Emmanuel Godwin Omokhagbo, Sanni Olaniyi Felix, Roger Abang, Umoh Paul, Boniface Ochonye Bartholomew, Paul Amechi, Yahaya Ismaeel Mohammed, Auwal Agie Muhmmad
Research and Development, Heartland Alliance Limited GTE, Abuja, Nigeria.
Int J MCH AIDS. 2025 Jan 24;14:e005. doi: 10.25259/IJMA_49_2024. eCollection 2025.
Human immunodeficiency virus and acquired immunodeficiency syndrome (HIV/AIDS) remains a significant public health challenge globally, with key populations (KPs) such as female sex workers (FSWs), men who have sex with men (MSM), and people who inject drugs (PWIDs) being disproportionately affected. Despite the availability of various HIV prevention services, including pre-exposure prophylaxis (PrEP) and community-based antiretroviral therapy (ART), the willingness of KPs to access these services remains a critical concern. This study aims to assess the prevalence of HIV and the willingness to access HIV preventive services among KPs in three selected local government areas (LGAs) in Nigeria.
A cross-sectional study was conducted in 2023 across three LGAs, Gwale, Fagge, and Tarauni, in Kano State, Nigeria, using a snowball sampling technique. A total of 1,320 participants, recruited from brothels and nightclubs, were tested for HIV using self-test kits. Willingness to access HIV services was assessed using a structured questionnaire. Data were analyzed using descriptive statistics and binary logistic regression.
The overall HIV prevalence among KPs was 10.8%. MSM and PWIDs exhibited higher HIV prevalence rates compared to FSWs. Willingness to access HIV preventive services was recorded at 57.7%, with significant influences from geographical location and sexual practices. Participants from Tarauni were more willing to access services, and those engaging in vaginal sex were more likely to seek preventive services. HIV self-testing had a high uptake of 95.9%, while PrEP uptake was 68.0%. Major barriers included stigma, lack of comprehensive services, and limited knowledge of service providers.
This study highlights the critical need for targeted interventions addressing the specific barriers faced by KPs in these regions. Enhancing service accessibility and addressing stigma is essential for reducing HIV transmission and achieving epidemic control in Nigeria by 2030.
人类免疫缺陷病毒和获得性免疫缺陷综合征（HIV/艾滋病）仍然是全球重大的公共卫生挑战，女性性工作者（FSW）、男男性行为者（MSM）和注射吸毒者（PWID）等重点人群受到的影响尤为严重。尽管有各种HIV预防服务，包括暴露前预防（PrEP）和基于社区的抗逆转录病毒治疗（ART），但重点人群获取这些服务的意愿仍然是一个关键问题。本研究旨在评估尼日利亚三个选定地方政府辖区（LGA）重点人群中HIV的流行情况以及获取HIV预防服务的意愿。
2023年在尼日利亚卡诺州的三个LGA（瓜莱、法格和塔拉乌尼）进行了一项横断面研究，采用滚雪球抽样技术。从妓院和夜总会招募了1320名参与者，使用自检试剂盒进行HIV检测。使用结构化问卷评估获取HIV服务的意愿。数据采用描述性统计和二元逻辑回归分析。
重点人群中的总体HIV流行率为10.8%。与女性性工作者相比，男男性行为者和注射吸毒者的HIV流行率更高。获取HIV预防服务的意愿记录为57.7%，受地理位置和性行为的影响显著。来自塔拉乌尼的参与者更愿意获取服务，而进行阴道性行为的参与者更有可能寻求预防服务。HIV自检的接受率很高，为95.9%，而PrEP的接受率为68.0%。主要障碍包括耻辱感、缺乏全面服务以及对服务提供者的了解有限。
本研究强调了针对这些地区重点人群所面临的特定障碍进行有针对性干预的迫切需求。提高服务可及性和消除耻辱感对于到2030年在尼日利亚减少HIV传播和实现疫情控制至关重要。
