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Intake

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Intake is a Center for Dietary Assessment that provides technical support for population-level dietary assessment surveys in low- and middle-income countries.

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Integrated Humanitarian Assistance to Northeast Nigeria (IHANN): Facts and Figures (fact sheet)

This resource presents achievements in areas such as health, nutrition and gender-based violence that are supported by the Integrated Humanitarian Assistance to Northeast Nigeria (IHANN) project.

HIV survey in Nigeria yields data to improve HIV programming

January 26, 2018

In Nigeria, the Akwa Ibom AIDS Indicator Survey (AKAIS) broke new ground by generating more accurate data than previously available. The new data will be used to improve Akwa Ibom State’s response to HIV, while the survey serves as a model for a similar countrywide HIV survey.

participant taking surveyThe population-based, cross-sectional survey, which was conducted between April and June of 2017, yielded improved estimates of HIV prevalence and incidence among a broad range of age groups, including those younger than age 15. The results, recently released by high-level state personnel at a stakeholder event, allowed for better descriptions of the demographic, socioeconomic and behavioral risk factors associated with HIV in this state and provided estimates of the unmet need for HIV interventions. The study was the first completed state-level survey in Nigeria to measure HIV incidence and prevalence simultaneously.

The survey, funded by the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) through the U.S. Agency for International Development (USAID), was a joint effort of the Akwa Ibom government and the Strengthening Integrated Delivery of HIV/AIDS Services (SIDHAS) project, which is implemented by FHI 360 and its consortium partners. SIDHAS staff facilitated pre-survey trainings, strategic planning meetings, stakeholder meetings, community sensitization and engagement, and facilitator trainings. They also helped to ensure that extensive measures were in place to safeguard the quality and effectiveness of all survey operations, including data quality assurance.

The state government provided an enabling environment for the survey and helped to mobilize citizens to actively participate in it. State officials also supported survey implementation processes, including ethics approval of the survey protocol, recruitment of survey field personnel and supervision of field work.

The survey reached 4,313 households, including 8,963 adults and 6,646 children. It found that the overall HIV prevalence in Akwa Ibom is 2.8 percent. Among people 15 years and older, prevalence was 4.8 percent, and among children up to 14 years old, prevalence was 0.4 percent. The annual incidence rate among adults 15 years and older was 0.41 percent.

Robert Chiegil, FHI 360’s former country director in Nigeria, noted that the survey required high levels of support and collaboration from thousands of residents and the state government. He said, “A survey where more than 4,000 households and 15,000 individuals were sampled is no small task. The results of this survey will give Akwa Ibom State the accurate and precise data it needs to guide the scale-up of prevention and treatment services and to determine unmet needs.”

Akwa Ibom is among the first states to administer the AIDS Indicator Survey in Nigeria and the first to disseminate its findings. The government will use the lessons learned from conducting the survey to guide planning for HIV control programs and conduct a national, population-based, HIV indicator and impact assessment.


Photo credit: Seun Asala/FHI 360

Integrated Humanitarian Assistance for Internally Displaced Persons in Dikwa Local Government Area, Borno State, Northeast Nigeria (IHAP)

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FHI 360 is creating integrated solutions to meet critical needs through the Integrated Humanitarian Assistance for Internally Displaced Persons in Dikwa Local Government Area, Borno State, Northeast Nigeria project (IHAP).

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Education Technical Assistance and Support Services (EDTASS) Blanket Purchase Agreement (BPA)

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Education Technical Assistance and Support Services (EDTASS) is a blanket purchase agreement that provides the U.S. Department of Education with technical assistance and support services across a range of activities that are essential to ensuring the success of their grant programs.

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FANTA knowledge sharing and dissemination event

August 25, 2017

The Food and Nutrition Technical Assistance III Project (FANTA), funded by the U.S. Agency for International Development (USAID), is hosting an event to share key information from this cross-cutting project. The FANTA Knowledge Sharing and Dissemination Event is on September 6, from 8:30 a.m.–4:30 p.m. at FHI 360’s Conference Center, 1825 Connecticut Avenue, NW, Washington, DC.

Thought leaders and technical staff will discuss FANTA’s multisectoral nutrition activities and innovations over the last six years and highlight the impact of these initiatives at the global, country and community levels.

