ASPIRE stands for Action to Sustain Precision and Integrated HIV Response Towards Epidemic Control. Funded by the US Centers for Disease Control and Prevention (CDC) under PEPFAR, through the Institute of Human Virology Nigeria (IHVN), it moves HIV programming from emergency-style activity to a precise, sustainable response built on quality and accountability.
Rather than counting how many people are reached, ASPIRE asks whether the right services reach the right people at the right time. Its goal is the global 95-95-95 target: 95% of people living with HIV know their status, 95% of them are on treatment, and 95% of those on treatment have a suppressed viral load.
A community-centred approach
In Karu, Nasarawa State, ORHI delivers community HIV services for people at higher risk of HIV, meeting clients where they are and removing barriers to care.
Mobile care and treatment clinics bring clinical assessment, antiretroviral therapy and adherence counselling into the community. Mobile laboratory services collect samples on the spot and return results faster, so fewer people drop out while they wait.
Precise testing
ASPIRE combines index and sexual network testing with peer outreach and HIV self-testing, so people who would not visit a facility are still reached safely and confidentially. A status-neutral approach means everyone gets the right next step, prevention or treatment, without stigma.
Care that fits people’s lives
- Community ART refill points in faith centres and other familiar places make it easier and more discreet to stay on treatment.
- Multi-month dispensing means stable clients visit less often.
- Operation Triple Zero (OTZ) clubs and adolescent-friendly services give young people living with HIV peer support and help them stay in care.
Integrated services
HIV care sits alongside TB and STI screening and basic checks for blood pressure and BMI. Biometrics and electronic medical records help keep each client’s care continuous across service points.
ASPIRE continues through 2026, strengthening the community systems Nasarawa needs to end AIDS as a public health threat.
What the programme delivers
- Mobile care and treatment clinics with mobile laboratory services
- Index, network, peer-led and self-testing for people at higher risk of HIV
- Community ART refill points in faith centres and familiar community spaces
- Multi-month dispensing for stable clients
- Operation Triple Zero (OTZ) clubs for adolescents and young people
- TB, STI, blood pressure and BMI checks alongside HIV care
