Improved Screening and Case Identification Rates of Gender-Based

USAID Momentum Country and Global Leadership Project, preventing and responding to gender-based violence Project in Nigeria is implemented through six local organizations in two states - Sokoto and Ebonyi. The project implements GBV primary and secondary prevention approaches, working closely with the government in target states to develop health worker capacity to provide quality survivor-centered first line post-GBV care. Prior to commencement of project implementation in October 2021, GBV screening was not done at the primary health centres in Sokoto and Ebonyi States. However, our intervention successfully developed the capacity of over 300 healthcare providers from across 237 primary health centres in the two states on GBV screening and case identification, service provision and referrals for non-clinical GBV services using a state approved GBV referral directory.  Post-training supportive supervision and routine mentoring visits were also conducted on-sites to deepen on-the-job learning and ensure quality screening and case identification. Identification of expected number to be screened is through comparison of total screened at the priority service units (OPD, ANC, FP) vs total facility attendance in those units. Total number screened is also compared with cases identified viz a viz what prevalence data shows i.e. 1 in every 3 women have survived one form of GBV or the other. Screening quality and case identification were monitored and initial issues observed were low uptake of screening and case identification and this prompted the convening of a pause and reflect meeting (after action review) to identify the problem and provide solutions.