Table 1.
Results of Enhanced Community Case-Finding (ECCP) Package by Individual Strategy Among the Nine Surge States in Nigeria, March 2019–October 2020
| Rivers | Benue § | Nasarawa § | Delta | Gombe | FCT | Imo | Enugu | Lagos | Total | |
|---|---|---|---|---|---|---|---|---|---|---|
| State HIV prevalence (%) | 3.6 | 4.8 | 1.8 | 1.7 | 1.2 | 1.4 | 1.7 | 1.8 | 1.3 | 1.3 |
| Small Area Estimation (SEA): | ||||||||||
| Estimated state PLHIV (n) | 183,029 | 192,116 | 66,549 | 57,895 | 25,795 | 57,965 | 54,021 | 55,918 | 126,783 | 820,071 |
| PLHIV on treatment (n) | 26,041 | 110,878 | 36,372 | 15,208 | 14,377 | 38,185 | 12,057 | 18,110 | 57,935 | 329,163 |
| Treatment gap (n) | 156,988 | 81,238 | 30,177 | 42,687 | 11,418 | 19,780 | 41,964 | 37,808 | 68,848 | 490,908 |
| Treatment gap (%) | 85.8 | 42.3 | 45.3 | 73.7 | 44.3 | 34.1 | 77.7 | 67.6 | 54.3 | 59.9 |
| Total LGAs in the state (n) | 23 | 23 | 13 | 25 | 11 | 6 | 27 | 17 | 20 | 165 |
| Targeted LGAs (n) | 9 | 8 | 11 | 11 | 4 | 4 | 27 | 9 | 20 | 103 |
| Estimated PLHIV in targeted LGAs (n) | 67,003 | 65,920 | 26,255 | 26,081 | 8970 | 14,493 | 54,021 | 27,272 | 114,160 | 404,175 |
| Geocode Mapping of New PLHIV | ||||||||||
| Total hotspots mapped in targeted LGAs (n) | 7396 | 261 | 472 | 293 | 493 | 75 | 131 | 63 | 110 | 9294 |
| Hotspots that produced at least 90% of the positives (n) | 1734 | 205 | 352 | 121 | 50 | 34 | 46 | 41 | 22 | 2605 |
| Hotspots that produced at least 90% of the positives (%) | 23.4 | 78.5 | 74.6 | 41.3 | 10.1 | 45.3 | 35.1 | 65.1 | 20.0 | 28.0 |
| HIV Risk Screening Tool (HRST) | ||||||||||
| Individuals screened (n) | 557,467 | 63,212 | 55,237 | 106,650 | 11,105 | 31,778 | 18,483 | 22,158 | 16,359 | 882,449 |
| Individuals screened-out (test kits saved) (n) | 53,318 | 28,694 | 18,487 | 22,521 | 4100 | 12,814 | 3059 | 12,473 | 2990 | 158,456 |
| Individuals tested (n) | 504,149 | 34,518 | 36,750 | 84,129 | 7005 | 18,964 | 15,424 | 9685 | 13,369 | 723,993 |
| % screened-out | 9.6 | 45.4 | 33.5 | 21.1 | 36.9 | 40.3 | 16.6 | 56.3 | 18.3 | 18.0 |
| % tested | 90.4 | 54.6 | 66.5 | 78.9 | 63.1 | 59.7 | 83.4 | 43.7 | 81.7 | 82.0 |
| Positive individuals identified (n) | 13,578 | 1719 | 1810 | 1359 | 344 | 763 | 267 | 321 | 455 | 20,616 |
| % positive (positivity rate) | 2.7 | 5.0 | 4.9 | 1.6 | 4.9 | 4.0 | 1.7 | 3.3 | 3.4 | 2.8 |
| Index Partner Testing (IT) | ||||||||||
| Individuals offered IT (n) | 9878 | - | - | 1359 | 543 | 763 | 267 | 408 | 455 | 13,673 |
| Individuals who accepted IT (n) | 8890 | - | - | 816 | 343 | 654 | 224 | 321 | 303 | 11,551 |
| % accepting IT | 90.0 | - | - | 60.0 | 63.2 | 85.7 | 83.9 | 78.7 | 66.6 | 84.5 |
| Partners elicited (n) | 15,380 | - | - | 1476 | 469 | 860 | 291 | 420 | 610 | 19,506 |
| Partners tested (n) | 14,872 | - | - | 417 | 376 | 602 | 130 | 388 | 579 | 17,364 |
| Positive partners identified (n) | 2885 | - | - | 132 | 127 | 190 | 20 | 68 | 302 | 3724 |
| Elicitation ratio | 1.7 | - | - | 1.8 | 1.4 | 1.3 | 1.3 | 1.3 | 2.0 | 1.7 |
| Testing acceptance among elicited partners (%) | 96.7 | - | - | 28.3 | 80.2 | 70.0 | 44.7 | 92.4 | 94.9 | 89.0 |
| IT positivity rate | 19.4 | - | - | 31.7 | 33.8 | 31.6 | 15.4 | 17.5 | 52.2 | 21.4 |
| Total tested (RST and IT) (n) | 519,021 | 34,518 | 36,750 | 84,546 | 7381 | 19,566 | 15,554 | 10,073 | 13,948 | 741,357 |
| Total positive (RST and IT) (n) | 16,463 | 1719 | 1810 | 1491 | 471 | 953 | 287 | 389 | 757 | 24,340 |
| Positivity rate (RST and IT) (%) | 3.2 | 5.0 | 4.9 | 1.8 | 6.4 | 4.9 | 1.8 | 3.9 | 5.4 | 3.3 |
| Community HTS teams (n) | 115 | 20 | 37 | 125 | 13 | 14 | 12 | 20 | 6 | 362 |
| Performance appraisal review cycles conducted for field teams | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 18 |
| Virtual mentorship sesssions held (n) | 44 | 22 | 22 | 22 | 22 | 22 | 22 | 22 | 22 | 220 |
| Dashboard review meetings conducted (n) | 44 | 22 | 22 | 22 | 22 | 22 | 22 | 22 | 22 | 220 |
Note:§States did not implement IT during the study period.
Abbreviations: LGAs, Local Government Areas; ECCP, Enhanced Community Case-Finding Package; HTS, HIV testing services.