Achievements and Implications of HIV Prevention Programme among Female Sex workers: A Systematic Evaluation of HAF II Project in Plateau State, Nigeria
Background: Plateau State, Nigeria with HIV prevalence rate of 7.7% as at 2010 had among the highest HIV and syphilis levels in Nigeria, earning itself a reputation of being one of the 12 + 1 states contributing the highest HIV prevalence in Nigeria and described as “hot zone” of HIV infections. Factors responsible for this were not unrelated to the high-risk activities of Female Sex Workers (FSWs). This paper therefore presents achievements and implications HIV prevention among FSWs in Plateau State, Nigeria Methods: This project was an intervention effort focused on delivering evidence-based HIV prevention activities among FSWs in 3 local government areas within the State. The estimated target population for the study was 460 and this project used the minimum prevention package intervention (MPPI). Peer educators were selected and trained among the FSWs to reach out to their peers using cohort session. Data were documented using various monitoring and evaluation tools, entered on the District Health Information Software version 2 and analyzed using Microsoft Excel. Results: A total of 68 community dialogues were held with 1,466 influencers participating in the process. In addition, 601 peers were registered, while 18 persons benefitted from 27 income generation activities aimed at capacity building for FSWs. A total of 642 persons were counseled, tested and shown their results, with 15 persons tested positive resulting in HIV prevalence of 2.3%. Although 10,560 condoms were distributed however, these numbers was below the number of condoms required during the intervention. Conclusion: This intervention was a success. However, more needs to be done with regards to condom distribution and supply among FSWs since there is a crucial role for FSWs to play in the plot of taking the HIV prevalence of Plateau State even further down
Achievements and Implications of HIV Prevention Programme among Men who have ...inventionjournals
Background: Targeted interventions among men who have sex with men (MSM) could have a considerable effect in slowing the spread of HIV epidemic. This paper therefore presents the achievements and implications of HIV prevention programme among MSM in Bayelsa State, Nigeria Methods: The project was an intervention study carried out among MSM in Bayelsa State, Nigeria. The calculated sample size for this project was 155 MSM and snowball sampling technique was used for their selection. The project adopted the minimum prevention package intervention (MPPI) and data collected with output indicators were entered into the District Health Information Software (DHIS) 2, exported into Microsoft Excel and analysed using same. Results: The overall target population reached during this intervention was 381 MSM given a target reached of 245.8%. A total of 35 community dialogues were held within the duration of the intervention and 49 influencers participated. The number of peers registered during the intervention were 203 and out of the total number of condom (20582) required for this intervention, only 15235 (74.0%) were distributed. A total of 185 (91.1%) of the registered peers were reached with all the three stages of MPPI and 381 (245.8%) were reached with HCT. Among these, 17 (4.5%) were tested positive to HIV. Conclusion: This study showed an HIV prevalence of 4.5% among men who have sex with men in Bayelsa state at the time of the intervention. Given this high HIV prevalence, it is vital to enact more targeted and evidencebased prevention programs for these men.
Achievements and Implications of HIV Prevention of Mother-toChild Transmissio...QUESTJOURNAL
This intervention provided HIV prevention services to women of reproductive age in Plateau State, Nigeria. A total of 9,258 women were reached, exceeding the target of 7,460. Structural interventions included 85 community dialogues and 17 income generation activities. Behavioral interventions included distributing 87,028 condoms and providing HIV education to 5,079 peers. Biomedical interventions saw 5,606 women receive counseling, testing and results, with 44 (0.8%) testing positive for HIV. While the intervention helped reduce HIV burden, future programs need to improve coverage and extend services to more local government areas.
This document presents a research protocol for a study aimed at reducing HIV/AIDS risks among intravenous drug users (IDUs) in Bangladesh through community-based outreach programs. The study aims to design effective prevention programs and reduce risky behaviors among high-risk groups like IDUs. It provides background on HIV/AIDS and drug use in Bangladesh, describing current interventions for IDUs that incorporate harm reduction strategies like drop-in centers and needle exchange programs. The proposed study will use qualitative and quantitative methods to assess current knowledge and behaviors of IDUs and evaluate community-based outreach programs to identify best practices for prevention.
Madridge Journal of AIDS (ISSN: 2638-1958); HIV-related stigma is a global issue. Its perpetuation varies in magnitude across and within countries, and serves as a major barrier to HIV prevention efforts.
Male circumcision should be promoted in developing countries as a major means...Felipe Mejia Medina
Male circumcision should be promoted in developing countries as a major means of HIV prevention according to studies showing it reduces HIV infection risk by 50%. However, male circumcision programs require consideration of social, cultural and religious factors. Neonatal circumcision performed in health facilities by trained professionals seems to be a safer and more cost-effective approach, but resources, willingness, and integration with other prevention strategies must be considered.
Attitude of the youth towards voluntary counselling and testing (vct) of hiv ...Alexander Decker
This document summarizes a study on the attitudes of youth in Accra, Ghana toward voluntary counseling and testing (VCT) for HIV/AIDS. The study found that while knowledge of HIV/AIDS was high, awareness and use of VCT services was low. Most respondents were unaware that VCT services existed or where they could access them. Of those aware of VCT, very few had utilized the services themselves. Fear of knowing their HIV status appeared to be a major barrier preventing youth from seeking VCT. The study concluded that efforts must be made to increase awareness and use of VCT, especially among youth, through expanded information and education campaigns.
Burden of HIV and Research Gaps Among Key Populations in Sub-Saharan AfricaHopkinsCFAR
Key populations including sex workers, men who have sex with men, and people who inject drugs experience disproportionately high HIV burdens in sub-Saharan Africa due to various biological, behavioral, and structural factors. HIV prevalence among female sex workers ranges from 10.9% in Eastern Europe to 36.9% in sub-Saharan Africa, where sex workers are 12 times more likely to be infected than other women. Men who have sex with men also experience high HIV prevalence, though data remains limited in sub-Saharan Africa. Combination prevention approaches including behavioral, biomedical, and structural interventions are needed to address the outsized impact of HIV on key populations.
