Comparative Analysis of Completed Key Population HIV, TB and Sexually Transmitted Infection Referrals Cases In South West Nigeria

Authors: Titus Michael Olubunmi, Bako John Chukwudi1, Ogungbenro Tunde1, Adetunji Adebola1, Odulaja Adebusola1, Omoregie Godpower1, Oyedeji Segun1, Ayinde Olubunmi2

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

Abstract Number: THPDC145

Issues: Research has proven that Sexually transmitted infections (STIs), increase the risk of HIV acquisition three-fold or more. HIV/TB co-infection further weakens the body defense system which could make HIV infection develop faster into AIDS. According IBBSS 2014, pharmacy or chemist (32%) was the most common sources of STI treatment by Key Population (MSM, PWID, BBFSW, NBFSW, Armed Forces), followed by private hospital or clinic (26%).

Descriptions: This paper is a retrospective review of data collected from the clinical records of 6 Key Population (KP) friendly facilities between January and December 2016. The study recruited and reached 496 MSM, 286 PWID and 267 BBFSW across Oyo State with HIV minimum prevention package of Intervention (MPPI) between ages 18-50 years for a period of 12 months (January to December 2016). During which 485 MSM, 354 PWID and 397 FSW were provided with mobile HIV Testing services and STI screening by trained KP friendly Community Based Organization workers and health facility staffs while those screen positive for HIV, TB and STI are given referrals to access treatment and care in partner Health Facilities. Accompanied referrals was done by CBO workers to encourage clients to get to the health facility.

Lessons learned: The result showed that a higher proportion MSM, BBFSW and PWID were willing to access health services at the hospital than those reported in IBBSS 2014. 16 (88.9%) and 18 (85.7%) of MSM referred STI and ART was completed respectively. 4 (40%), 53 (63.9%) and 31 (55.4%) of BBFSW referred for TB, STI and ART was completed respectively. While 23 (88.5%) and 1 (50%) of PWID referred for STI and TB was also completed respectively.

Next steps: The increase in percentage of KP who access health services at the hospital could be as a result of accompanied referral by CBO workers, improved skilled and none discriminatory attitude by health care workers in these health facilities, therefore more KP friendly health facilities should be funded and supported. More KP led or friendly CBO workers should also be trained, supported, encouraged and provided with resources for provision of accompanied referrals and follow-up services for KP.

 

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