Equitable HIV Services for Key Populations in Nigeria

Eliminating barriers

People who are at higher risk of acquiring HIV bear a disproportionate burden of HIV compared to the general population. According to the UNAIDS, these populations accounted for 65 percent of HIV infections worldwide in 2020.

With support from PEPFARA, CDC provides technical leadership and helps countries develop and implement effective and sustainable HIV services. These include testing, treatment, and prevention services focused on populations at higher risk. By working with partners like the Center for Integrated Health Programs (CIHP) in Nigeria, CDC is eliminating barriers to vital services.

From helpless to happy

CIHP operates One-Stop-Shop (OSS) safe spaces staffed with trained health professionals who are knowledgeable about the challenges faced by populations at higher risk. Challenges like stigma and discrimination often hinder people from accessing HIV services. One individual benefiting from the OSS is Buky Tanji, a single mother who relies on sex work to support her children.

In taking up sex work, Buky knew little about sexually transmitted infections, including HIV. Shortly after, in 2021, she was diagnosed as HIV-positive. Buky felt helpless in the slums of Lagos, Nigeria's commercial center and says her HIV-positive diagnosis felt like another hurdle. There were moments anger welled up inside her, followed by disbelief, shame, and denial. However, she also felt the need to support her children and therein found the will to seek help.

Buky was thankful she received counseling immediately following her diagnosis, which included a referral to CIHP. With support from the friendly OSS staff, Buky is now receiving antiretroviral treatment and in good health. "I visit there often," Buky says of the OSS. "I am happy it is in a central location where I feel safe and welcome. I pick up my medication now without suffering or spending much on transportation."

Reaching those who need it most

After moving the OSS to a safer and more accessible location, there was an increase in the utilization of HIV services. Prior to the move, 3-5 people living with HIV brought their partners for index testing. As of 2021, 40-45 people living with HIV access these services physically every month. Additionally, more than 787 people at higher risk were diagnosed as HIV-positive and started on ART—a 27% increase in services.

Eliminating HIV-related stigma will improve the lives of those living with or vulnerable to acquiring HIV. By increasing retention to care and closing remaining service-delivery gaps we can reach those who need it most.

Resources