Current Projects


WAAF currently works on many projects both autonomously and with partners. Below are some short summaries of current projects active in 2018. If you would like to know more about previous projects, please visit our Past Projects here. You can also contact us for more information regarding all current activities here. You can discover more regarding our clinic at the International Health Care Clinic website here.

 

Scroll down this page to view all of our projects, or click on a Project Title to skip to that project:

 

EpiC Project

 

Project Title: EpiC – Maintaining Targets and Maintaining Epidemic Control

Donor: U.S. President’s Emergency Plan for AIDS Relief (PEFAR) and the U.S. Agency for International Development (USAID)

Partners: The project is led by FHI 360 and WAAF is implementing EpiC with two community-based organizations namely, Hope Alliance Foundation (HAF) and Worldwide International Youth Organization (WIYO)

Project Timeframe: 5 years (2019 – 2024). The official start date of the project for the WAAF team: August 1st, 2020

Geographical Scope: The geographical scope is the Greater Accra Region of Ghana

  • HAF is focusing on men who have sex with men (MSM) and transgender (TG) people
  • WIYO is focusing on FSW (female sex worker)

Project Goal/Objective: WAAF will target two key activities that will challenge the remaining barriers to epidemic control: HIV self-testing and the administering of Pre-exposure Prophylaxis (PrEP). The four primary objectives of the project focus on developing existing HIV prevention measures, case finding, treatment gaps, and building long-term sustainability to attain and maintain epidemic control.

  • Attain and maintain control of the HIV epidemic among at-risk men, women, and priority population (PP)
  • Attain and maintain control of the HIV epidemic among the key population (KP)
  • Improve program management (including health information systems (HIS), human resources for health (HRH), and financial systems) to ensure attainment and maintenance of control of the epidemic
  • Support the transition of prime funding and implementation to capable local partners to meet the PEPFAR goal of 70% of funding to local partners by 2020

Rationale: Key population groups continue to be at a higher risk of contracting HIV despite various interventions that have been used to reach out to them. With the goal of reaching the UNAIDS 90-90-90 targets and achieving HIV epidemic control by 2030, which ultimately will result in an overall reduction of the spread of HIV, there is the need to ensure all evidence-based approaches that successfully reduce HIV transmission are utilized.

Pre-Exposure Prophylaxis (PrEP) is one intervention that, to date, has not been implemented in Ghana. However, in other parts of the world, there is evidence that PrEP can ensure the virus is blocked from establishing a permanent infection for people who are at very high risk of contracting HIV and take the pill every day. Data has further shown that PrEP reduces the risk of getting HIV from sex by about 99% when taken daily.

Therefore, to ensure that Ghana does not fall behind in reaching targets and maintaining epidemic control, PrEP must certainly be one of the interventions in HIV programming.

Evidence to support the need for the project: Even with the great strides the Ghana HIV program has made in abating the HIV epidemic, more work is still needed. FSW, with a 6.9% HIV prevalence, and MSM, with an 18% HIV prevalence, are higher risk populations for contracting the disease. There is a staggering amount of people, approximately 43%, who do not know their status. UNAIDS data collected in 2019 estimates that only 34% of people living with HIV (PLHIV) are on antiretroviral therapy (ART). This is evidence that there is a need for continual and more aggressive national response to help stop the spread of HIV.

Progress so far:
• 58 KP reached with PrEP information
– 33 MSM
– 25 FSW
• 36 KP initiated on PrEP at International Health Care Center (IHCC)
PrEP has been highly accepted by the KP, both MSM and FSW.
There has been positive feedback from the 36 clients introduced to PrEP with no evident side effects reported.

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Enhanced Male Involvement in HIV Programming Project

 

Project Name: Enhanced Male Involvement in HIV Programming

Donor: The Global Fund through the National AIDS Control Program (NACP)

Partners: WAAF is the lead organization in implementing this project

Project Timeframe: One year (July 2019 – December 2020)

Geographical Scope: The geographical scope is four priority regions of Ghana:

  • Ashanti
  • Greater Accra
  • Brong Ahafo
  • Eastern Region

Project Goal/Objective: With the overarching goal of attaining control of the HIV epidemic, this project aims to reach and test men who engage in high-risk behavior through work and/or recreation including but not limited to: military, police, immigration, ports and harbor, prison staff, security staff, truckers, minors, pimps of female sex workers, and men who utilize clubs for drinking and entertainment. Once identified as HIV-positive, the men will be connected to HIV care.

Rationale/Evidence: Known key population groups include men who have sex with men but there are portions of the population who work in high risk situations that are not regularly included. While, globally, in the last ten years, new HIV infections have been falling and the availability of antiretroviral therapy (ART) has saved over 15 million lives, new infections are still increasing among key population groups in areas of Africa. With the goal of reaching the UNAIDS 90-90-90 targets and achieving HIV epidemic control by 2030, which ultimately will result in an overall reduction of the spread of HIV,  there is the need to ensure all evidence-based approaches that successfully reduce HIV transmission are utilized. Increasing access, testing, and care to those men in high-risk situations are logical steps in an intervention in HIV programming.