01 Setswe~Hiv Prevention Where Is The Evidence Of Interventions That WorkNicholas Jacobs
The document summarizes evidence for HIV prevention interventions that work. It discusses biomedical interventions like male circumcision, HAART, and PMTCT that have good evidence of effectiveness ranging from 60-98% based on randomized controlled trials. It also reviews behavioral interventions like HIV counseling and testing, the Stepping Stones program, and structural interventions like microfinance combined with gender training, finding some have promising evidence of effectiveness while evidence is limited or lacking for others.
Achievements and Implications of HIV Prevention Programme among Men who have ...inventionjournals
Background: Targeted interventions among men who have sex with men (MSM) could have a considerable effect in slowing the spread of HIV epidemic. This paper therefore presents the achievements and implications of HIV prevention programme among MSM in Bayelsa State, Nigeria Methods: The project was an intervention study carried out among MSM in Bayelsa State, Nigeria. The calculated sample size for this project was 155 MSM and snowball sampling technique was used for their selection. The project adopted the minimum prevention package intervention (MPPI) and data collected with output indicators were entered into the District Health Information Software (DHIS) 2, exported into Microsoft Excel and analysed using same. Results: The overall target population reached during this intervention was 381 MSM given a target reached of 245.8%. A total of 35 community dialogues were held within the duration of the intervention and 49 influencers participated. The number of peers registered during the intervention were 203 and out of the total number of condom (20582) required for this intervention, only 15235 (74.0%) were distributed. A total of 185 (91.1%) of the registered peers were reached with all the three stages of MPPI and 381 (245.8%) were reached with HCT. Among these, 17 (4.5%) were tested positive to HIV. Conclusion: This study showed an HIV prevalence of 4.5% among men who have sex with men in Bayelsa state at the time of the intervention. Given this high HIV prevalence, it is vital to enact more targeted and evidencebased prevention programs for these men.
Achievements and Implications of HIV Prevention of Mother-toChild Transmissio...QUESTJOURNAL
This intervention provided HIV prevention services to women of reproductive age in Plateau State, Nigeria. A total of 9,258 women were reached, exceeding the target of 7,460. Structural interventions included 85 community dialogues and 17 income generation activities. Behavioral interventions included distributing 87,028 condoms and providing HIV education to 5,079 peers. Biomedical interventions saw 5,606 women receive counseling, testing and results, with 44 (0.8%) testing positive for HIV. While the intervention helped reduce HIV burden, future programs need to improve coverage and extend services to more local government areas.
This document presents a research protocol for a study aimed at reducing HIV/AIDS risks among intravenous drug users (IDUs) in Bangladesh through community-based outreach programs. The study aims to design effective prevention programs and reduce risky behaviors among high-risk groups like IDUs. It provides background on HIV/AIDS and drug use in Bangladesh, describing current interventions for IDUs that incorporate harm reduction strategies like drop-in centers and needle exchange programs. The proposed study will use qualitative and quantitative methods to assess current knowledge and behaviors of IDUs and evaluate community-based outreach programs to identify best practices for prevention.
Madridge Journal of AIDS (ISSN: 2638-1958); HIV-related stigma is a global issue. Its perpetuation varies in magnitude across and within countries, and serves as a major barrier to HIV prevention efforts.
Male circumcision should be promoted in developing countries as a major means...Felipe Mejia Medina
Male circumcision should be promoted in developing countries as a major means of HIV prevention according to studies showing it reduces HIV infection risk by 50%. However, male circumcision programs require consideration of social, cultural and religious factors. Neonatal circumcision performed in health facilities by trained professionals seems to be a safer and more cost-effective approach, but resources, willingness, and integration with other prevention strategies must be considered.
Attitude of the youth towards voluntary counselling and testing (vct) of hiv ...Alexander Decker
This document summarizes a study on the attitudes of youth in Accra, Ghana toward voluntary counseling and testing (VCT) for HIV/AIDS. The study found that while knowledge of HIV/AIDS was high, awareness and use of VCT services was low. Most respondents were unaware that VCT services existed or where they could access them. Of those aware of VCT, very few had utilized the services themselves. Fear of knowing their HIV status appeared to be a major barrier preventing youth from seeking VCT. The study concluded that efforts must be made to increase awareness and use of VCT, especially among youth, through expanded information and education campaigns.
Burden of HIV and Research Gaps Among Key Populations in Sub-Saharan AfricaHopkinsCFAR
Key populations including sex workers, men who have sex with men, and people who inject drugs experience disproportionately high HIV burdens in sub-Saharan Africa due to various biological, behavioral, and structural factors. HIV prevalence among female sex workers ranges from 10.9% in Eastern Europe to 36.9% in sub-Saharan Africa, where sex workers are 12 times more likely to be infected than other women. Men who have sex with men also experience high HIV prevalence, though data remains limited in sub-Saharan Africa. Combination prevention approaches including behavioral, biomedical, and structural interventions are needed to address the outsized impact of HIV on key populations.
01 Setswe~Hiv Prevention Where Is The Evidence Of Interventions That WorkNicholas Jacobs
The document summarizes evidence for HIV prevention interventions that work. It discusses biomedical interventions like male circumcision, HAART, and PMTCT that have good evidence of effectiveness ranging from 60-98% based on randomized controlled trials. It also reviews behavioral interventions like HIV counseling and testing, the Stepping Stones program, and structural interventions like microfinance combined with gender training, finding some have promising evidence of effectiveness while evidence is limited or lacking for others.
