Building Capacity of Health Care Workers to Overcome Barriers and Meet Unmet Needs of Key Affected Populations in South West Nigeria

Author(s): Bako John Chukwudi1, Titus Michael Olubunmi2, Ademodi Tuntunladi Fiyifolu3, Oluwayinka Adejumoke Gloria4, Omoregie Godpower5, Oyedeji David Segun6, Wudiri Kucheli6, Tijani Okikiola Ishola7, Oni Oluwafunke8, Ogundele Raphael9, Onumadu Geraldine Onyeka10

Conference: 19th International Conference on AIDS and STIs in Africa (ICASA 2017) to be held in Côte d’Ivoire 4 – 9 December 2017

Presentation Date: Thursday, 7 December 2017

Issues: The health and health care needs of Key Affected Populations in Nigeria are affected by a number of social, behavioural, and structural factors including deep rooted stigma and discrimination. Increasing access to health care services for Key Affected Populations (KAPs) requires building capacity of Health Care Workers (HCWs) to provide KAP friendly medical treatment, counseling and referral services that support KAPs in adopting healthy lifestyles.

Description: Since June 2015, SFH under the Global Fund HIV New Funding Model began providing services to KAPs in response to the HIV/AIDS epidemic and for syndromic management of STIs. SFH work with exiting state structure to eliminate barriers and meet unmet needs of KAP by recruiting and training HCWs who increased their expertise in KAPs care to provide MARPs friendly services to KAPs. Trained 18 HCWs from 6 facilities used developed simplified flowchart as guide in the implementation of syndromic management of STIs. They provided expanded medical services including referrals, counselling, mentoring, prevention services and STI Case Management to over 1,500 KAPS in Oyo State, South West Nigeria. National M&E tracking tools were used to collate daily data while SFH provided quarterly SSV, DQA and bi-weekly comprehensive Supervision and mentoring to all field team.

Lessons Learnt: Knowledge and attitudes of health care workers on KAP health issues can be a barrier to health care for KAPs. Syndromic management of STI and capacity building for Health Care Workers result in adequate treatment of large numbers of infected KAPs/clients. Some KAPs are willing to open up and seek care from their health care provider; however, their decision may be influenced by the attitudes of the individuals themselves and of their health care providers. Use of outreach services to KAPs communities, provision of culturally competent care and referrals, respect of privacy during service delivery are identified factors that can improve or facilitate KAPs health care.

Next Step: To ensure access to services, it is important to create health care environments that provide medical treatment, counseling and referral services that support KAPs in adopting healthy lifestyles. The establishment and use of national standardized treatment protocols for STIs can facilitate the training and supervision of health care providers and aids reduction of drug-resistant microorganism.

Track C: Epidemiology and Prevention Science



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