HIV Testing Services Among Key and Bridge Population In Oyo State, Nigeria: Lessons Learned, Results and Challenges

Author(s): Titus Michael Olubunmi, Bako John Chukwudi1, Ogungbenro Tunde1, Odulaja Adebusola1, Omoregie Godpower1, Aiyemowa Gbemisola1, Adamu Scott1, Adesina Adeniran2

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: Friday, 8 December 2017

Abstract Number: FRPDC201

Issues: Nigeria’s HIV prevalence increased steadily from 1.8% in 1991 to 4.5% in 1995, peaked at 5.8% in 2001 and started to decline to 5% in 2003 and 4.1% in 2010. According to NARHS 2012, Oyo State HIV prevalence rate increased to 5.6% which is higher than national prevalence rate of 3.4%. The State had an increased HIV prevalence rate among MSM from 3.3% to 14.2%, decline among people who inject drugs (PWID) from 5.1% to 1.9% while brothel based female sex workers (BBFSW) was 8.0% (IBBSS 2010 & 2014).
Descriptions: Society for Family Health, with funding from Global Fund carried out HIV Testing Services (HTS) with STI screening/treatment and condom promotion programme between July 2015 and June 2017 among Key Population (KP) and Bridge population (BP). BP sub-group are clients of KPs, patrons of seasonal activities, transport workers, and artisans; they represent a bridge between KP and general population. The programme was implemented by trained KP friendly community based counsellor testers (CTs) and health facility workers, while those who screen positive for HIV, TB and STI are given referrals to access treatment and care in health facilities.

Lessons learned: A total of 86,367 (45,006M; 41,361F) BP were provided with HTS while 280 (81M; 199F) tested HIV positive. 833 BBSFW; 980 MSM and 680 PWID were provided with HTS while 120 (89BBFSW; 31MSM; 1 PWID) tested HIV positive. 263 (70M; 193F) BP and 100 (28MSM; 72BBFSW) KP new HIV positive cases were referred while 145 (36M; 109F) BP and 72 (24MSM; 48BBSFSW) KP accessed HIV care. 304 (254KP, 373 clients of KP) visited supported KP friendly STI facilities and 914 STI cases presented during the period. 1,955,312 Male condoms were distributed through mobile outreaches.

Next steps: The skill of community based CTs to link new HIV positive clients to care increased from 27.9% to 76.7%; 76.9% to 94.4%; 78.6 to 100% between end of January 2016 and June 2017 for BP, FSW and MSM respectively, therefore, more CTs should be trained, supported, encouraged and provided with resources for provision of accompanied referrals and follow-up services. Health care workers (HCW) are now KP friendly which led to more KPs visiting the health facilities. In addition, HCWs are now conversant in identification of presenting STI cases therefore leading to increased STI cases seen. More health facilities should be trained as KP friendly STI facilities. Fewer MSM visited the STI facilities perhaps due to self-stigma and discrimination.

Track C: Epidemiology and Prevention Science

 

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