Background The introduction of care and treatment at the service delivery points at the community and the clinical settings- hospital facilities for prevention with positives have giving the HIV/AIDS, STIs, TB management high quality significant improvement in the first eight months of implementation in Nigeria.
Methods Association of Positive youth in Nigeria is a national non governmental organisation in Nigeria, involved in HIV prevention, care and support. APYIN started implementing HIV prevention strategies in 2009 with a focus on involving HIV- positive people in prevention. The strategies included: counselling on prevention of HIV to positive persons this involved discussion of behavioural intervention in medical and counselling visits. Promoting the use and provision of condoms to sexually active HIV-positive individuals, promoting adherence to antiretroviral drugs by counselling, use of pills boxes and medicine companions.
Encouraging HIV- positive persons to disclose HIV status to sex partners either by self or counsellor mediated during targeting partners and children born to all people living with HIV/AIDS.
Results Most of the persons living HIV realise that they have a role to play in prevention of HIV. There is 8.5% increase in the uptake of condoms by HIV-positive persons between the year 2008 and 2009. Antiretroviral therapy adherence levels of 92% of the clients on ART with adherence > 95%. In the same period there is an increase of 50% of HIV- positive individuals disclosing HIV status to partners. Community awareness of HIV has increased in the area serviced by the organisation.
Conclusion Increase collaboration between the clinical and community base interventions; regular monitoring of the community response for improvement. The capacity building of community staff. HIV positive persons are very important partners in HIV prevention. Therefore their involvement should be prioritised.
- prevention KL01,