National Aligned HIV/AIDS Initiative (NAHI)

FHI 360 was the prime recipient of the National Aligned HIV/AIDS Initiative (NAHI) grant from the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund). The project helped reduce the incidence of new HIV infections, mortality and morbidity in Nigeria among the general population, while intensifying interventions for key and vulnerable populations.

The NAHI project built on the results achieved through two previous Global Fund grants: Investing for Impact against Tuberculosis and HIV and Optimizing HIV Investments for Impact. It directly contributed to the attainment of Nigeria’s National HIV Strategic Plan by expanding access to HIV prevention, treatment, care and support.

FHI 360 provided overall technical and programmatic direction for the project and implemented evidence-based strategies and services in collaboration with selected subrecipients.

The project reached the following groups:

• The general population in two states.
• Key populations, specifically female sex workers, men who have sex with men, transgender people, and people who inject drugs, in 13 states.
• Adolescent girls and young women in three states.

In collaboration with the subrecipients, FHI 360 worked to ensure:

• Increased service uptake at the site level, including HIV testing, linkage to care, treatment initiation, and prevention of perinatal transmission.

• Strengthened HIV care cascades and clinical management processes for improved treatment outcomes, such as tuberculosis (TB) screening, TB-HIV management, early infant diagnosis, and viral-load monitoring.
• Expanded use of results in clinical decision-making.
• Optimized defaulter client tracking and retention on HIV care and treatment for both the general population and key populations.
• Filled gaps in harm reduction in seven states supported by PEPFAR.