FACTORS ASSOCIATED WITH HUMAN IMMUNODEFICIENCY VIRUS COUNSELLING AND TESTING ...Razak Mohammed Gyasi
Since 2003, the HIV Voluntary Counselling and Testing (VCT) has been identified as one of the key strategies in the HIV/AIDS prevention, control and care programmes in Ghana. However, utilization of this service is low among Ghanaian youth. This study examined predictors associated with VCT utilization among youth in Ghana. This study utilized quantitative and qualitative data in a cross-sectional survey in three sub-metropolitan areas in Kumasi. Using a multi-variate regression, evidence from 120 respondents showed potential factors associated with VCT utilization. The qualitative data were subjected to a content analysis through direct quotes. The results suggest that less than 30% of the youth had ever tested for HIV through VC. Women were more likely to avail themselves for counselling testing than men. Psychological and emotional trauma experienced by the seropositive, lack of confidentiality, proximity to VCT sites, HIV-related stigma inter alia, were found to be strongly associated with HIV VCT in the study prefecture. VCT utilization among the youth in Ghana was low and affected by HIV/AIDS-related stigma and residence. In order to increase VCT acceptability, HIV/AIDS prevention and control programs in the country should focus on reducing HIV/AIDS-related stigma.
FACTORS ASSOCIATED WITH HUMAN IMMUNODEFICIENCY VIRUS COUNSELLING AND TESTING ...Razak Mohammed Gyasi
Since 2003, the HIV Voluntary Counselling and Testing (VCT) has been identified as one of the key strategies in the HIV/AIDS prevention, control and care programmes in Ghana. However, utilization of this service is low among Ghanaian youth. This study examined predictors associated with VCT utilization among youth in Ghana. This study utilized quantitative and qualitative data in a cross-sectional survey in three sub-metropolitan areas in Kumasi. Using a multi-variate regression, evidence from 120 respondents showed potential factors associated with VCT utilization. The qualitative data were subjected to a content analysis through direct quotes. The results suggest that less than 30% of the youth had ever tested for HIV through VC. Women were more likely to avail themselves for counselling testing than men. Psychological and emotional trauma experienced by the seropositive, lack of confidentiality, proximity to VCT sites, HIV-related stigma inter alia, were found to be strongly associated with HIV VCT in the study prefecture. VCT utilization among the youth in Ghana was low and affected by HIV/AIDS-related stigma and residence. In order to increase VCT acceptability, HIV/AIDS prevention and control programs in the country should focus on reducing HIV/AIDS-related stigma.
This document provides information from the HIV and AIDS Data Hub for Asia-Pacific on data availability and population size estimates of people who inject drugs, men who have sex with men, transgender people, and male sex workers across several countries in Asia and the Pacific region. It includes tables and charts with the countries where data is available from sentinel surveillance surveys, behavioral surveys, and population size estimates. It also provides references for the estimates and surveys.
The document summarizes HIV epidemiology among men who have sex with men (MSM) globally and in Asia Pacific. Some key points:
- HIV prevalence among MSM ranges from under 1% to over 25% depending on the country/region, with most of Asia and Africa over 5%.
- HIV is increasing among MSM in many countries as prevalence declines elsewhere, with urban areas often having much higher rates.
- Condom use and HIV testing is low among MSM in most areas. Criminalization and stigma also limit data collection and access to services.
- MSM population size estimates vary widely but are often in the hundreds of thousands to millions in Asia Pacific countries.
The document discusses the importance of addressing gender equality in Global Fund proposals and responses to HIV, TB, and malaria. It notes that women often have less access to health services and information than men due to social and economic inequalities. It provides examples of how diseases like HIV, malaria, and TB disproportionately impact women. The document advises applicants to involve gender experts and conduct a gender analysis to ensure their proposals address the specific needs of women, men, girls and boys. It also recommends integrating gender-sensitive and transformative interventions that promote human rights and reduce health inequalities.
This document summarizes data from the 2012 Global Men's Health and Rights Survey regarding young men who have sex with men (YMSM). Key findings include:
- YMSM reported higher rates of unstable housing, lack of income, lack of healthcare coverage compared to older MSM.
- YMSM also had lower access to HIV prevention services like condoms, lubricants, testing, and education programs compared to older MSM.
- Among YMSM living with HIV, fewer were on antiretroviral therapy and fewer had suppressed viral loads compared to older MSM living with HIV.
- YMSM reported experiencing more homophobia, violence, and less community engagement and comfort with providers than
The document summarizes the key points from a quarterly review meeting of India's National AIDS Control Programme. It provides an overview of the program, highlights achievements in reducing HIV infections and AIDS-related deaths, and outlines the vision and targets to end AIDS by 2030. Key agenda items discussed establishing ART centers in all medical colleges, eliminating mother-to-child HIV transmission, implementing the HIV/AIDS Prevention and Control Act of 2017, and achieving the 90-90-90 fast track targets to diagnose and treat people living with HIV. Support was requested from states to help scale up HIV testing, treatment and care.
Achievements and Implications of HIV Prevention Programme Among Out of School...inventionjournals
Background: The increasing number of sexually transmitted infections including HIV/AIDS among the youths in sub-Saharan Africa indicates that successive efforts towards preventing the scourge remain inadequate in the continent. Preventing the spread of HIV infection among youths aged 15 – 24 years is critical to reducing the incidence of new HIV infection. This paper therefore presents HIV prevention programme among Out of School Youths (OSYs) in Kogi State, Nigeria. Methods: This intervention was carried out among out-of-school youths in 7 randomly selected Local Government Areas (LGAs) in the state with a total target population of 19, 600 OSY. One hundred and twenty (120) OSY comprising (68 males and 52 females) were recruited and trained as Peer Educators. Activities carried out included structural, behavioural and biomedical interventions using the Minimum Prevention Package for Intervention (MPPI) strategy. Data were documented using various monitoring and evaluation tools and entered in the DHIS2 platform. The data were later exported into Microsoft Excel and analysed using same. Results: Three hundred and three community dialogues were held within the 2-years period with 672 participants and 25787 peers recruited by the peer educators resulting in 131.6% of the estimated target population. A total of 8812 of out of school youths were counselled, tested and received results for HIV. Among these, a total of 175 (2.0%) were tested positive. Conclusion: Effective implementation of minimum prevention package for intervention in HIV/AIDS prevention programme carried out in these communities could be attributed to the dialogues held at the commencement of the project. However, there are still shortfalls in attainment of the expected results. It is therefore recommended that there be increased integration of services and decentralization of MPPI activities to primary health care centers and rural communities, stepwise supervision and monitoring of HIV prevention activities be strengthened and engagement of all tiers of governance to engender political commitment and ownership of the HIV response with a view of ensuring sustainability of these programmes.
