Located in 26 states, the Church of Christ in Nigeria (COCIN) is one of the major social and political forces in the middlebelt region of the country. Due to USAID sponsored interventions, COCIN's leadership has dramatically changed its original stance that equated HIV infection with punishment from God and forbade condom use. The COCIN hierarchy now accepts that HIV/AIDS is one of the major dangers to their church and its members: they actively support people living with HIV/AIDS (PLWHA) and promote condom use within the confines of marriage.

Church leaders point to changes both in church policies and in individual behaviors as proof that the Integrated Reproductive Health Project has already had a positive impact. They appear particularly eager to share what they term as personal "success stories." For example, the Reverend Lliya Gwauaguino relates that a national conference on HIV/AIDS (one of the program activities) changed the way he defines his pastoral duties. After the conference, he says that he prayed for guidance on how he could best become involved and as a result decided on visitations to PLWHA. During an educational session on HIV/AIDS he was leading at his church, a woman told him of her sister who was dying of AIDS. When he visited the home, he reports finding a woman who was shunned by family members and only awaited death. Much to the surprise of the family, he entered her room, helped her to sit, and gave her spiritual counsel. When the spiritual needs of the woman were met, he taught the family the sources of HIV infection and assured them that they would not contract the virus through casual contact with her. In his words, "you can say that a miracle happened." The woman was readmitted into the family's daily life, she returned to the fellowship of the church, and has resumed her market activities. According to him, "…the woman is now free spiritually and is better physically."

A second pastor who took part in USAID's program to sensitize and educate church leaders about HIV/AIDS is said to have become a major spokesperson on HIV/AIDS issues both within and outside the church. In addition to making pastoral visits to PLWHA a personal priority, he has addressed national and local women's conferences on the role of women in the face of the pandemic and has become an advocate on HIV/AIDS issues in his regional and local church councils. The pastor was also recently invited by authorities to speak and then write a policy paper on HIV/AIDS for his local government area (LGA).