Dr. Daniel Gobgab, MD, Secretary General of the Christian Health Association of Nigeria explains the organization's response to HIV/AIDS and the programs CHAN implements to help those in need in partnership with the U.S. government and other donors.

1. FAITH COMMUNITIES AS BRIDGES OF SUPPORT
FOR THOSE LIVING WITH HIV.
THE CONTRIBUTION OF CHRISTIAN HEALTH
ASSOCIATION OF NIGERIA (CHAN).
A PRESENTATION AT
CCIH ANNUAL CONFERENCE, MARYMOUNT
UNIVERSITY ARLINGTON, VIRGINIA USA.
22nd JUNE 2014
BY
DR DANIEL N. GOBGAB
SECRETARY GENERAL

2. WHO ARE WE
•Christian Health Association of Nigeria (CHAN) is a Faith Based
Organization (FBO) bringing together Nigerian churches involved in
the provision of healthcare services and human resources for health
development.
• CHAN is registered with the Corporate Affairs commission (CAC) of
Nigeria as an umbrella organization for the coordination of all
Christian Health services in Nigeria. CAC number1449
CHAN was founded in 1973 by:
• The Catholic Bishop’s Conference of Nigeria (CBCN),
• The Christian Council of Nigeria (CCN), and
• The Northern Christian Medical Advisory Council of Nigeria
(NCMAC).

3. WHO ARE WE
• CHAN has nearly 500 healthcare facilities reaching out through
over 3000 other outlets by its member intuitions (MIs) that are
run by 20 different Church denominations involved in provision of
wholistic health care services including collaboration and
complementation of government efforts in health care provision.
• There are 36 different training institutions for Nursing,
Laboratory, Community health and other allied health fields thus
contributing to the HRH development in Nigeria.
• CHAN provides support to its MIs through capacity building,
coordination of activities, Drug supply through CHANMedi-Pharm,
lobbying and advocacy, public relations and translation of
government policies into action in line with the teaching of the
churches.

4. VISION, MISSION AND GOAL
VISION
Delivering wholistic, efficient
and responsive healthcare for
all people in Nigeria
MISSION
To provide efficient services by
building the capacity of
members and to collaborate
with partners to improve the
health for all in Nigeria
GOAL
Improve the health
status of people in
Nigeria, especially
the most
disadvantaged and
the poor of the
poorest, in
fulfillment of Christ
healing ministry.

5. NETWORKING AND PARTNERSHIP

6. ACHAP VISION MISSION AND MEMBERSHIP
Vision
“Health and Healing
for all in Africa”
Mission
“ACHAP supports
Church related health
associations and
organizations to work
and advocate for
health for all in Africa,
guided by equity,
justice and human
dignity”.

7. HIV/AIDS Services funded by USG in the past 5 years
Project Donor Implementing
status
Amount
(Naira)
Period
1 Service Expansion and Early Detection for
Sustainable HIV Care (SEEDS)
Centre for Clinical Care
and Research Nigeria
(CCCRN) , CDC Grant
Sub grantee 120,000,000 Oct. 2012 to
date
2 Sustainable HIV care and Treatment
Action in Nigeria (SUSTAIN)
Catholic Caritas
Foundation (CCFN), CDC
Grant
Sub grantee 90,000,000 Oct. 2012 to
date
3 Comprehensive HIV and AIDS Response,
the Interfaith Solution (CHARIS)
US Centre for Disease
Control (CDC)
Prime 1,800,000,000 Oct. 2011-
Dec.2012
4 CHAN-AIDS Relief US President’s Emergency
plan for AIDS Relief
(PEPFAR).
Prime -1 year
transition
142,000,000 Oct 2010-sept
2011
5 Nigeria Indigenous Capacity Building
(NiCAB) for Comprehensive HIV/AIDS
Services to the PHC level
USAID Prime 1,307,514,083 Oct. 2007-
March 2012
6 Global Fund TB R5 phases 1 Project Global Fund for
HIV/AIDS, Malaria and
TB
Prime
2,925,000,000
2007-June 2010
Strengthening the Advocacy Work of
CHAN
Breath for the World
(Formerly EED Germany) 270,000,000 2003 -date
8 HIV/AIDS budget Tracking Action Aid International Sub grant
170,000,000 2005-
2011
9

8. Where we work
Project Date
Started
Project Sites Status
Service Expansion and Early Detection
for Sustainable HIV Care (SEEDS)
October
2012 to date
Anambra, Imo, Ebonyi & Abia States On Going
Sustainable HIV care and Treatment
Action in Nigeria (SUSTAIN)
Oct. 2012 to
date
Delta, Edo, Ugun, Ondo, Oshun &
Oyo States On Going
CHAN Comprehensive AIDS Response
interfaith solution(CHAN-CHARIS)
Oct.2011-
Dec. 2012
Abia, Anambra, Benue, Kogi, Ondo,
Enugu, Imo, Delta, Edo, Oyo,
Kaduna, Kano, Adamawa, Plateau
States
Closed
CHAN –AIDS Relief October
2010- Sept
2011
Edo and Anambra States Closed
Nigeria Indigenous Capacity Building
(NiCAB) a Comprehensive HIV/AIDS
services to the PHC levels
Oct. 2007 –
Sept. 2012
Abia, Benue, Delta, Oyo, Sokoto,
Taraba States and FCT
Closed
Global Fund TB R5 phases 1 Project 2007 - 2010 National -in all 36 states +FCT Closed
Strengthening the Advocacy Work of
CHAN
2003 - date Plateau, Kaduna, Taraba, Adamawa,
Benue, Enugu, Abia, Anambra, Imo,
Edo, Delta, Oyo, Ogun, lagos,
Niger,Nassarawa States
On Going