Assessment of the level of awareness on AIDS/HIV in Johor, MalaysiaSriramNagarajan17
This document summarizes a study that assessed awareness of HIV/AIDS among 396 respondents in Johor, Malaysia. The study found that respondents had moderately high overall knowledge of HIV/AIDS, though some misconceptions remained. Most respondents knew that high-risk behaviors like needle sharing and unprotected sex can transmit HIV, but fewer were aware of risks from activities like tattooing or sharing personal items. While most knew there is no cure for HIV/AIDS, over half believed incorrectly that washing after sex prevents transmission. The study provides insight into awareness levels and information gaps regarding HIV/AIDS in Johor.
Women & Girls: Behavioral Health, HIV, HEP and more Alton King
Whether at home or abroad, women and girls are feeling the lopsided effects of HIV. Put another way, nearly 1,000 young women are newly infected with HIV daily. Trauma and intimate
partner violence (IPV) are but numerous factors driving this epidemic. SAMHSA is undertaking a multifaceted approach to engage behavioral health issues, the SAVA syndemic, and the opioid epidemic through innovative behavioral health programs.
Isean 2013 stories of change from our communities in indonesia, malaysia and...clac.cab
This document provides an overview and introduction to a collection of stories from community-based organizations in Indonesia, Malaysia, and the Philippines about their responses to HIV/AIDS and other challenges. It begins with background on the Islands of Southeast Asia Network (ISEAN) program that facilitated workshops for CBOs to document their experiences using a technique called "Most Significant Change." The stories compiled in Rampa aim to show how MSM and transgender communities have risen above challenges to help themselves and their peers. It is hoped that these narratives of struggle, achievement, and encouragement provide new understanding and perspectives for readers.
The document describes a research grant application to assess the impact of an education intervention program on care and support for people living with HIV/AIDS receiving antiretroviral therapy at BPKIHS in Nepal. The principal investigator is an associate professor in the Medical-Surgical Nursing Department. The project aims to evaluate knowledge, attitudes and practices regarding care and support for PLWHA, develop an education package on care and support, provide the education intervention, and evaluate its effectiveness. The application reviews literature on the HIV/AIDS situation in Nepal and caregiver burden for PLWHA.
Balancing demand, quality and efficiency in nigerian health care delivery systemAlexander Decker
The document discusses several challenges facing Nigeria's health care system that reduce progress and universal access to health care. Some key issues include inadequate health facilities and infrastructure, poor human resources and management, low government spending on health, and high out-of-pocket costs for citizens. Nigeria's health indicators, such as maternal mortality and child mortality, are among the worst in the world. Many factors contribute to these problems, including a lack of integrated disease prevention and treatment systems, shortages of essential drugs and supplies, and inadequate supervision of health care providers. Overall, the health system in Nigeria faces significant issues that must be addressed to improve quality, access, and efficiency of care.
The document provides information about HIV/AIDS in Bangladesh. It notes that the first HIV case was detected in 1989 and that Bangladesh currently has a low HIV prevalence rate of less than 1%. While the incidence of HIV/AIDS is currently low in Bangladesh, the country remains vulnerable to an epidemic due to risk factors like injecting drug use, commercial sex work, men having sex with men, and lack of awareness. The document also outlines preventive measures taken like information campaigns, education programs, increasing condom use, and interventions targeting at-risk groups.
The study evaluated the effectiveness of CyberSenga, a culturally tailored internet-based HIV prevention program for adolescents in Mbarara, Uganda. 366 adolescents were randomized to the CyberSenga intervention or a control group. At 3-month follow-up, adolescents in the intervention group who were abstinent at baseline were less likely to report recent sexual activity compared to the control group. At 6-months, trends showed intervention participants who also received a booster session were less likely to report recent sex and had fewer unprotected sex acts than other groups. The CyberSenga program was associated with sustained abstinence and suggestive of affecting HIV preventive behavior, though the study had limitations regarding internet access.
The document summarizes India's AIDS Control Programme. It discusses the structure of the HIV virus and symptoms of AIDS. It provides statistics on HIV prevalence in India and outlines the objectives and components of the National AIDS Control Programmes Phases I-III. The key goals of NACP-III are to halt and reverse the HIV epidemic by preventing new infections and increasing access to treatment, care and support for those living with HIV/AIDS. The programme focuses on high-risk groups through targeted interventions and scaling up general population interventions.
This document is a cover page and abstract for a culminating experience paper by Lindsey Garrison at Boston University School of Public Health. The paper analyzes adherence to antiretroviral therapy (ART) among adolescents in South Africa. It examines determinants of poor adherence, reviews best practices to improve adherence, and analyzes the ST-AMP program from the US. The paper identifies gaps in research and makes recommendations to improve data collection and gender-stratified statistics on HIV among adolescents in South Africa.
This article discusses psychological impacts and treatment of HIV/AIDS among Nigerian women, with a focus on cultural implications and promoting gender equality. It finds that Nigerian women are particularly vulnerable to HIV infection due to cultural and gender norms. Factors such as traditional gender roles, lack of education and economic opportunities, sexual violence, and harmful widowhood practices increase women's risk. The prevalence of HIV is higher among Nigerian women than men. Younger women are especially at risk. The article calls for addressing stigma, discrimination, and gender inequality to improve treatment and promote a more equitable response to the HIV epidemic in Nigeria.
