is always put to the number we can take per facility and the rest referred.
  15. 15. Lessons Learned • FBO facilities remain the only accessible point of health care for most rural communities • With adequate support, training and patient monitoring, Primary Health level facilities can provide most aspects of the continuum of care required for comprehensive HIV management • Successful creation of capacity and improved quality of HIV care had positive impact on health seeking behavior of communities and increased health service patronage in all areas, particularly maternal and child health. • The flexibility of faith-based structures and staff allow facilities to respond to the needs of their clients and communities • Partnering closely with government and creatively partnering with other NGOs improves access to and quality of services
  16. 16. Emir of Bali and his council members at the activation and community mobilization ceremony in Bali, Taraba State.
  17. 17. The wife of Taraba State Governor Hajia Hauwa Danbaba Suntai cutting the tape to activate HIV/AIDS Comprehensive services at UMCN RHP Hospital, Zing.
  18. 18. CHAN Zonal Coordinator explaining and demonstrating at community PMTCT mobilization in Taraba State.
  19. 19. CONCLUSION WE CAN DO MUCH WITH LITTLE SUPPORT TO REACH THE UNREACHED PEOPLE OF NIGERIA
  20. 20. THANK YOU
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