Progress as of August 2020:

  • 5013 men have been tested
  • 693 in Ashanti Region
  • 2726 in Greater Accra
  • 659 in Brong Ahafo
  • 935 in Eastern Region
  • 359 total men have tested positive resulting in an overall positivity yield of 7.23% and with the Ashanti Region having the highest yield with 18.76% positive.

Implementation of intervention activities will be optimized per region. Data will be evaluated monthly.

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USAID Strengthening of the Care Continuum Project

 

Project Name:  USAID Strengthening the Care Continuum

Donor: USAID & the American People through John Snow Research and Training Institute Inc (JSI)

Project Timeframe: 4 year project starting 2016 – Remaining an IP is based on performance that is reviewed each year

Partners: WAAF together with 11 other NGOs are Implementing partners on this USAID/JSI funded project

Geographical Scope: Whereas the overall geographical scope of the project is in 5 regions, namely GAR, ER, WR, BAR and ASR, WAAF’s project is restricted to 5 Sub metro’s in the Accra Metropolitan Assembly (AMA) of the GAR. The target group is MSM

Project Goal/Objective: The USAID Care Continuum mission is to collaborate with the Government of Ghana (GoG), its partners, to provide high quality and comprehensive HIV services for Key Populations (KPs) and Persons living with HIV (PLHIV). KPs here refers to Men who have Sex with Men (MSM), Female Sex Workers (FSW) and Transgender people. Through the grant program the following objectives are hoped to be achieved:

  • Increased availability and access to comprehensive prevention care and treatment services, including reliable coverage across the continuum of care for MSM, FSW and PLHIV
  • Enhanced and sustained demand for comprehensive prevention, care and treatment services among KPs
  • Strengthened linkage and retention in care of KPs who test HIV positive
  • Strengthened systems for planning, monitoring, evaluating and ensuring the quality of programs

Rationale & Evidence of need for the project: According to the National HIV & AIDS Strategic Plan 2016-2020, MSM are at higher risk of contracting and transmitting STIs and HIV. Stigma and discrimination against MSM in Ghana also makes it difficult to reach them with HIV testing services (HTS) and discourages those living with HIV to disclose their status and/or seek care (2017 Ghana HR Report). While the national HIV prevalence among the general population is 1.7%, (NACP 2017), the rate among MSM remains high and is estimated to be 18% (GAC 2017). Additionally, through WAAFs own efforts at the onsite clinics as well as various clinical drop in centers, the STI rate is alarming and with that automatically the HIV risk is increased. With the double stigma faced by MSM who continue to be highly at risk of HIV they cannot be left behind in the fight.

Progress so far: Moving on into its 3rd year, WAAF has made some great achievements in the provision of HIV services to its target group. Specific achievement have been:

  • 3263 MSM reached with preventive education
  • Tested 2256 MSM for HIV
  • Detected 314 MSM to be HIV positive
  • Initiated 194 MSM on ART

Additionally, with support from this grant, WAAF has received capacity building in Organizational Development and has been able to update and/or put in place various governing documents such as :

  • Strategic plan
  • Various documents reviewed/updated/developed:
    • Finance and Accounting manual
    • HR Manual
    • Employees manual
    • Succession Plan
    • Communication Strategy
    • Fundraising Strategy
    • Procurement Manual and many more
  • Rebranding of WAAF to include its treatment arm which is the work of its onsite clinic that showcases WAAF’s effort across the care cascade.

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Tuberculosis (TB) Project

 

Project Name: Active TB Case Finding & TB Treatment – DOTS (Directly Observed Treatment) – short course

Donor: National Tuberculosis Control Program through the Stop TB Partnership – Ghana

Project Timeframe: Since 2010 and ongoing

Partners: Ghana National TB Voice Network, District Hospital TB teams, District Health Directorates

Geographical Scope: Ensuring integration of services, WAAF reaches to a wide geographical scope with TB related work. Depending on where an HIV activity will take WAAF, TB will also be dealt with and asuch areas that continue to be covered are:

  • Communities within the Greater Accra Region
  • Communities within the Western Region
  • Communities within the Brong Ahafo Region

WAAF’s onsite clinic in Haatso in the Greater Accra Region is an accredited DOTs center and provides the full treatment for TB. It also provides laboratory services such as Sputum Smear microscopy as well as Gene x pert testing which is currently done at an external site but soon to be done onsite at the WAAF clinic.

Project Goal/Objective: To ensure no one is left behind when it comes to TB as missing 3 million TB cases a year is unacceptable.

Rationale for the project: Ensuring to contribute to finding the 3 million TB cases who go undiagnosed each year, WAAF ensures to use any evidence based strategy to find the missing cases. With an onsite clinic, diagnostic TB services are provided but knowing that the majority of cases are at the community level, WAAF goes out to look for them. This is done through contact tracing of index cases that WAAF does in collaboration with various hospital staff, active case finding where during TB education events, sputum of presumptive cases are taken on the spot for analysis and cases are followed up, linked to treatment and followed up to ensure they adhere to treatment.