This document outlines an intervention strategy to address the high prevalence of HIV in young men who have sex with men (MSM) in Alexandria, Virginia. The strategy involves conducting bi-monthly support group sessions over 10 months led by a part-time facilitator. The goals are to increase knowledge of HIV/STD prevention, decrease risky behaviors like unprotected sex and binge drinking, and ultimately lower new HIV cases in the target population by 5% within a year. Participants will be recruited through various community locations and incentives will be provided to encourage attendance. The intervention is evidence-based and aims to move participants through stages of behavior change. Objectives, activities, evaluations and a budget are included in the plan.
There are an estimated 170 million people globally infected with hepatitis C virus (HCV), which poses a rising threat to healthcare systems. While some national governments and non-governmental organizations have accelerated efforts to improve HCV education, testing, and treatment, significant barriers remain. Effective disease surveillance is critical but data on chronic HCV prevalence is lacking in over half of countries surveyed. As awareness of HCV has increased, patient advocacy groups have played a leading role in shaping policy and pressuring governments to adopt more comprehensive national strategies. However, approaches to HCV still vary widely between countries.
Achievements and Implications of HIV Prevention Programme among Injecting Dru...QUESTJOURNAL
Background: The HIV epidemic appears to be generalized with new infections occurring among persons perceived to be practicing low risk sex in Bayelsa State. The epidemic appeared to be concentrated among the sub-populations including injecting drug users (IDUs). Intervention therefore needed to ameliorate this problem hence, this paper presents achievements of HIV prevention programme among IDUs in Bayelsa state including its implications for programming. Methods: This was an intervention project conducted among injecting drug users in five purposive selected local government areas (LGAs) in Bayelsa State, Nigeria. Centre for Development and Empowerment of Commercial Motorcyclist (CEDECOM) was engaged by Bayelsa State Agency for Control of AIDS and funded under the HIV and AIDS fund (HAF) II project to scale up HIV prevention among injecting drug users. The project was carried out between April, 2016 and January, 2017. The estimated sample size for this intervention was 210 IDUs and minimum prevention package intervention (MPPI) was adopted in the implementation of this project activities. Data were entered on DHIS2 platform and later exported and analyzed using Microsoft Excel. Data were presented using descriptive statistics such as percentage, simple proportion and frequency. Results: The overall target population reached during this intervention was 440 given a target reached of 209.5%. All the 36 community dialogues that took place during the course of this project occurred in the first quarter with a total number of 54 male influencers participated in dialogues and sensitization activities during this period. A total number of 440 peers were registered during this period and a total number of 11,346 male condoms and 656 female condoms were distributed. A total of 243 (55.2%) of the registered peers were reached with all the three stages of MPPI and 427 (97.0%) were reached with HCT. Among these, 21 (4.9%) were tested positive to HIV. Conclusion: This intervention was a success as it scaled up HIV prevention services among injecting drug users in the state. To optimize the effectiveness of this type of intervention in reducing HIV infection among this risk group, future programs should be based on principles related to equity and gender balance.
Achievements and Implications of HIV Prevention Programme among Transport Wor...inventionjournals
Background: HIV prevention programs across the world have considered drivers of articulated vehicles, especially those travelling long distances, as an important bridge population for the transmission of HIV to the general population and are thus a major target for HIV reduction programming. This paper therefore presents achievements of HIV prevention programme among transport workers in Bayelsa State, Nigeria including its implications for future programming. Methods: A total of three civil society organizations were engaged by Bayelsa State Agency for the Control of AIDS and funded to provide HIV prevention programmes under the HIV/AIDS fund (HAF) II project. A total of 3900 transport workers were the estimated sample size for this intervention and purposive sampling was used in selecting participants. The minimum prevention package intervention (MPPI) was adopted in the implementation of this project and data collected were entered into District Health Information Software (DHIS) 2 before being exported and analyzed using Microsoft Excel. Results: A total of 35 community dialogues were held and 172 influencers participated within the duration of the intervention. The number of peers registered were 3786 out of which, 462 (12.2%) were registered in the first quarter. The duration of the programme witnessed the distribution of a total number of 39194 condoms which represented 73.5% of the total number of condoms required. A total of 2381 (62.9%) of the registered peers were reached with all the three stages of MPPI and 2878 (76.0%) were reached with only HCT. Among these, 81 (2.8%) were tested positive to HIV. Conclusion: This study showed that the HIV prevalence was 2.8% among the participants. However, many of the registered peers were missing during HCT. Efforts to develop appropriate IEC materials for drivers and in particular to improve the sustainability of outreach and peer education activities within key communities, should be maintained and reinforced. Also, flexible approaches to condom distribution need to be developed and promoted.
FACTORS ASSOCIATED WITH HUMAN IMMUNODEFICIENCY VIRUS COUNSELLING AND TESTING ...Razak Mohammed Gyasi
Since 2003, the HIV Voluntary Counselling and Testing (VCT) has been identified as one of the key strategies in the HIV/AIDS prevention, control and care programmes in Ghana. However, utilization of this service is low among Ghanaian youth. This study examined predictors associated with VCT utilization among youth in Ghana. This study utilized quantitative and qualitative data in a cross-sectional survey in three sub-metropolitan areas in Kumasi. Using a multi-variate regression, evidence from 120 respondents showed potential factors associated with VCT utilization. The qualitative data were subjected to a content analysis through direct quotes. The results suggest that less than 30% of the youth had ever tested for HIV through VC. Women were more likely to avail themselves for counselling testing than men. Psychological and emotional trauma experienced by the seropositive, lack of confidentiality, proximity to VCT sites, HIV-related stigma inter alia, were found to be strongly associated with HIV VCT in the study prefecture. VCT utilization among the youth in Ghana was low and affected by HIV/AIDS-related stigma and residence. In order to increase VCT acceptability, HIV/AIDS prevention and control programs in the country should focus on reducing HIV/AIDS-related stigma.
