Reducing the Vulnerability of PWID to HIV through Effective Use of Condoms and Lubricants


Anti Retro-viral Drugs

Author(s): Fashade Ayodeji1, Ademodi Tuntunladi Fiyifolu1, Oluwole T F1, Abioye Olubukun David1, Adetayo Folasade1, Bako John Chukwudi2, Titus Michael Olubunmi3

Institute(s): 1Goodworker Ministry International,  2Socierty for Family Health

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 201

Issue: The National Agency for the Control of HIV/AIDS in Nigeria disclosed that HIV prevalence rate of PWIDs was 1.9% as at 2014. The Global Fund HIV New Funding Model intervention project implemented among low literate in semi urban and rural slum in Oyo state for the period of January-June 2017 aim at promoting behaviour change among PWIDs and reducing the spread of HIV.

Description: Goodworker Ministry International team with Funding support from the Global Fund through the Society for Family Health used MPPI Strategy to reach PWID to change their sexual risk behaviour using mix of intervention such as community outreach, peer education, FGDs, PM&E, Interpersonal communication, and advocacy.

Three outreach workers supported the program staff in the selection and training of 15 Peer educators who stepped down HIV prevention training to 128 peers. The cohort session for the period of 6 months raised PWID awareness and knowledge on dangers of taking drugs and engaging in risky sexual behaviour. During the session, PEP manual (picture code) was used to educate peers and PEs. Condoms and Information Education Communication materials were distributed to PWID.

Biomedical intervention activities including condoms forecasting, HTS and referral form the core of the programme with 364 PWID testing for HIV and 160 treating for STIs. PWIDs acquired skills on condom use and received over 40,000 condoms and 400 co-package lubricant compatible condom.

Lesson Learnt: I43 people who inject drugs were reached with minimum prevention package of intervention (MPPI) at the end of the semester. PWID who had their Sexually Transmitted Infections treated learnt that use of consistent and correct use of condoms with all sexual partners is key to preventing HIV/STIs.

There is observable considerable reduction in needles and syringe sharing among “engaged PWID”, People who inject drugs had obviously imbibed the habit of using condoms and lubricants consistently. Information Education Communication materials (IEC) enhanced their intelligence of holistic facts about male condoms and lubricants. Peer Educators and peers are now more comfortable in sharing their health challenges and accessing health facilities which has brought about reduction in self-medication.

Next steps: MARPs friendly Civil society organization should intensify effort in increasing awareness and promotion of condoms and lubricant usage among PWIDs in their various HIV prevention intervention programme.

Track C: Epidemiology and Prevention Science



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