Background Mode of transmission study revealed that 38% of HIV new-infections in Nigeria are attributable to KPs. Abia and Taraba are two states in Nigeria with an HIV prevalence of 3.9% and 5.1% respectively. To ensure KPs receive interventions, estimation study was conducted in both states to provide insight on KP size, distribution and HIV/STI service coverage.
Methods Three KP groups (FSW, PWID, MSM) were mapped in Abia and Taraba. Programmatic mapping was employed which involved two sequential data collection steps known as level one [L1] and level two [L2]. During L1, data was collected from key informants (KIs) on the geographic locations/spots where KPs congregate, the characteristics of the spots, estimate of KPs found there and HIV/STI service availability. During L2, KI interviews were conducted at spots identified in L1. In L2 interviews primary KIs (FSWs, IDUs, MSM,) validated information collected during L1.
Results 1,136 spots (679 FSW spots, 103 MSM spots, 354 PWID spots) were identified in Abia while Taraba had 574 spots (346 FSW spots, 98 MSM spots, 130 PWID spots). The total KP estimate in Abia is 13,527 while Taraba has 6,246. In Abia, condom and HIV testing were only available in 4.4% and 1.6% FSW spots respectively. Also condom and HIV testing were only available in 2.8% and 1.1% PWIDs spots respectively. Both services weren’t available at MSM spots while all KPs spots had no STI services. In Taraba, condom and HIV testing were only available in 0.6% and 1.3% FSW spots respectively. Also condom and HIV testing were only available in 4.2% and 3.4% PWIDs spots respectively. Both services weren’t available at MSM spots. 0.3% FSW spots had STI service but other KP spots had no STI services.
Conclusion From this study, Nigeria needs to scale up targeted HIV/STI services for KPs in Abia and Taraba states.
Disclosure No significant relationships.
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