FACTORS ASSOCIATED WITH HUMAN IMMUNODEFICIENCY VIRUS COUNSELLING AND TESTING ...Razak Mohammed Gyasi
Since 2003, the HIV Voluntary Counselling and Testing (VCT) has been identified as one of the key strategies in the HIV/AIDS prevention, control and care programmes in Ghana. However, utilization of this service is low among Ghanaian youth. This study examined predictors associated with VCT utilization among youth in Ghana. This study utilized quantitative and qualitative data in a cross-sectional survey in three sub-metropolitan areas in Kumasi. Using a multi-variate regression, evidence from 120 respondents showed potential factors associated with VCT utilization. The qualitative data were subjected to a content analysis through direct quotes. The results suggest that less than 30% of the youth had ever tested for HIV through VC. Women were more likely to avail themselves for counselling testing than men. Psychological and emotional trauma experienced by the seropositive, lack of confidentiality, proximity to VCT sites, HIV-related stigma inter alia, were found to be strongly associated with HIV VCT in the study prefecture. VCT utilization among the youth in Ghana was low and affected by HIV/AIDS-related stigma and residence. In order to increase VCT acceptability, HIV/AIDS prevention and control programs in the country should focus on reducing HIV/AIDS-related stigma.
This document provides information from the HIV and AIDS Data Hub for Asia-Pacific on data availability and population size estimates of people who inject drugs, men who have sex with men, transgender people, and male sex workers across several countries in Asia and the Pacific region. It includes tables and charts with the countries where data is available from sentinel surveillance surveys, behavioral surveys, and population size estimates. It also provides references for the estimates and surveys.
The document summarizes HIV epidemiology among men who have sex with men (MSM) globally and in Asia Pacific. Some key points:
- HIV prevalence among MSM ranges from under 1% to over 25% depending on the country/region, with most of Asia and Africa over 5%.
- HIV is increasing among MSM in many countries as prevalence declines elsewhere, with urban areas often having much higher rates.
- Condom use and HIV testing is low among MSM in most areas. Criminalization and stigma also limit data collection and access to services.
- MSM population size estimates vary widely but are often in the hundreds of thousands to millions in Asia Pacific countries.
The document discusses the importance of addressing gender equality in Global Fund proposals and responses to HIV, TB, and malaria. It notes that women often have less access to health services and information than men due to social and economic inequalities. It provides examples of how diseases like HIV, malaria, and TB disproportionately impact women. The document advises applicants to involve gender experts and conduct a gender analysis to ensure their proposals address the specific needs of women, men, girls and boys. It also recommends integrating gender-sensitive and transformative interventions that promote human rights and reduce health inequalities.
This document summarizes data from the 2012 Global Men's Health and Rights Survey regarding young men who have sex with men (YMSM). Key findings include:
- YMSM reported higher rates of unstable housing, lack of income, lack of healthcare coverage compared to older MSM.
- YMSM also had lower access to HIV prevention services like condoms, lubricants, testing, and education programs compared to older MSM.
- Among YMSM living with HIV, fewer were on antiretroviral therapy and fewer had suppressed viral loads compared to older MSM living with HIV.
- YMSM reported experiencing more homophobia, violence, and less community engagement and comfort with providers than
The document summarizes the key points from a quarterly review meeting of India's National AIDS Control Programme. It provides an overview of the program, highlights achievements in reducing HIV infections and AIDS-related deaths, and outlines the vision and targets to end AIDS by 2030. Key agenda items discussed establishing ART centers in all medical colleges, eliminating mother-to-child HIV transmission, implementing the HIV/AIDS Prevention and Control Act of 2017, and achieving the 90-90-90 fast track targets to diagnose and treat people living with HIV. Support was requested from states to help scale up HIV testing, treatment and care.
Achievements and Implications of HIV Prevention Programme Among Out of School...inventionjournals
Background: The increasing number of sexually transmitted infections including HIV/AIDS among the youths in sub-Saharan Africa indicates that successive efforts towards preventing the scourge remain inadequate in the continent. Preventing the spread of HIV infection among youths aged 15 – 24 years is critical to reducing the incidence of new HIV infection. This paper therefore presents HIV prevention programme among Out of School Youths (OSYs) in Kogi State, Nigeria. Methods: This intervention was carried out among out-of-school youths in 7 randomly selected Local Government Areas (LGAs) in the state with a total target population of 19, 600 OSY. One hundred and twenty (120) OSY comprising (68 males and 52 females) were recruited and trained as Peer Educators. Activities carried out included structural, behavioural and biomedical interventions using the Minimum Prevention Package for Intervention (MPPI) strategy. Data were documented using various monitoring and evaluation tools and entered in the DHIS2 platform. The data were later exported into Microsoft Excel and analysed using same. Results: Three hundred and three community dialogues were held within the 2-years period with 672 participants and 25787 peers recruited by the peer educators resulting in 131.6% of the estimated target population. A total of 8812 of out of school youths were counselled, tested and received results for HIV. Among these, a total of 175 (2.0%) were tested positive. Conclusion: Effective implementation of minimum prevention package for intervention in HIV/AIDS prevention programme carried out in these communities could be attributed to the dialogues held at the commencement of the project. However, there are still shortfalls in attainment of the expected results. It is therefore recommended that there be increased integration of services and decentralization of MPPI activities to primary health care centers and rural communities, stepwise supervision and monitoring of HIV prevention activities be strengthened and engagement of all tiers of governance to engender political commitment and ownership of the HIV response with a view of ensuring sustainability of these programmes.
