CFID 2024 Annual Report: Progress Toward the UNAIDS 95/95/95 HIV Targets in Taraba State

Executive Summary

In 2024, the Centre for Initiative Development (CFID) advanced its mission to combat HIV/AIDS in Taraba State, Nigeria, through interventions aligned with World Health Organization (WHO) guidelines and UNAIDS 95/95/95 targets. We tested 148,340 individuals, linked 97% of newly diagnosed cases to care within one month, and achieved 98% viral suppression among those on antiretroviral therapy (ART). Challenges like stigma and gaps in reaching certain populations were addressed with innovative solutions, including the CFID Care Mobile App and community engagement. This report details our achievements, challenges, and strategies to enhance person-centered HIV care.

Photo Gallery: Note: 

Screenshot of the CFID Care Mobile App on Google PlayStore

Distribution of IEC Materials to IPs by CFID

CFID volunteer Community health worker conducting HIV testing on Pregnant woman

Introduction

In 2024, CFID intensified its efforts to address the HIV epidemic in Taraba State, guided by WHO’s consolidated guidelines and the UNAIDS 95/95/95 targets: 95% of PLHIV knowing their status, 95% of those diagnosed receiving ART, and 95% of those on ART achieving viral suppression. Our programs emphasized equitable access, community-based care, and stigma reduction to ensure quality, person-centered services for all, including key populations.

Program Overview

CFID’s 2024 interventions included:

• HIV Testing Services (HTS): Expanded rapid diagnostic tests, distribution of self-testing kits, and community-based testing.
• Linkage to Care: Rapid ART initiation and peer navigation for newly diagnosed individuals.
• Retention in Care: Adherence support via peer counseling and community health workers.
• Person-Centred Approaches: Non-stigmatising, culturally competent care for key populations.

CFID Training of HCPs on HBV EMTCT in Baissa, Kurmi LGA, Taraba State Nigeria

Suggested Image: Community health worker counseling or a testing site.

Key Statistics

Testing and Diagnosis

• Individuals tested for HIV: 148,340
• Women tested: 110,200
• Children knowing their status: 1,534
• PLHIV knowing their status: 93% (corrected from 6.5%)
• New HIV diagnoses: 67
• Diagnoses with WHO-prequalified tests: 94%

Linkage to Care

• Newly diagnosed linked within 1 month: 97%
• ART initiated within 30 days: 66
• Key populations linked to care: 89%

Retention and Viral Suppression

• PLHIV on ART retained in care: 92%
• PLHIV on ART with suppressed viral load (<200 copies/mL): 97%
• Individuals receiving adherence support: 63

Prevention and Additional Metrics

• Individuals accessing PrEP: 11,230
• Pregnant women on ART for PMTCT: 67%
• Community-based interventions: 28

Table 1: Summary of 95/95/95 Progress

Intervention Strategies

1. HIV Testing Services

• Deployed WHO-prequalified rapid tests for same-day results.
• Distributed self-testing kits to key populations.
• Conducted community-based testing via mobile units and door-to-door campaigns.

Supportive Supervision & System Strengthening, TDF and HBsAg RTKs Refill in First Referral Hospital, Baissa

PrEP Administration to PWID During Moonlight Testing & Enrollment in Wukari (Bunk)

2. Linkage to Care

• Utilized peer navigation for newly diagnosed individuals.
• Implemented tracing via phone calls, texts, and home visits.
• Facilitated same-day ART initiation per WHO guidelines.

Table 2: Linkage to Care Outcomes

Note: Corrected inconsistencies in children’s data for accuracy.

3. Retention in Care

• Provided adherence support through peer counseling and community health workers.
• Engaged community providers to monitor retention.
• Created stigma-free clinic and community environments.

PrEP Sensitization to PWID by CFID Outreach Team in One of the Bunk in Bali LGA Taraba State

4. Addressing Inequities

• Tailored interventions for key populations.
• Addressed social determinants like housing and food insecurity.
• Ensured culturally competent care for diverse groups.

Challenges and Solutions

Challenges

• Stigma and discrimination in healthcare settings.
• Gaps in reaching men, youth, and children.
• Socioeconomic barriers affecting retention.

Solutions

• Developed the CFID Care Mobile App for remote support.
• Trained counselors to create safe spaces for key populations.
• Strengthened community engagement via local leaders and peer networks.
• Expanded outreach with mobile clinics.
• Integrated social services (e.g., food support) with HIV care.

Progress Toward 95/95/95

CFID achieved 93% of PLHIV knowing their status (global average: 84%), 97% on ART (global average: 75%), and 98% virally suppressed (global average: 86%). These results highlight significant progress, particularly in linkage to care and viral suppression, compared to global benchmarks.

Recommendations for 2025

• Scale up self-testing and community-based testing to close the 2% gap in the first 95%.
• Enhance peer navigation and digital tracing tools for key populations.
• Invest in adherence support and stigma reduction training.
• Strengthen data systems for real-time monitoring and evaluation.

Conclusion

CFID’s 2024 efforts reflect our commitment to WHO’s person-centered approach and the 95/95/95 targets. By expanding testing, improving linkage, and ensuring retention, we are advancing toward ending the HIV epidemic in Taraba State. Continued collaboration with communities and partners is vital to achieving our 2030 vision.

Suggested Image: Community event or group of beneficiaries.

Acknowledgments

Table 3: Partner Contributions

References

• World Health Organization. (2025). HIV and AIDS Fact Sheet.
• World Health Organization. (2024). Policy Brief: Supporting Re-engagement in HIV Treatment Services.
• UNAIDS. (2025). Global HIV Statistics.