Nigerien Armed Forces Partnership for Sustainable HIV/AIDS Epidemic Control (Niger-DHAPP)

Overview

Niger-DHAPP supports the Ministry of Defense (MOD) to achieve HIV epidemic control by reducing the number of new HIV infections and other sexually transmitted infections (STIs) among Nigerien Armed Forces (FAN) members, their families, and the civilian communities served by the FAN health services. The project directly supports the MOD to aggressively scale up the military’s antiretroviral therapy (ART) program to achieve the UNAIDS 95-95-95 goals.

 

The Challenge

Niger’s weak military health system lacks a central respondent for HIV data management, with limited prescribing centers for patients, and high mobility of military providers due to security needs, along with other gaps. Additionally, very few providers have been trained in how to conduct proper counseling and provide HIV pre-test recommendations. These gaps have made it difficult to set up a network for people living with HIV within the military system and provide the necessary follow-up and management due to the many points of care and treatment. Further, FAN members’ behaviors increase the risk of HIV infection among nearby populations.

 

Objectives

  • Reduce new HIV infections and other STIs in the Nigerien Armed Forces
  • Scale up the military’s ART program to achieve the UNAIDS 95-95-95 goals
  • Focus on: HIV care and treatment, HIV testing services , HIV clinical monitoring systems, and HIV prevention interventions

 

Achievements

  • Increased the number of military facilities providing HIV testing from 10 to 18
  • Increased the number of military facilities providing HIV care and treatment from 4 to 15
  • Increased the number of army health facilities carrying out index testing from 0 to 12 sites
  • Increased the military maternities offering prevention of mother-to-child transmission services from 6 to 11
  • Revised action plan and achieved most of year 1 activities (90%), despite the COVID-19 lockdown
  • Reached target for HIV testing among armed forces
  • Improved target for finding HIV positive cases (to 53%)
  • Improved target (cumulative) for HIV positive clients on ARV (to 40%)

 

PMCTC training of military providers – Dosso. Photo credit: URC
PMCTC training of military providers – Dosso. Photo credit: URC
Duration
2019 to 2023
Funders 
US Department of Defense (DOD)
Partners 
Global Scientific Solutions for Health (GSSHealth)
Regions/ Countries