Supporting HIV/AIDS Research and Surveillance


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Presented at the Nigeria End-of-Phase-III Event in June 2014.

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  • “Nigerian Surveillance Program: Assessing the Status of HIV and Reproductive Health Indicators” presented at the Sixth EDCTP Forum in Addis Ababa, Ethiopia 9 -12 October 2011; and in other conferences such as IAS/AIDS/ICASA
  • and in addressing these research questions of national importance through mathematical models:
    Number of HIV infections averted among clients of sex workers and the general population attributable to prevention programs in Nigeria?
    What is the cost-effectiveness of PMTCT, PrEP and treatment scale-up in Nigeria?
    What is the impact in terms of DALYs on treatment and prevention scale-up?
  • Supporting HIV/AIDS Research and Surveillance

    1. 1. Supporting HIV/AIDS Research and Surveillance Dr. Adedayo Adeyemi MEASURE Evaluation Abuja & Dr. Ade Bashorun HIV/AIDS Division, Federal Ministry of Health, Abuja MEASURE Evaluation End-of-Phase III Meeting, June 18, 2014
    2. 2. Outline:  Objective  Introduction  Strategies  Contributions  Next Steps 2
    3. 3. Objective:  The objective of this presentation is to showcase the support of MEASURE Evaluation in the planning and implementation of research, surveillance, survey and evaluation 3
    4. 4. Introduction:  In 2009, MEASURE Evaluation with Government of Nigeria and other stakeholders conducted “Assessment of National HIV/AIDS Monitoring and Evaluation (M&E) System” using the UNAIDS 12- component tool  The assessment produced some key strategic results that contributed to research, surveillance, survey and evaluation at national and sub-national levels 4
    5. 5. Surveillance, Surveys and Research: Key Results from the Assessment  No inventory of research and evaluation studies  Little coordination of the various research and evaluation efforts including surveillance and surveys  Lack of National HIV Research Agenda  Poor capacity for research  Need for recruitment of specialized professionals like epidemiologist, Biostatistician and Research Officers  Need to identify key evaluation and research questions, and coordinate studies to meet the national needs 5
    6. 6. Strategies - I  Partnership, collaboration and consultation with stakeholders  Training, mentoring and coaching  Served as member of technical committees or taskforce  Strategic Knowledge Management TWG  Impact Evaluation TWG  Mathematical modeling TWG  HIV National Survey committees 6
    7. 7. Strategies - II  Reviewed and made technical inputs into:  Design, sampling, sample size determination, and modeling  Facilitated and participated in training, data analysis and supervision to ensure quality assurance  Report writing  Use of results 7
    8. 8. Contributions - 1 HIV National Research Agenda MEASURE Evaluation provided technical support in the development of the agenda Served as a member of HIV Research Reference Group  To operationalize HIV Research agenda  To support Government’s efforts in commissioning and implementing researches like NACA operations research 8
    9. 9. Contributions - 11  Survey and Surveillance to generate information needed to monitor HIV response  MEASURE Evaluation supported in the areas of planning including sample size calculation, implementation, supervision, analysis and report writing  Examples of such surveys include:  Integrated Biological Behavioral Surveillance Survey 2010  National HIV/AIDS Reproductive Health Survey 2012 9
    10. 10. Contributions - 111 EPP/Spectrum used to project and estimate some HIV indicators MEASURE Evaluation contributed to EPP/Spectrum through facilitation; sample size and standard error estimation, and population of the model for estimations These contributions were instrumental to some indicators like:  Total number of people living with HIV/AIDS  Number of AIDS death  Number of new infections etc 10
    11. 11. Contributions - IV MEASURE Evaluation is currently contributing to: Chair and membership of mathematical modeling TWG  The mandate is to contribute to HIV strategic information and evaluation using mathematical models Importantly, the group is finalizing reports with regards to some research questions of national importance 11
    12. 12. Contributions - V Other MEASURE Evaluation contributions include: Cost efficiency study in the areas of review of research tool, sample size calculation and sampling Local Epidemic Appraisal (knowing your epidemic): support in the implementation of the study at the sub- national level NACA’s impact evaluation study on averting new HIV Infections among Female-Sex Workers, their Clients and Communities. The supports were in sample size calculation, random sampling and randomization 12
    13. 13. Contributions - VI  Supported and mentored Government staff in the preparation of abstracts and papers for international conferences  Such conferences include EDCTP, IAS, AIDS and ICASA  Conduct of Early warning indicator (a facility survey)  Capacity building of Government staff for research and data analysis.  In July 2013, 24 Government Staff were trained in quantitative and qualitative data analyses 13
    14. 14. Next Steps  Build more capacity for research, evaluation and data analysis  Contribute to Government’s efforts in program science to improve HIV, TB and malaria programming  Strengthen research implementation in Research Reference Group, Study Technical Committees & TWGs  Provide support for the conduct of evaluation with a special focus on scientifically rigorous impact evaluation  Strengthen national and sub-national data use for evidence based programming through triangulation, systematic review and mathematical modeling 14
    15. 15. THANK YOU! MEASURE Evaluation is a MEASURE project funded by the U.S. Agency for International Development and implemented by the Carolina Population Center at the University of North Carolina at Chapel Hill in partnership with Futures Group International, ICF Macro, John Snow, Inc., Management Sciences for Health, and Tulane University. Views expressed in this presentation do not necessarily reflect the views of USAID or the U.S. Government. MEASURE Evaluation is the USAID Global Health Bureau's primary vehicle for supporting improvements in monitoring and evaluation in population, health and nutrition worldwide. Visit us online at 15