Public Health Advisory in 2017: Technical leadership in eMTCT and Malaria programming

The Public Health Advisory (PHA) team of HSDF in 2017 was focused on expanding its activities in the elimination of Mother to Child Transmission of HIV (eMTCT) and Malaria programming across different States and Regions in Nigeria.
The eMTCT unit focused on building on its progress in four high burden states in 2016 to reduce turnaround time (TAT) and improve the linkage of HIV-positive exposed infants to pediatric ART under the EID OSS (Early Infant Diagnosis Operational Support Services) program. These efforts were expanded to include two more states (Nasarawa and Cross River) in 2017. Part of this process included facility visits to analyze source data, conduct monthly data audits and provide ongoing technical support. It also continued the strengthening of its direct technical support to state ministries of health and key stakeholders in public and private facilities in these locations.
Our Malaria team served in an advisory and technical assistance capacity to the National program, State programs and key stakeholders in the Malaria program subsector through the provision of data and evidence to drive targeted decision making. The team maintained key membership of strategic sub-committees and technical boards and forums, (including the Aids Tuberculosis Malaria Global Fund technical working group, Malaria Operational Research (OR) group and the Malaria Partner’s forum). It also provided technical expertise in articulating the importance of the availability, quality and use of data in the programming and decision-making process as well as the importance of organizational structure and processes in the performance of Malaria programs.
Toward achieving the national goal of Malaria elimination by 2020, the team is collaborating with the University of Lagos and the Lagos State government, to provide technical assistance and supportive supervision in Lagos State for a State-level Malaria Indicator Survey (MIS) alongside HSDF’s Malaria genomic study. The aim of the latter is to help improve Malaria Surveillance, amongst other important outcomes necessary for elimination.
Other areas of implementation included a capacity audit assessment of the Nutrition and Adolescent Health programs in 8 selected states (Enugu, FCT, Kano, Kaduna, Kebbi, Niger, Taraba, Rivers); an institutional capacity assessment of Adolescent Health programs at the Federal and State levels; and the provision of technical support to the FMOH Non Communicable Diseases unit. The unit also partnered with the FMOH to design a diabetes care and awareness project to be implemented in two states in the country. The partnership will also involve the collaboration of world diabetes foundation(WDF) and one of the project’s key focus will be to improve the availability, quality and use of data on Type 2 Diabetes Mellitus for decision making in Nigeria.