Lessons Learned in Using Biomedical Strategy to Address High Prevalence of HIV among Female Sex Workers in Urban Slums in Oyo State, South West Nigeria

Author(s): Popoola Anjolaoluwa Mary1 2, Bako John Chukwudi2 3, Asaolu Akinsola3, Nwabrije Emmanuella Lovelyn1, Akinlade Omolara Victoria1

Institute(s): 1Committed Soul Women Health Africa Advocacy Initiative, Ibadan, Nigeria, 2Society for Family Health (SFH) Nigeria, Abuja, Nigeria, 3University of Ibadan, Ibadan, Nigeria

Poster Presentation: 20th International Conference on AIDS and STIs in Rwanda (ICASA 2019) Kigali 2 – 7 December 2019.

Issues: Urban slums are fast growing in the world due to overpopulation and migration of people from rural to urban areas. Sex work thrive in urban slums, hence the high movement of Female Sex Workers (FSWs) and clients to these areas which has led to increase in risk of transmission of HIV and other communicable diseases and its spread among the population.

Description: COSWOHI as sub-sub grantee to the Society for Family Health Global Fund HIV Extension New Funding Model grants mapped FSW hot spots in slums in 4 major towns in Oyo State (Ibadan, Ogbomosho, Saki, Oyo) and adopting the Minimum Prevention Package Intervention, initiated HIV programs to provide access to HIV testing, placement of positive FSWs on ART and facilitate the process of viral suppression to reduce transmission rate. Biomedical intervention was one of the 3 core strategies under Minimum Prevention Package Intervention adopted from January 2018 to June 2019 to contribute to the achievement of the UN 90 90 90 goals. The program worked through key stakeholders, gatekeepers and community outreach workers. FSWs were trained as HIV Counsellor/Testers and Case Managers to counsel, test, refer and link HIV positive FSWs to care. Friendly ART One-Stop-Shop (OSS) was set up to provide “In and Off Facility” (free access and at no costs) treatment and care. Required lubricants and condoms were provided and determined through forecasting. Two FSW Support Groups were set up through which drug refills and pick up was done with help of the Case Managers. 648 FSWs were tested for HIV, 69 tested positive and 66 were linked to care.

Lessons learned: There is a high prevalence of HIV among FSWs in urban slums as evidenced by the result of the intervention. Access to treatment requires comprehensive services for sex workers, including actions to overcome stigma and discrimination. Treatment adherence among FSWs has powerful behavioural determinants and is reinforced by FSW-friendly services, peer support, and a supportive policy and legal context. Consistent condom use offers FSWs additional protection from HIV-infected clients who may or may not be on treatment and virally suppressed. FSW-friendly services, including STI and sexual health care, can reduce other STIs, which increase HIV susceptibility.

Next Steps: Medical personnel will be at COSWOHI’s office to strengthen the drop in centre. Social/recreational facilities at the OSS will be improved on to make it more user friendly for Key Populations to access.

C33. Prevention programmes for immigrants, mobile and displaced populations

Preferred Presentation Type:

New knowledge or analysis on the HIV epidemic and its future implications

Abstract Reference Number:

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