The Global HIV/AIDS Initiative Nigeria (GHAIN) was designed to support the Government of Nigeria in reducing the impact of HIV/AIDS and tuberculosis (TB) in select states by strengthening and expanding HIV/AIDS services. Across Nigeria, GHAIN worked to ensure that health care providers safely and effectively delivered HIV testing and counseling, prevention of mother-to-child transmission, antiretroviral therapy (ART) and TB services, and treatment of opportunistic infections. GHAIN also focused on integrating TB, reproductive health, family planning and malaria in pregnancy services with HIV/AIDS services.

GHAIN was enacted by an international consortium of four partners, with FHI 360 providing overall management and technical leadership for the project. By the program’s completion, GHAIN had significantly increased access to health care services in Nigeria; by 2010, GHAIN was fully operational in all 36 states of Nigeria, including the Federal Capital Territory, and by June 2011, accounted for more than a third of clients initiated on ART in Nigeria.