Assessment of the level of awareness on AIDS/HIV in Johor, MalaysiaSriramNagarajan17
This document summarizes a study that assessed awareness of HIV/AIDS among 396 respondents in Johor, Malaysia. The study found that respondents had moderately high overall knowledge of HIV/AIDS, though some misconceptions remained. Most respondents knew that high-risk behaviors like needle sharing and unprotected sex can transmit HIV, but fewer were aware of risks from activities like tattooing or sharing personal items. While most knew there is no cure for HIV/AIDS, over half believed incorrectly that washing after sex prevents transmission. The study provides insight into awareness levels and information gaps regarding HIV/AIDS in Johor.
Women & Girls: Behavioral Health, HIV, HEP and more Alton King
Whether at home or abroad, women and girls are feeling the lopsided effects of HIV. Put another way, nearly 1,000 young women are newly infected with HIV daily. Trauma and intimate
partner violence (IPV) are but numerous factors driving this epidemic. SAMHSA is undertaking a multifaceted approach to engage behavioral health issues, the SAVA syndemic, and the opioid epidemic through innovative behavioral health programs.
Isean 2013 stories of change from our communities in indonesia, malaysia and...clac.cab
This document provides an overview and introduction to a collection of stories from community-based organizations in Indonesia, Malaysia, and the Philippines about their responses to HIV/AIDS and other challenges. It begins with background on the Islands of Southeast Asia Network (ISEAN) program that facilitated workshops for CBOs to document their experiences using a technique called "Most Significant Change." The stories compiled in Rampa aim to show how MSM and transgender communities have risen above challenges to help themselves and their peers. It is hoped that these narratives of struggle, achievement, and encouragement provide new understanding and perspectives for readers.
The document describes a research grant application to assess the impact of an education intervention program on care and support for people living with HIV/AIDS receiving antiretroviral therapy at BPKIHS in Nepal. The principal investigator is an associate professor in the Medical-Surgical Nursing Department. The project aims to evaluate knowledge, attitudes and practices regarding care and support for PLWHA, develop an education package on care and support, provide the education intervention, and evaluate its effectiveness. The application reviews literature on the HIV/AIDS situation in Nepal and caregiver burden for PLWHA.
Balancing demand, quality and efficiency in nigerian health care delivery systemAlexander Decker
The document discusses several challenges facing Nigeria's health care system that reduce progress and universal access to health care. Some key issues include inadequate health facilities and infrastructure, poor human resources and management, low government spending on health, and high out-of-pocket costs for citizens. Nigeria's health indicators, such as maternal mortality and child mortality, are among the worst in the world. Many factors contribute to these problems, including a lack of integrated disease prevention and treatment systems, shortages of essential drugs and supplies, and inadequate supervision of health care providers. Overall, the health system in Nigeria faces significant issues that must be addressed to improve quality, access, and efficiency of care.
The document provides information about HIV/AIDS in Bangladesh. It notes that the first HIV case was detected in 1989 and that Bangladesh currently has a low HIV prevalence rate of less than 1%. While the incidence of HIV/AIDS is currently low in Bangladesh, the country remains vulnerable to an epidemic due to risk factors like injecting drug use, commercial sex work, men having sex with men, and lack of awareness. The document also outlines preventive measures taken like information campaigns, education programs, increasing condom use, and interventions targeting at-risk groups.
The study evaluated the effectiveness of CyberSenga, a culturally tailored internet-based HIV prevention program for adolescents in Mbarara, Uganda. 366 adolescents were randomized to the CyberSenga intervention or a control group. At 3-month follow-up, adolescents in the intervention group who were abstinent at baseline were less likely to report recent sexual activity compared to the control group. At 6-months, trends showed intervention participants who also received a booster session were less likely to report recent sex and had fewer unprotected sex acts than other groups. The CyberSenga program was associated with sustained abstinence and suggestive of affecting HIV preventive behavior, though the study had limitations regarding internet access.
The document summarizes India's AIDS Control Programme. It discusses the structure of the HIV virus and symptoms of AIDS. It provides statistics on HIV prevalence in India and outlines the objectives and components of the National AIDS Control Programmes Phases I-III. The key goals of NACP-III are to halt and reverse the HIV epidemic by preventing new infections and increasing access to treatment, care and support for those living with HIV/AIDS. The programme focuses on high-risk groups through targeted interventions and scaling up general population interventions.
This document is a cover page and abstract for a culminating experience paper by Lindsey Garrison at Boston University School of Public Health. The paper analyzes adherence to antiretroviral therapy (ART) among adolescents in South Africa. It examines determinants of poor adherence, reviews best practices to improve adherence, and analyzes the ST-AMP program from the US. The paper identifies gaps in research and makes recommendations to improve data collection and gender-stratified statistics on HIV among adolescents in South Africa.
This article discusses psychological impacts and treatment of HIV/AIDS among Nigerian women, with a focus on cultural implications and promoting gender equality. It finds that Nigerian women are particularly vulnerable to HIV infection due to cultural and gender norms. Factors such as traditional gender roles, lack of education and economic opportunities, sexual violence, and harmful widowhood practices increase women's risk. The prevalence of HIV is higher among Nigerian women than men. Younger women are especially at risk. The article calls for addressing stigma, discrimination, and gender inequality to improve treatment and promote a more equitable response to the HIV epidemic in Nigeria.
This document outlines an intervention strategy to address the high prevalence of HIV in young men who have sex with men (MSM) in Alexandria, Virginia. The strategy involves conducting bi-monthly support group sessions over 10 months led by a part-time facilitator. The goals are to increase knowledge of HIV/STD prevention, decrease risky behaviors like unprotected sex and binge drinking, and ultimately lower new HIV cases in the target population by 5% within a year. Participants will be recruited through various community locations and incentives will be provided to encourage attendance. The intervention is evidence-based and aims to move participants through stages of behavior change. Objectives, activities, evaluations and a budget are included in the plan.
