1. Application of Geographic Information System (GIS) Technology to Improving Nigeria PEPFAR Program Presented by Amobi Andrew Onovo

2. Background of PEPFAR Program in Nigeria
Presentation Outline
Background of PEPFAR Program in Nigeria
Previous challenges with Program Data Use
Introduction of Geospatial Application to PEPFAR program
Benefits of GIS Application in PEPFAR Program in Nigeria
Way Forward in GIS Application
9/18/2018
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3. Background of PEPFAR Program in Nigeria
Nigeria - Estimated population of over 180 Million
37 States plus FCT with 784 LGAs
Estimated 3.2 Million PLHIV
PEPFAR activities commenced since 2004
Initially implemented in all states
Initiated priority coverage strategies in 2014
Strategies called for increased need for program evidences/information
9/18/2018
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4. Initial Data Quality Issues with Programmatic data (Much improved now)
Previous Challenges with Effective Use of Data for Improved PEPFAR Programming
Initial Data Quality Issues with Programmatic data (Much improved now)
Inconsistent National HIV Epidemic estimates
Poor understanding of SNU epidemic distribution
Limited or no geospatial data to support PEPFAR programming
9/18/2018
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5. Introduction of Geospatial Application to PEPFAR program
With increased robustness of COP, need for more robust and data-driven/evidence based programming strategies
Increased need to
Understand the true or best estimates for HIV epidemic in at SNU levels.
Map PEPFAR coverage and contributions to National HIV campaign
Map areas of unmet needs to prioritize PEPFAR resources at SNU levels for improved results
Map PEPFAR treatment sites and other services to match distributions with outcomes
Map transmission hotspots to integrate to the overhauling strategic restructuring with HIV Service locations
9/18/2018
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6. Illustrations of GIS Applications to support PEPFAR Nigeria Programmatic Strategies
9/18/2018
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7. SNUs Prioritization Programming
COP 14 ( States)
COP 13 (All States)
COP 15 (Priority LGAs)
COP 14 ( Priority States)
9/18/2018
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8. SNUs Prioritization Programming…2
LGAs by Priority States to Reach Saturation by Fy16
65 LGAs to Reach 80% ART Coverage by end 2017
Subset of 65 LGAs (7) located in Current 8 Priority States to be Saturated by End of FY15
23 Priority LGAs for FY16
9/18/2018
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9. Determination of HIV Facility/Services distribution by Epidemic Spread
HIV epidemic Pattern and by SNU2 Levels
Matching Distribution of HIV facilities/Services with Epidemic Spread
9/18/2018
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10. Determining Disease Spread for Prioritized Intervention
9/18/2018
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11. Prioritizing Additional LGAs for FY18 in COP17
9/18/2018
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12. Client Mobility Mapping for Cluster Structuring in COP17
NIGERIA: Client Mobility By Cluster LGAs, FY18
9/18/2018
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13. Determining Priority Cluster for FY18
9/18/2018
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14. COLLECTION AND UPDATE OF GIS DATA: PEPFAR INTERAGENCY DATA VALIDATION EXERCISE
9/18/2018
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15. Benefits of GIS Application in PEPFAR Program in Nigeria
Improved COP and strategies with better geospatial understanding of our programmatic data
Improved targeted interventions
Identify HIV transmission patterns, and distribution of HIV seropositivity yield across the supported LGAs
Geospatially mapped infections to identify “hotspots”
Patient mobility tracking for cluster structuring
Inform prevention and treatment service spread
Improved redistribution of laboratory services for such as GeneXpert and PCR services for optimized utility
9/18/2018
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16. CHALLENGES IN USING GEOGRAPHIC INFORMATION SYSTEM
GIS Software and Training
Data concerns– Structured, adequate and accurate data on the disease
Lack of Standard GIS Methodology for advanced geospatial statistical analysis
Limited or no GIS data collection tools
Limited geographical disaggregation of program data
9/18/2018
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17. Way Forward in GIS Application
Multiple licensed copies of GIS software
Self-paced training package on GIS application
Integrating geospatial information in regular programmatic reviews
Building more capacity to explore advanced geospatial analysis of programmatic data in monitoring performance
Update our geospatial systems and software for improved use.
Using GIS to track mobility of PEPFAR supported equipment and service machines and monitor contributions in the area.
9/18/2018
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18. 9/18/2018
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