The ECEWS ACE-5 project focused on the delivery of life-saving HIV care and treatment services to all populations. This report summarises the key achievements recorded within the period.

In FY24, the ECEWS ACE-5 project collaborated closely with host government entities, implementing partners, and private sector groups to ensure access to high-quality prevention, care, and treatment services for people living with HIV across 49 Local Government Areas (LGAs) and 225 supported health facilities. Throughout the fiscal year, the project navigated unique learning opportunities across each
quarter.

The ECEWS ACE-5 project built on existing strategies and approaches from FY23Q3 to improve access and quality services in Akwa Ibom and Cross River States. Quality improvement initiatives were implemented to improve the quality of services. This includes the use of root cause analysis through focus group discussions at facilities with the highest gaps and the development of change ideas. At the end of the fiscal year, the project identified
11,911 newly diagnosed PLHIV, retained 131,188 clients in care, commenced 11,336 on tuberculosis preventive therapy (TPT), started 16,423 persons on Pre-Exposure Prophylaxis (PrEP) and screened 26,330 women for cervical cancer among other achievements.

The ACE 5 Project commenced field implementation in August 2022 following its inception meeting and project launch. Within this period, the project has received USAID teams on visits to support both state with the transition process from EpiC to ACE 5, evaluate the integrity of service delivery systems and data management platforms, and support engagements with stakeholders to strengthen collaboration and improve program ownership by GoN.