For more than 15 years, FANTA has worked to improve the health and well-being of vulnerable individuals, families and communities in developing countries by strengthening food security and nutrition policies, programs and systems. The project provides comprehensive technical support to USAID and its partners, including host country governments, international organizations and nongovernmental organizations. FANTA works at both the country and global levels, supporting the design and implementation of programs in focus countries and building on field experience to strengthen the global evidence base, methods and standards for food security and nutrition programming.

FHI 360's integrated approach to delivering humanitarian assistance in northeast Nigeria

June 20, 2017

FHI 360 is delivering lifesaving health care; water, sanitation and hygiene (WASH) services; and protection for survivors of gender-based violence in Borno State, Nigeria. Our integrated approach to providing urgently needed solutions requires a unique perspective on service delivery. The health team from our Integrated Humanitarian Assistance to Northeast Nigeria project explains our approach as we leverage our development expertise to respond to the crisis in this region.

Can you elaborate on how FHI 360’s expertise in development is connected to its humanitarian assistance work, specifically in the health sector?

people filling out forms at tableFHI 360 has been an active player in delivering integrated health services in environments that are politically unstable or that present security challenges. We have conducted this work using strategies and delivery models that are context-sensitive, neutral and cost-effective. Our Strengthening Integrated Delivery of HIV/AIDS Services project in northeastern Nigeria continues our assistance to this region — which includes the states of Adamawa, Bauchi, Borno and Yobe — even at the peak of the Boko Haram conflict from 2011 to the present.

FHI 360 has been able to maintain this work by continually adapting to the crisis context and engaging with a range of partners, including state and local governments, security agencies, community-based organizations and religious institutions. And now, we are using our existing networks and local resources in a new project, our Integrated Humanitarian Assistance to Northeast Nigeria project. This project delivers desperately needed assistance, including health, WASH and gender-based violence protection services, in Borno State. It is funded by the Office of U.S. Foreign Disaster Assistance.

Could you tell us about some of the partnerships FHI 360 is building to deliver health services during the Boko Haram crisis?

The Borno State Ministry of Health and the State Primary Health Care Development Agency provide the structure and enabling environment that allow FHI 360 to deliver primary health care and sexual and reproductive health services in Dikwa and Ngala. We are currently collaborating with UNICEF to provide health care services at the primary health care clinics in these locations. We have also partnered with the Hospitals Management Board to reopen Dikwa General Hospital.

Another of our priorities is to improve the resilience of the Borno health system overall. FHI 360 is leading joint efforts of partners to build the state’s capacity to govern and manage the primary health care system. These efforts include improving human resource policies and practices, strengthening the ability of local institutions to use local resources and improving health information management and research. We are also working with Nigeria’s National Emergency Management Agency and State Emergency Management Agency.

How do you integrate this work across sectors?

The project’s integrated approach allows for early connections and cooperation across our multisector interventions. For example, we have combined our efforts in the sectors of health, WASH and protection against gender-based violence to provide for the basic needs of people in Dikwa and Ngala. Our projects in the health and WASH sectors together help promote infection prevention and control, address health education and proper hygiene needs, and provide safe waste disposal systems. These sectors are also working together at Dikwa General Hospital to renovate their toilet facilities and provide clean water in the hospital wards.

Similarly, our health and protection sectors jointly provide services to survivors of sexual and gender-based violence. They also promote changes in behavior and communication on the issues of sexual and reproductive health in the camps for internally displaced persons and in the host communities outside these camps. These two sectors are also collaborating to improve how health workers care for rape survivors.

In addition to these activities, the project collaborates with other FHI 360 projects that operate in conflict situations, such as our Strengthening Integrated Delivery of HIV/AIDS Services project and United Nations High Commissioner for Refugees (UNHCR) Internally Displaced People Protection project. These projects share knowledge, skills, resources and best practices; participate in coordination and security meetings; conduct joint planning; and hold joint performance review meetings.


Photo credit: Steven Farshing/FHI 360

Bringing clean water to internally displaced people in northeast Nigeria

March 22, 2017

The humanitarian crisis in northeast Nigeria has displaced 1.4 million people in Borno State alone. To help alleviate the most immediate needs of the region, FHI 360’s Integrated Humanitarian Assistance to Northeast Nigeria project is delivering lifesaving services at the camps where internally displaced persons live in the Borno State areas of Dikwa and Ngala. Priority interventions are focused on improving water, sanitation and hygiene to address health conditions at these camps. The project is funded by the U.S. Agency for International Development (USAID) through its Office of U.S. Foreign Disaster Assistance.

hand washingOn World Water Day, 24 new taps providing clean water will begin serving up to 17,300 people, including 1,000 pregnant women and 2,000 breastfeeding mothers (International Organization for Migration Site Profile, January 2017), at the Sangaya camp — the most populous camp in Dikwa. Previously, Sangaya had only two functioning taps to serve all its residents. With the onset of the dry season, this increased access to safe water for drinking and hygiene is crucial.

