Project Summary Report
Project Duration: April to August 2025 (5 months)
Implementation State: Taraba
Lead Implementing Organisation: Centre for Initiative and Development (CFID), Nigeria
Goals & Objectives:
- Increase voluntary blood donation as a culturally acceptable route for HBV screening.
- Integrate HBV status determination into community health outreach via blood safety protocols.
- Link HIV-negative individuals to PrEP and HBV-positive individuals to treatment services.
- Deploy a digital health tool to support client referral and tracking across the cascade.
Key Activities and Innovations:
| Activity | Output |
| Town Hall Sensitization | 12 town halls across 3 states (avg. 600–800 attendees each) |
| Community Focus Group Discussions | 9 FGDs with diverse groups (youth, religious leaders, women) |
| Blood Donation Drives | 1,842 screened donors; HBV status determined for all |
| PrEP & HBV Referral Linkages | 228 HBV+ linked to care; 87 HBV- started on PrEP |
| Digital Health Mapping | 62 blood centers and 47 PrEP sites geo-tagged (set to be launched in January, 2026) |
| Mobile App Integration | “CFID Cares” app updated with blood/PrEP locator and referral system |
| Community Champions | Trained 35 peer educators to support mobilization and referrals |
Outcomes & Impact:
- Improved awareness: 70% of community members could correctly explain HBV transmission and prevention by endline.
- Cross-program integration: Demonstrated synergy between HBV and HIV programs using a “test-once, link-twice” model.
- Technology for scale: CFID Cares app increased access to liver health and HIV prevention info, particularly among youth.
- Policy engagement: Findings presented to State Ministries of Health with recommendations for integrating HBV into blood donor services and PrEP rollout plans.
Challenges Encountered:
- Stigma around HBV diagnosis and fear of disclosure during blood screening.
- Limited availability of HBV treatment centers in some rural LGAs.
- Initial resistance from some religious leaders, which was later resolved through direct engagement.
Next Steps:
- Scale to 5 additional states using CFID’s existing community networks.
- Expand digital tools to include HBV treatment adherence tracking and patient reminder systems.
- Engage National Blood Transfusion Service and NASCP for potential national rollout.
- Advocate for routine HBV linkage protocols for all PrEP and blood donation services in Nigeria.