Centre for Family Health Initiative (CFHI) is a private non-governmental, not-for- profit organization committed to the promotion of health and protection of the well-being of families in Africa. It was created in 1999, as an extension of the Anti-Child Abuse Society of Africa (ACASA), by a group of professionals working in diverse health related fields. It was initially registered with CAC Nigeria as a limited liability company on February 16, 2000 (RC 375430), but was re-registered on January 26th 2012, as a non-governmental, not-for- profit but humanitarian organization; with the number CAC/IT/No. 49787.

CFHI seeks to enhance family well-being by curtailing the increasing devastation of life and well-being by preventable diseases, infections and infestations including HIV/AIDS. It executes projects directly through partner health facilities as well as through several public and private institutions and local community based organizations across Nigeria.



To develop a safe and accommodating society for all, through community driven and family centered health interventions, socio-economic empowerment, and research-based policy development

Healthy Families, Healthy Societies
CFHI believes that:

The family is the bedrock of every society
Healthy families breed healthy societies;
A state of family wellbeing devoid of illness/diseases and afflictions is attainable
Families can reengineer a value oriented society irrespective of the environment
Empowering families with knowledge and skills will mitigate poverty and sustain economic growth and productivity.
CFHI believes that together, we can achieve it. Yes, we can!
1. Love and Empathy
2. Professionalism
3. Cultural Inclusion
4. Community -driven
5. Integrity
6. Family Centeredness
7. Reverence to God
1. Community Health Education and Advocacy
2. Social and Economic Empowerment
3. Specific Disease Area Interventions (such as for HIV/AIDS, Malaria, Diarrhoea)
4. Orphans and Vulnerable Children services
5. Maternal Neonatal and Child Health
6. Child Protection Services
7. Sexual and Reproductive Health
8. Youth and Adolescents Health
Helped People


On the 23rd of April, 2016, our field team tested a 40 year old man, Mallam Musa Ibrahim*, positive to HIV. This occurred during a HTS outreach held in the village square of Kwandere community, in Lafia LGA. At the time the test was conducted, Mal. Musa looked very pale and presented other physical symptoms associated with the disease. For this reason, our team was determined to get him enrolled into ART care at a health facility. The subsequent follow-up process of Mal. Musa was difficult at first, because he had given a fake name and contact address to the counselor; and then when his house was finally located, he rejected his result and was adamant that he only had ulcer that he was treating adequately with herbal therapies. In order to get him enrolled into care, the team consistently visited his home. It was on their eleventh (11th) visit to his house that they met his wife, who was oblivious of the situation. They requested to have her tested and she consented. Amina*, the wife, also tested positive to the virus; and after her post counseling session, she immediately followed our field team to the health facility and got enrolled. As it is recommended for a spouse to disclose his/her status to his/her partner and have him/her tested too, Amina disclosed her status to Mal. Musa and encouraged him to get tested. Due to this discussion, the team met Mal. Musa waiting for them at his house during their next follow-up visit. He asked them to take him to the hospital and enroll him into care, which they did. Mal. Musa was enrolled into ART care on the 5th of August, 2016 at the Primary Health Care in Shabu and he was very elated to be given medications for his ulcer too. *Due to confidentiality of our clients and their status, we have adopted false names to identify real persons and true events.
During one of our numerous door-to-door HIV testing and counselling in Bwari, I and my team mate met three women (Maryam, Alheri and Asmau)*, who live in the same compound and speak the same language (Nupe). At first, when we requested that they conduct the HIV test, pregnant Maryam and Alheri, refused to get tested. After much persuasion by Asmau, who seemed enlightened, the other two agreed. At the conclusion of the test, Maryam tested positive to HIV. The challenge that ensued was the appropriate way to disclose her result and get her enrolled. This was because not only had she resisted  testing, she also had very limited understanding of English  .While conducting pre-counselling, with the help of Asmau, we gathered that the woman had never been tested  as she had never enrolled into ante-natal care since she gave birth to her first two children at home.  Therefore, she would not understand her result even if we showed her the result. We contemplated the best strategy to use in revealing to Maryam her result as we could not use Asmau as a translator if the confidentiality of her result was to be protected. We then offered to take her to the nearest health facility to get re-tested and subsequently get enrolled, to which she refused; because she suspected that we were going to kill her. Due to the amount of time spent on trying to convince her to come with us to the hospital, her two friends got suspicious. Asmau then asked us but I replied that her result was just inconclusive. I further explained that this could be due to her pregnancy, but it would be best to get a conclusive result for the health of Maryam and her child. To avoid further questioning, I and my teammate resolved to return the next day instead. The next morning, I and another Hausa-speaking teammate returned to the women’s home, so as to get Maryam to our health facility. On seeing us, Maryam told us that “Walahi, Madam I no dey follow you anywhere.” Since she understands Hausa better, my teammate explained to her the importance of a conclusive test result to her health and that of her unborn child. Afterwards, she accepted the invitation, but not without telling Asmau to observe our faces just in case she was found dead. At the hospital, we were provided with a Nupe speaking health worker, after I narrated the incidence and showed the Head Nurse Maryam’s test strip, which I kept in a bio-hazard bag. She was re-tested, confirmed HIV positive and then counselled. It was during the counseling session that we discovered that Maryam did not believe HIV existed, and that is the reason she was hostile to us. We also found out that her first husband was dead from an unknown sickness and her present husband, the father of her unborn child did not know his status too. She then promised to disclose her status to her husband and bring him for a HIV test. The next morning, Maryam brought her husband and children to the hospital and their results came out Negative to the virus. They were encouraged to return to the facility in three months’ time as they could still be in his window period. Maryam got enrolled into PMTCT care services.   *Due to confidentiality of our clients and their status, we have adopted false names to identify real persons and true events.
 Rahinatu Saleh was one of the women that participated in the organized Health Talk sessions on the use of ZINC+Lo-ORS therapy to treat diarrhea in children less than 5 years, during our 2015 CFHI-CHAI Community Activation project, that occurred in Kaduna state. As a Key Influencer in her community, Nasarawa ward of Chikun LGA, she was later trained by the organization and now works as a Voluntary Community Mobilizer (VCM). During a project evaluation visit, Rahinatu narrated an incidence of a seven (7) year old child, Fatima Safiyan, who had diarrhea not long after the project ended. When the case was reported to her, she immediately bought a pack of the therapy for ₦100, prepared the ORS solution according to how she was taught and then administered the solution and a Zinc table to the child. Fatima had started stooling and vomiting at 6:00 am that day, but 2-3 hours after taking the therapy, she stopped stooling and vomiting. Though, the child was healthier, Rahinatu adhered to the guideline that required giving the child one Zinc tablet for 10 days even after signs and symptoms of the disease had ceased. Rahinatu, who is a mother of six (6) children, stated that “Zinc+Lo-ORS is the best drug for treating diarrhea when compared to previous regime she used for her family.” For this reason, she pledged to continue serving as a Zn+Lo-ORS Ambassador in her community and discourage the use of drugs like Lomotil, Flagyl and Amoxicillin to treat diarrhea.
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