At Sangaya, the camp residents have become involved and invested. They have done some of the construction work to build these taps, including enhancing boreholes and building the structures around them. To further involve residents, FHI 360 staff will be working with camp chairpeople and community volunteers to form a water management committee. The committee will consist of 60 percent women and 40 percent men. There are also 10 women and 10 men who serve as community volunteers to promote good hygiene practices to residents. In the near future, the project plans to collaborate with camp chairpeople and residents to run clean-up campaigns.

Expanding access to clean water is not the only critical improvement. FHI 360 pumped out the latrines, which were full and had become an urgent public health issue. Combined with the lack of clean water and poor hygiene practices, these conditions could have led to a cholera outbreak.

The project, which focuses on delivering an integrated response that addresses multiple urgent needs simultaneously, provides other types of humanitarian assistance in these camps, to include primary health care, reproductive health care and protection against gender-based violence. Project staff closely coordinate these efforts with the water and sanitation activities to produce the quickest, most effective results.

Piet deVries, FHI 360’s Technical Director for Crisis Response, summed up the project’s important work, “By providing these key water, sanitation and hygiene interventions in Dikwa and Ngala, as the hot, dry season takes hold, we are trying to avoid a public health crisis, which would add to the difficulties of this complex emergency. With expanded access to safe water and sanitation and hygiene promotion, coupled with primary health care, the risk of a severe diarrheal disease outbreak is significantly reduced.”


Photo credit: iStock.com/borgogniels

New grant for humanitarian response in northeast Nigeria

February 08, 2017

FHI 360 has received a new grant from the U.S. Agency for International Development’s Office of U.S. Foreign Disaster Assistance to deliver urgently needed humanitarian assistance in northeast Nigeria.

There are nearly 7 million people in northeast Nigeria who have felt the impact of the violent insurgencies of Boko Haram. FHI 360’s work will focus on Borno State, where there are approximately 1.3 million internally displaced persons.

Internally Displaced Persons Camp in Borno State, Northeast NigeriaTo respond to this critical situation, our Integrated Humanitarian Assistance to Northeast Nigeria project will take an integrated approach to crisis response. The program will deliver health care; protection and psychosocial support to survivors of gender-based violence; and water, sanitation and hygiene services to approximately 45,900 displaced people. In addition, in recognition of the immediate needs in Borno State, the FHI Foundation has funded water and sanitation assistance where there are clusters of internally displaced people in Maiduguri, the capital of Borno State. This contribution aligns with FHI 360’s long-term investment in its crisis response initiative.

“FHI 360 has been working in Nigeria since 1986, responding to critical education and health needs across 26 states, including Borno [State], where the majority of displaced people are now seeking refuge,” said Greg Beck, FHI 360’s Director of Crisis Response and Integrated Development. “FHI 360 will build on our existing operational structure and relationships with local authorities and communities, as well as development and humanitarian actors, to quickly and effectively deliver lifesaving support.”

Beck continued, “The crisis in northeast Nigeria is extremely complex, and our humanitarian response must mirror the multifaceted nature of people’s lives. FHI 360 will add real value by using an integrated approach to ensure quick uptake of services and to deepen the impact of valuable resources.”

FHI 360’s crisis response addresses humanitarian needs around the world that result from armed conflicts and from unprecedented flows of refugees from destabilized areas. Over the past three years, FHI 360 has led a global conversation about the power of integrated, multisector approaches. We have developed a robust body of evidence, knowledge and tools on integrated development, and more of our programs are benefiting from this intentional multisectoral approach. The Integrated Humanitarian Assistance to Northeast Nigeria project will create a sustainable, immediate impact by combining our expertise in crisis response and integrated development.


Photo caption: Internally Displaced Persons Camp in Borno State, Northeast Nigeria

Photo credit: Success Johnson/FHI 360

Integrated Humanitarian Assistance to Northeast Nigeria II (IHANN II)

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The Integrated Humanitarian Assistance to Northeast Nigeria II project, funded by USAID’s Office of U.S. Foreign Disaster Assistance, is delivering targeted interventions to internally displaced persons in Borno State.

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