Background In Nigeria, HIV prevalence is high amongst key populations (KP). Mode of transmission study revealed that 38% of new-infections in Nigeria are attributable to KPs. To plan KPs interventions, programmatic mapping was conducted to provide insight on locations where KPs are found and peak day/time during which the highest number of KPs visit these locations
Methods Three KP groups (FSW, PWID, and MSM) were mapped in 10 states. Programmatic mapping which involved two sequential data collection steps known as level one [L1] and level two [L2] was adopted During L1, information was collected from key informants (KIs) on geographic locations/spots where KPs congregate, characteristics of spots and estimate of KPs found there. 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 32,556 KI interviews were conducted in L1. 16,563 spots (8,877 FSW spots, 4,349 MSM spot, 3,837 PWID spots) were identified in 10 states. Peak days are when at least 80% of KPs visit spots. For FSW spots, 8 states have peak days on Saturday and Sunday while in 2 states (Taraba, Gombe states) it is only on Sunday. For MSM spots, Abia, Imo Anambra, Enugu, Kaduna, Oyo states have peak days on Saturday and Sunday while Edo, Kano and Taraba states have peak day on Sunday. PWID spot peak days are on Saturday and Sunday in Abia, Edo, Enugu, Oyo, Anambra, Imo, Kaduna and Kano states while Gombe and Taraba have peak day on Sunday. On peak days, peak time is mostly from 5pm to 12 midnight in all states for FSW and MSM. For PWID, peak time is mostly from 5 pm to 9 pm.
Conclusion With these results, Nigeria can design and implement HIV programs targeting KPs around days and times to achieve maximum reach.
Disclosure No significant relationships.
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