NU2GGH002346

Public Health Information, Surveillance Solutions and Systems (PHIS?) Project, which is a consortium of APIN Public Health Initiatives, RTI, and UCSF-HealthQual - Health Information System (HIS), plays a pivotal role in program result-based accountability and success.

Achieving epidemic control and attaining UNAIDS 95:95:95 Fast Track Strategy goals in Nigeria will require a strong and well-coordinated HIS that will support program accountability and decision making. There is a need to overhaul and strengthen the HIS for it to respond adequately and in a timely manner for HIV program accountability and decision-making.

APIN, a frontliner in the implementation of electronic medical records in Nigeria, will work in consortium with HealthQual-UCSF and RTI to expand, improve, and strengthen existing HIS systems and frameworks. The consortium will also coordinate Continuous Quality Improvement (CQI) initiatives, conduct program evaluation, surveillance, and surveys to support PEPFAR prevention and treatment programs, and strengthen laboratory services capacities for HIV program improvement.

Specifically, Consolidated Health Information Reporting and Management Systems (CHIRMS) will galvanize existing in-country resources for improved coordination of HIV surveillance activities, system capacity building, conduct of formative baseline assessment on the HIV surveillance system, bridge identified gaps using a learning collaborative approach with stakeholders, and facilitate the development of country multiyear surveillance, evaluation, and surveys that address key evaluation questions along the HIV cascade of care.

The consortium will consolidate on the existing quality improvement activities and strengthen stakeholders' capacity to set up quality improvement programs at the national level, state level, IP-level, and at the health facilities. They will roll out Local Government Areas (LGAs) improvement networks based on a hub-and-spoke model using a participatory learning approach.

Furthermore, they will mainstream existing National Data Repository (NDR) and National Medical Records System (NMRS) platforms through the development of new modules that support interoperability with Laboratory Information Management Systems (LIMS) and commodity management, as well as data exchange across different HIS platforms. CHIRMS will provide program support to the Federal Ministry of Health (FMOH) to develop a national Data Quality Assurance (DQA) that will be synchronized into web-based platforms for analysis.

The consortium will also raise a pool of HIS trainers of trainers (TOT) across various HIS fields and support the set-up of governance bodies for HIS at national, state, and facility levels. CHIRMS will conduct laboratory services availability and readiness assessment, cost analysis, and effectiveness assessment, as well as equipment functionality, utility, and impact across selected PCR and GeneXpert laboratories. Laboratory quality assurance will be upheld through the development of a framework and accreditation processes. The consortium will support the national coordinating body to conduct an impact evaluation of the National Integrated Sample Referral Network Program and develop improvement plans.

Overall, the proposed interventions will help strengthen the national health information and surveillance system to respond to the HIV program's needs.

Apin Public Health Initiatives Ltd/Gte

NOT APPLICABLE

93.067 - Global AIDS

CDC Office of Financial Resources (OFR) [HHS - CDC]

Center for Global Health (CGH) [HHS - CDC]

Nigeria

Foreign

Strengthening Systems to Improve HIV Service Delivery and Other Public Health Interventions Through Continuous Quality Improvement, Monitoring and Evaluation, Surveillance, Health Informatics and Laboratory Quality Management in Nigeria under PEPFAR (CDC-RFA-GH21-2147)

COVID-19 $500,000 (2%) percent of this Cooperative Agreement was funded by COVID-19 emergency acts including the American Rescue Plan Act of 2021.
Amendment Since initial award the total obligations have increased 884% from $2,605,112 to $25,627,788.