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. 2025 Sep 22;232(Supplement_2):S150-S154.
doi: 10.1093/infdis/jiaf334.

Leveraging PEPFAR- and Global Fund-Supported Laboratory Network for Integrated Disease Testing: Lessons From Integrated HIV, Tuberculosis, and COVID-19 Testing in Nigeria

McPaul Okoye  1 , Catherine Okoi  2 , Nicole Espy  3 , Nwando Mba  2 , Celestina Obiekea  2 , Anthony Ahumibe  2 , Kingsley Madubuike  2 , Nnaemeka Ndodo  2 , Innocent Okoli  2 , Kingsley Njoku  2 , Chibuzor Eneh  2 , Afolabi Akinpelu  2 , Olajumoke Babatunde  2 , Philippe Chebu  4 , Christopher Chime  5 , Nnaemeka C Iriemenam  1 , Clement Zeh  6 , Patricia Hall-Edison  6 , Obinna Nnadozie  1 , Israel Audu  1 , Victor Obianeri  7 , Chika Onwuamah  8 , Aminu Suleiman  9 , Jibrin Kama  10 , Catherine Godfrey  3 , Chinyere Okolo  11 , Emmanuel Agogo  2   12 , Dhamari Naidoo  13 , Chidozie Ezechukwu  14 , Akudo Ikpeazu  15 , Chukwuma Anyaike  16 , Mahesh Swaminathan  1   17 , Mary Boyd  1   18 , Ifedayo Adetifa  2   19 , Chikwe Ihekweazu  2   20
Affiliations

Leveraging PEPFAR- and Global Fund-Supported Laboratory Network for Integrated Disease Testing: Lessons From Integrated HIV, Tuberculosis, and COVID-19 Testing in Nigeria

McPaul Okoye et al. J Infect Dis. .

Abstract

The Nigeria Centre for Disease Control and Prevention, as part of the strategic approach to the COVID-19 outbreak response in Nigeria, coordinated the implementation of an integrated disease testing (IDT) strategy with support from multiple partners. This involved adaptation of existing US President's Emergency Plan for AIDS Relief (PEPFAR)- and Global Fund-supported molecular laboratory networks and integration of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) testing into these. This enabled the country to provide large-scale testing and rapid return of results for SARS-CoV-2 from 2020 to 2022. IDT provided an opportunity for mainstreaming outbreak response into existing human immunodeficiency virus (HIV) and tuberculosis testing laboratories. Lessons learned from this have informed the adoption of IDT across the country laboratory network as an efficient approach to multiple disease testing and pandemic preparedness and response in Nigeria.

Keywords: COVID-19; HIV; PEPFAR; integrated disease testing; tuberculosis.

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Conflict of interest statement

Potential conflicts of interest. All authors: No reported conflicts of interest. All authors have submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest. Conflicts that the editors consider relevant to the content of the manuscript have been disclosed.