Evidence to support need for the project: Despite all efforts we know that about 3 million TB cases world wide continue to go undiagnosed each year leading to high death rates as a result of a condition that is preventable. This is documented constantly by various bodies such as the Stop TB Partnership, various TB activists and many more.  CSOs play an active role to complement the efforts of formal health service delivery points actively looking for such cases.

Progress so far:

  • Over 80,000 people screened for TB
  • 75 cases detected
  • over 85% initiated on treatment
  • 78% treatment success rate
  • 45% HIV/TB co-infection

 

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Healthy Mum = Healthy Baby

 

Project Name: Healthy Mother Equals Healthy Baby (HM = HB)

Donor: GladStar Ministries with support from QWAAF, Save a Million Lives

Project Timeframe: Since 2004 and ongoing

Partners:  International Health Care Center

Geographic Scope: Greater Accra Region

Project Goal / Objectives are:

 Decrease the level of malnutrition among  program participants

  • Process: 100% of the mothers will be provided nourishment items once every month
  • Outcome/Impact: 75% of the mothers will have a hemoglobin level which is normal and satisfactory for her age and stage of life by the completion of the program

   Advance the maternal health status of our program participants

  • Process: 100% of the participants will receive monthly counseling on how to effectively utilize health and nutrition information to aid themselves and their unborn child as well as routine medical treatment from the resident physician
  • Outcome/Impact: 75% of the mothers will espouse a body weight at a level that is not immensely detrimental to her safety and wellbeing by the completion of the program

   Improve the pregnancy outcomes of the mothers in our program

  • Process: 100% of the mothers will be given antiretroviral drug treatment in addition to primary prophylaxis for their child
  • Outcome/Impact: 75% of the mothers will give birth to healthy, communicably free children

Rational / Evidence for the need for the project: Nutrition plays a key role in the overall success of any HIV intervention. More so therefore for expecting mother who are HIV positive. Realizing that some women find it difficult to get adequate food for themselves, their unborn child as well as children, WAAF with support from Gladstar Ministries and others has since 2004 embarked on the Healthy Mother equals Healthy Baby project that ensures that HIV expectant mother get access to nutritional food that helps both them and their babies.

Progress so far:

  • Over 70 HIV positive women assured of good nutrition during their pregnancy till their babies were 6 months old
  • 99.5% PMTCT success rate
  • 100% of babies born to women on the program have tested negative to HIV
  • Over 70 HIV positive women have had access to education on various HIV related topics
  • All women on the program have access to quality clinical care at WAAFs onsite clinic.

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Mobile Van Health Project

 

Project Name: Differentiated Service Delivery

Donor: WAAF’s own initiative (Mobile Van purchased with funding from the Royal Dutch Embassy in Ghana)

Project Timeframe:  Since 2016 and ongoing.

Partners: IHCC

Geographical Scope: Greater Accra Region but through support of other programs, this mobile clinic goes to other areas in other regions of the country

Project Goal and Objectives: To make quality health care services available to all including the marginalized, those too sick to visit a health facility and those facing stigma which prevents them from accessing facility level health care.

Rational / Evidence for the need of the project: Mobile clinics have a critical role to play in providing high-quality, low-cost care to vulnerable populations. Despite WAAF being a very friendly NGO with an onsite clinic that is exceptionally nice and fair to all including the marginalized, key populations and more, we still see that many do not patronize the services. To bridge this gap, we need to go to them. These findings have been confirmed by various studies and has led in many countries to the differentiated models of care one of which is bringing services closer to the communities.

Progress so far: So far, WAAF  has embarked  on regular outreaches reaching especially those who otherwise will be left out. Home based care has been provided to very sick people in the home setting, MSM who despite assurance of quality friendly care do not come to the facility are reached through the services of the mobile clinic

 

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Outreach Activities

 

Project Title:  Health education and screening of the public through awareness campaigns at community level

Donor: Various including self funding by WAAF and IHCC

Project Timeframe: Since 1998 and ongoing

Partners: Osei Kusi Foundation, Community Health Committee Agbogba, Lions Club and many more.

Geographical Scope: Hard to reach communities in all regions of the country through partnerships

Project Goals and Objectives:  To support communities by increasing access to screening and increasing access to better sexual/reproductive education.

Realizing that many either are not aware of or do not have the time to go in for regular check ups, preventative medicine is not being practiced and asuch many go to a health facility only when the problem is far advanced. Market women for instance do not have the time to go in for screening of NCDs and they are a high risk group as they  are not very active and have more of a sitting job. Asuch it is very important that these services are brought to them.

They themselves confirm that a lot is not known to them and they are very appreciative and patronize the services very well.

Activities: Continuous provision of screening services for the general public as well as people who are most at-risk for HIV/AIDS transmission. Education of the public through awareness campaigns coupled with one-to-one knowledge sharing that focused on encouraging behavior change (increased condom usage, delaying sexual activity starting age, and reduction of sexual partners).

Outcomes/ Achievements:

  • Awareness of HIV,TB, STI but also NCDs  has risen in vulnerable populations.
  • Many have been screened and tested for various conditions
  • Positive ones have been linked to formal health service delivery systems

 

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