Submission ID 131555
| Issue/Objective | Adolescent girls and young women (AGYW) face intersecting risks of HIV infection and unmet sexual and reproductive health and rights (SRHR) needs, driven by structural inequities and fragmented service delivery. Under Nigeria's Global Fund GC7 implementation, the Institute of Human Virology Nigeria (IHVN) deployed an integrated SRHR-HIV model across four states to improve access, continuity of care, and health outcomes among AGYW. |
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| Methodology/Approach | We conducted a retrospective analysis of routine program data from January 2024 to December 2025 across Anambra, Ebonyi, Gombe, and Kwara states. The intervention combined community-based outreach (peer-led, youth-friendly) with facility-based services, integrating HIV prevention, testing, ART linkage, TB screening, and viral load monitoring within SRHR platforms. Key indicators included reach, HIV testing uptake, positivity yield, ART linkage and retention, TB screening coverage, and viral suppression. |
| Results | Over two years, 1,067,401 AGYW were reached with integrated services, with >90% through community platforms, demonstrating strong reach into underserved populations. 557,293 (52.2%) received HIV testing, identifying 983 positive cases (0.18% yield). Linkage to ART was consistently high (97-100%), with 10,295 AGYW actively on treatment across the four states by late 2025. Program performance improved over time: quarterly reach expanded to 70,000-100,000 AGYW, TB screening coverage increased steadily, and viral suppression exceeded 90% among those tested in later quarters. Integration also improved service continuity, reducing missed opportunities across the prevention-treatment cascade. |
| Discussion/Conclusion | Integrated SRHR-HIV delivery can simultaneously expand access and improve outcomes among AGYW in resource-constrained settings. Do institutionalize community-led, youth-friendly integrated service models with continuous clinical monitoring; don't maintain siloed systems that fragment care and exclude vulnerable populations. Scaling such approaches is critical to translating coverage into equitable, sustained impact. |
| Presenters and Affiliations | Joshua Gowon Institute Of Human Virology Nigeria Fati-Murtala Ibrahim Institute Of Human Virology Nigeria Dr Olayemi Olupitan Institute Of Human Virology Nigeria Dr Aderonke Agbaje Institute Of Human Virology Nigeria Pillatar Benjamin Institute Of Human Virology Nigeria Lucia Okwuonye Institute Of Human Virology Nigeria Dr Charles Mensah Institute Of Human Virology Nigeria Dr Patrick Dakum Institute Of Human Virology Nigeria |
