HIV and AIDS Comprehensive Care Initiative (HACCI)


URC supported the Government of Nigeria to expand access to and improve the quality of HIV/AIDS prevention, care, and treatment services and to build sustainable capacity in those areas at primary and secondary facilities in Enugu and Ebonyi States. By supporting mobilization of the communities served by these facilities, HACCI fostered local ownership of the delivery of comprehensive HIV/AIDS services.

Key Activities

  • Provided technical assistance to improve clinical training, strengthen staff competency, upgrade infrastructure, provide supplies and pharmaceuticals, and train health care workers and community volunteers.
  • Helped establish and integrate testing and counseling for HIV, the prevention of mother-to-child transmission of HIV, antiretroviral therapy, TB/HIV integrated care, and care and support services.
  • Implemented and expanded pediatric HIV care, support, and treatment and improve services for orphans and vulnerable children and families affected by HIV/AIDS.
  • Developed facility- and home-based services to optimize the quality of life for HIV clients and their families.
  • Supported community outreach to reduce stigma, disseminate prevention messages, and increase awareness of HIV/AIDS services among remote and vulnerable populations.


  • Renovated five secondary health facilities and fully equipped their laboratories to provide HIV diagnosis and monitoring, greatly improving 1) access to and the quality of care for people with HIV and AIDS and 2) patient monitoring.
  • Expanded community outreach by training and supporting about 200 community volunteers to disseminate prevention messages, work with communities to reduce stigma, and increase access to HIV services. As a result, over 2000 people have been referred for counseling and testing.
  • Expanded services to six private for-profit health facilities, thereby extending access to quality HIV services to the middle class, who prefer to use private for-profit services.
  • Fifty-three HACCI-supported health facilities have provided counseling and testing to over 27,000 pregnant women since the project launched.
HACCI partnered with a locally established organization to offer voluntary HIV counseling and testing services to women in rural Nigeria. Photo by Dr. Ikechukwu Ezekpeazu, URC.
2008 to 2013
US Centers for Disease Control and Prevention (CDC)
The US President's Emergency Plan for AIDS Relief (PEPFAR)
Federal Ministry of Health Nigeria, HIV/AIDS Division
Nigeria Enugu State Ministry of Education
Nigeria Ebonyi State Ministry of Health
Nigeria Enugu State Ministry of Women Affairs and Social Development
Clinton Health Access Initiative (CHAI)
Society for Family Health (SFH)
Regions/ Countries 
Geographic Scope 
Enugu and Ebonyi States