The Nigeria DATs Project

The Digital Adherence Technologies (DATs) Project is funded by Stop TB Partnership/UNOPS (United Nations Office for Project Services) and implemented by KNCV TB Foundation Nigeria with a consortium of partners – KNCV Tuberculosis Foundation Netherlands and Interra Networks. The DATs project is aimed at comprehensive introduction of digital adherence technologies to support tuberculosis treatment across eight states in Nigeria: Akwa Ibom, Anambra, Benue, Imo, Kaduna, Kano, Nasarawa, and Rivers through two intervention models:

  • 99DOTS medication labels – Use medication labels that contain a unique single 3-digit code and the country SMS short code number to track records of daily drug intake by TB patients.
  • VOT (Video-observed Therapy) – Use SureAdhere mobile app to record videos of drug intake by TB patients, enabling remote adherence monitoring through video technology by the Healthcare workers.

The project is the first TB treatment adherence technology to be implemented within the National TB program in Nigeria. It is focused on an integrated deployment approach, with different DAT options for patients and one unified application for the healthcare worker. The different DAT model helps to remind patients to take their medications, facilitate digital observation of pill-taking, compile dosing histories, triage patients based on their level of adherence, thereby facilitating the provision of individualized care by the TB program based on patients risks. The duration of the project is one year.

Figure: Map of the eight states implementing DATs Project in Nigeria

Celebration time🍾 🎉. We made it. USAID TB LON Project Region 1 and 2. Congrats to the KNCV Family and we are grateful to the American People. With the funding from USAID, KNCV TB Foundation Nigeria will be supporting comprehensive TB treatment and care across 14 states in Nigeria for a 5 year period 2020 to 2025.

USAID Nigeria TB LON Region 1 and 2 Project

 The TB LON Project is funded by USAID Nigeria and focuses on locally generated solutions to provide TB prevention, screening, diagnosis, treatment and notification, while addressing stigma and discrimination. The TB LON region 1 and 2 project is to be implemented by KNCV TB foundation Nigeria to expand the provision of and increase access to TB services among formal and informal health providers through the engagement  of the private sector, umbrella and local chapters of health and allied professional organizations, faith-based institutions, communities and civil society.The project is targeted at increasing the number of tuberculosis (TB) cases that are detected, treated and notified to  437,895 within the five year grant implementation period 2020 to 2025 and implemented across 14 states in Nigeria; Bauchi, Kaduna, Katsina, Kano, Nasarawa, Plateau, Taraba, Anambra, Akwa Ibom, Benue, Cross River, Delta, Imo and Rivers State. The project’s four intermediate results are as follows;

  • Improved access to high-quality, person-centered TB, DR-TB, and TB/Human Immunodeficiency Virus (TB/HIV) services;
  • Strengthened TB service delivery platforms;
  • ReducedTB disease transmission and progression and
  • Accelerated TB innovations with improved impact on program implementation

KNCV Nigeria is working with a consortium of partners- two sub recipients- CCCRN and KNCV International and six strategic service package providers- Intrasat Global, IPCD, Jana Health Foundation, Diadem Consult, Public Health Concerns Ltd and TB Network. Towards meeting the project set targets, KNCV Nigeria and partners adopted a mixed model of community and facility based, health systems strengthening strategies and digital solutions to find TB cases in a Roll in, Roll on and Roll out staged approach. Roll in is in year 1 which is the planning stage, collaborations and capacity building, Roll on is the saturation stage in Year 2,3 and 4 while Roll out in year 5 is the transitioning Stage.

 

 

The WASP Project

The WASP project is a USAID funded project through a cooperative agreement with Abt Associates/SHOPS Plus and implemented by KNCV Nigeria. In line with the National Strategic Plan for TB Control 2015-2020 the WASP project targets to increase Drug Susceptible and Drug Resistant Tuberculosis case detection in 14 high TB burden states by improving universal access to TB diagnosis and treatment through 4 strategic intervention areas

 

•      Wellness on Wheels – Mobile Diagnostic Units/trucks in Kano state

•      Ad-hoc staff for high-burden GeneXpert sites in 13 states

•      Surge Initiative in 9 states

•      Programmatic Management of Drug-resistant TB (PMDT) in 12 states

 

The WASP project represents a significant blend of proven high yielding interventions for TB case finding deploying a right mix of facility, community and health systems strategies implemented by a select team of highly skilled and motivated professionals. The duration of the project is one year.