AIDS Relief Interventions with System Enhancement (ARISE) Project: In November 2012, EFMC received funds from the Institute of Human Virology Nigeria and Centre for Clinical Care and Research Nigeria (CCCRN) in continuation of her series of expansion drive, geared towards Reaching All with Care and Support Services in HIV/AIDS (REACH) and provide comprehensive HIV services in Imo and Nasarawa States as well as in the Federal Capital Territory Abuja Nigeria. Till date, EFMC has activated more than 130 sites with 12 comprehensive and 118 PMTCT supporting sites. By March 2013, EFMC has provided HTC services to more than 110,000 Nigerians, PMTCT to 18,000 pregnant women, ART to 2,000 PLHIV and support to more than 1,000 qualified children. These are in addition to her reach in the REACH project in 2011 – 2012 when more than 96,000 people were tested, 5,000 PLHIV placed on treatment, 20,000 pregnant women tested with more than 500 placed on prophylaxis and 1500 vulnerable children supported with relevant services. The current project is part of IHVN PLUS UP project (in FCT Abuja and Nasarawa State) and CCCRN SEEDS project (in Imo State).
Reaching All with Care and Support Services in HIV/AIDS (REACH) Project: The REACH project is an E&F Management Consult HHS/CDC sponsored Cooperative Agreement to provide comprehensive HIV/AIDS services in Nassarawa State and Abuja FCT. The Notice of Award (NOA) was signed on September 17th 2011 and the project began effectively on September 30th 2011.
REACH Project is an immediate, comprehensive and evidence based action to turn the tide of global HIV/AIDS in Nigeria. This is in line with the call by the PEPFAR Reauthorization Act of 2008, to treat at least three million (3,000,000) HIV infected people with effective combination anti-retroviral therapy (ART); care for twelve million (12,000,000) HIV infected and affected persons, including five million (5,000,000) orphans and vulnerable children; and prevent twelve million (12,000,000) infections worldwide (3,12,12); as well as support the training of at least (140,000) new health care workers in HIV/AIDS prevention, treatment and care for sustainable care and treatment. REACH project is in line with National Health and Development Strategic Plan II (NHDSP II) and National Strategic Framework II of NACA 2010.
EFMC/Christian Aid Improving Community Response to Management of Malaria (ICRAM) Project: The (ICRAM) Project is an implementation research being executed in partnership between Christian-AID (UK) and Excellence and Friends Management Care Centre (EFMC) in Anambra state, South East, Nigeria.
The project is premised on the background of the burden of Malaria in Nigeria in which the country bears up to 25% of the malarial disease burden in Africa and contributes significantly to the one million lives lost each year which largely consists of children and pregnant women. Malaria-related deaths account for up to 11% of maternal mortality and 10% of low birth weight. In addition, they contribute to up to 25% of infant mortality and 30% of under-5 mortality, resulting in an estimated 300,000 childhood deaths annually. Malaria also exerts a huge social and economic burden on families, communities, and the country which results to an annual estimated loss of 132 billion naira (N132bn) spent on treatment and prevention as well as loss of person-hours according to the National Malaria Control Programme (NMCP).
Since access to accurate diagnosis and artemisinin combination therapies (ACTs) close to homes will reduce malaria-related deaths, especially among children; malaria rapid diagnostic tests (mRDTs) which makes parasite-based diagnosis possible where microscopy is unavailable have the potential of improving the case management of malaria and turning the tide in the fight against malaria.
The rationale for this project hinges on the fact that the distribution and availability of mRDTs and ACTs have been irregular and in many instances, not readily available even in urban areas. This pilot project has the potential of changing anti-malarial prescription practices from presumptive to targeted treatment, improve diagnostic capacity in facilities without microscopic diagnosis and ensuring the consistent availability of diagnostic methods for malaria.
ICRAM aims to establish the value added benefit of a combined approach to malaria management (mRDTs, ACT and LLIN) at service delivery points.The project is being conducted in three phases - initiation and baseline assessment, intervention, and end line evaluation/close-out phases and the study employed is that of a cross-sectional analytical design using both qualitative (Focus Group Discussions and Key Informant Interviews) and quantitative methodologies.
Maternal Health Young Champions Program (MHYC): The MYHC is a program aimed at developing young and enthusiastic champions of maternal health in developing countries to support the aggressive reduction of maternal mortality rates. Developed by the Maternal Health Task Team of the Harvard School of Public Health, it was managed by the reputable Institute for International Education (IIE) based in Washington. The 2013 program recruited 10 young champions from Ethiopia (3), India (3), Nigeria (3) and Mexico (1) and placed under mentors in ten mentoring institutions in those countries. EFMC is one of the three mentoring institutions in Nigeria with potentials for future partnerships with the Harvard School of Public Health and IIE.