9. Overview of Accomplishments
• Health Systems strengthening
Strengthened Governance and leadership of CHAN National
executive (Board)
Resurrected Moribund Health Facilities in rural areas that
became ‘centers of excellence’ in rural areas
• Improved HRH processes, policies SOPs and guidelines
• Bolstering the financial skills and knowledge of CHAN and its
network
(Improved financial processes and systems at all levels)
• Infrastructure Improvement through mobilizing local resources in
communities.
• Strengthened Technical Capacity for Quality Clinical Services

10. Accomplishments cont.
• Through SCMS, Supply Chain System of CHAN through CHAN
Medi Pharm is strengthened for National logistics and
distribution and also stepped down to facilities to forecast,
manage inventories and utilize LMIS.
• Institutionalization of quality improvement culture- Patient
Care Team reviews and Project Management Team reviews
formed
• CHAN pioneered the decentralization of Comprehensive ARV
services to PHC centers in Nigeria.

11. Sustainability
• NKST Hospital Zakibiam, Benue state increased ANC from 56 to
over 600 in 3 years cleared arrears of salaries, has employed
additional staff and X ray services now introduced as a result
quality services through training and increased clientele.
• SDA Hospital Abia. Reversed a deficit of $8,963 to a surplus of
$96,177 in one year because of improved services and demand
creation. Now employs more health workers
• Sancta Maria, a rural clinic in Taraba state increased the number
of deliveries from less than 100 to more than 300 in 10 months
and doubled their facility clientele from 3,500 to more than 8,000
in one year
• DMMM Catholic Hospital Aba increased total clientele from an
average of 1,050 a year to over 2,225 the following year.
• The holy Family MCH Clinic in Sokoto obtained finding from a non
-US government donor to erect additional building .

12. People Reached
• As at 2013, PEPFAR funded partners in CHAN MIs have;
• Reached over 60,000 Nigerians who had access to treatment
services (Cumulative) with ARVs
• Provided palliative care to over 300,000 PLHV
• Counseled and tested over 450,000 and received results
• Reached over 25,000 pregnant women who were tested and
received their results
• Placed over 5,000 positive women on treatment or receiving
prophylaxis.
• Trained, mentored or Coached more than 3,500 technical staff
• Prevention messages (abstinence and be faithful)to millions based
on our faith.
• Reached over 50,000 OVCs.

13. PMTCT
• Increased attendance at ANC and post partum visits using
TBAs/CBOs in the communities and 90% of clients counseled
and tested for HIV.
• Leveraging resources to refurbish maternity clinics and
providing expertise enhanced clinical skills and increased
number of women seeking ANC and delivery services
• Reached over 25,000 pregnant women who were tested and
received their results
• Placed over 5,000 positive women on treatment / receiving
prophylaxis

14. Challenges
• HRH – quantity and quality and high turnover of skilled staff.
• PMTCT- getting males as partners for couple counseling and
support to their partners, an uphill task
• Public sector recognising FBO referral of clients especially for
deliveries and TB services.
• Insecurity – insurgency, kidnapping affected staff movement and
implementation of activities.
• The challenge of repairs and maintenance of laboratory
equipments when they breakdown.
• Infrastructure deficiencies and poor state of systems and
structures.
• There is still a lot of unmet need for HIV prevention, care and
treatment in rural Nigeria – a ceiling is always put to the number
we can take per facility and the rest referred.

15. Lessons Learned
• FBO facilities remain the only accessible point of health care for
most rural communities
• With adequate support, training and patient monitoring, Primary
Health level facilities can provide most aspects of the continuum
of care required for comprehensive HIV management
• Successful creation of capacity and improved quality of HIV care
had positive impact on health seeking behavior of communities
and increased health service patronage in all areas, particularly
maternal and child health.
• The flexibility of faith-based structures and staff allow facilities to
respond to the needs of their clients and communities
• Partnering closely with government and creatively partnering
with other NGOs improves access to and quality of services

16. Emir of Bali and his council members at the activation
and community mobilization ceremony in Bali, Taraba State.

17. The wife of Taraba State Governor Hajia Hauwa Danbaba Suntai cutting the
tape to activate HIV/AIDS Comprehensive services at UMCN RHP Hospital,
Zing.

18. CHAN Zonal Coordinator explaining and demonstrating at
community PMTCT mobilization in Taraba State.

19. CONCLUSION
WE CAN DO MUCH WITH LITTLE SUPPORT TO
REACH THE UNREACHED PEOPLE OF NIGERIA

20. THANK YOU