There are an estimated 170 million people globally infected with hepatitis C virus (HCV), which poses a rising threat to healthcare systems. While some national governments and non-governmental organizations have accelerated efforts to improve HCV education, testing, and treatment, significant barriers remain. Effective disease surveillance is critical but data on chronic HCV prevalence is lacking in over half of countries surveyed. As awareness of HCV has increased, patient advocacy groups have played a leading role in shaping policy and pressuring governments to adopt more comprehensive national strategies. However, approaches to HCV still vary widely between countries.
Tackling hepatitis C: Moving towards an integrated policy approach
Similar to Achievements and Implications of HIV Prevention Programme among Female Sex workers: A Systematic Evaluation of HAF II Project in Plateau State, Nigeria
Achievements and Implications of HIV Prevention Programme among Injecting Dru...QUESTJOURNAL
Background: The HIV epidemic appears to be generalized with new infections occurring among persons perceived to be practicing low risk sex in Bayelsa State. The epidemic appeared to be concentrated among the sub-populations including injecting drug users (IDUs). Intervention therefore needed to ameliorate this problem hence, this paper presents achievements of HIV prevention programme among IDUs in Bayelsa state including its implications for programming. Methods: This was an intervention project conducted among injecting drug users in five purposive selected local government areas (LGAs) in Bayelsa State, Nigeria. Centre for Development and Empowerment of Commercial Motorcyclist (CEDECOM) was engaged by Bayelsa State Agency for Control of AIDS and funded under the HIV and AIDS fund (HAF) II project to scale up HIV prevention among injecting drug users. The project was carried out between April, 2016 and January, 2017. The estimated sample size for this intervention was 210 IDUs and minimum prevention package intervention (MPPI) was adopted in the implementation of this project activities. Data were entered on DHIS2 platform and later exported and analyzed using Microsoft Excel. Data were presented using descriptive statistics such as percentage, simple proportion and frequency. Results: The overall target population reached during this intervention was 440 given a target reached of 209.5%. All the 36 community dialogues that took place during the course of this project occurred in the first quarter with a total number of 54 male influencers participated in dialogues and sensitization activities during this period. A total number of 440 peers were registered during this period and a total number of 11,346 male condoms and 656 female condoms were distributed. A total of 243 (55.2%) of the registered peers were reached with all the three stages of MPPI and 427 (97.0%) were reached with HCT. Among these, 21 (4.9%) were tested positive to HIV. Conclusion: This intervention was a success as it scaled up HIV prevention services among injecting drug users in the state. To optimize the effectiveness of this type of intervention in reducing HIV infection among this risk group, future programs should be based on principles related to equity and gender balance.
Achievements and Implications of HIV Prevention Programme among Transport Wor...inventionjournals
Background: HIV prevention programs across the world have considered drivers of articulated vehicles, especially those travelling long distances, as an important bridge population for the transmission of HIV to the general population and are thus a major target for HIV reduction programming. This paper therefore presents achievements of HIV prevention programme among transport workers in Bayelsa State, Nigeria including its implications for future programming. Methods: A total of three civil society organizations were engaged by Bayelsa State Agency for the Control of AIDS and funded to provide HIV prevention programmes under the HIV/AIDS fund (HAF) II project. A total of 3900 transport workers were the estimated sample size for this intervention and purposive sampling was used in selecting participants. The minimum prevention package intervention (MPPI) was adopted in the implementation of this project and data collected were entered into District Health Information Software (DHIS) 2 before being exported and analyzed using Microsoft Excel. Results: A total of 35 community dialogues were held and 172 influencers participated within the duration of the intervention. The number of peers registered were 3786 out of which, 462 (12.2%) were registered in the first quarter. The duration of the programme witnessed the distribution of a total number of 39194 condoms which represented 73.5% of the total number of condoms required. A total of 2381 (62.9%) of the registered peers were reached with all the three stages of MPPI and 2878 (76.0%) were reached with only HCT. Among these, 81 (2.8%) were tested positive to HIV. Conclusion: This study showed that the HIV prevalence was 2.8% among the participants. However, many of the registered peers were missing during HCT. Efforts to develop appropriate IEC materials for drivers and in particular to improve the sustainability of outreach and peer education activities within key communities, should be maintained and reinforced. Also, flexible approaches to condom distribution need to be developed and promoted.
This study examined the relationship between knowledge of HIV transmission and prevention and HIV counselling and testing uptake among young people in Nigeria. The study is a quantitative research guided by one research question and one hypothesis. The target population comprised young people in Nigeria ages 15 to 24 years because the focus of this study was to identify the factors affecting HCT uptake among young people in this age cohort. The representative sample was obtained from the updated master sample frame of rural and urban zones developed by the National Population Commission in Nigeria. This master sample frame was a national survey that comprises all 36 states in Nigeria [2]. Probability sampling technique was used to obtain a sample of 10091 respondents (ages 15 to 24 years) for the study. The multistage cluster sampling was used to select suitable young people with known probability. Data were collected throughout Nigeria between September and December 2012 from 32,543 households (rural = 22,192; urban = 10,351) using structured and semi-structured questionnaires. The individual questionnaires asked about household characteristics, background characteristics of the respondents. Data were analyzed by inputing them into SPSS v21.0 for analysis [4] and then coded them for each participant. The data were summed using descriptive statistics. Frequencies and percentages; measures of central tendencies were used to answer the research question while nonparametric test such as chi-square was used to analyze non-normally distributed data at 0.5 level of significance. Results of data analysis indicated that the cognitive factors of knowledge of HIV prevention and knowledge of HIV transmission were statistically significant predictors of the likelihood of having HCT uptake. It was among others recommended that stakeholders, authorities, and providers of health services in Nigeria should strive to increase the rate of HCT uptake among young people ages 15 to 24 years.
Impact of syndromic management of sexually transmittedAlexander Decker
The document summarizes a study that investigated the impact of syndromic management of sexually transmitted infections (STIs) among out-of-school female youths in Sagamu, Nigeria. An intervention training on syndromic management lasted 4 weeks for 80 female youths. Based on pre- and post-test analysis, syndromic management was found to have a significant impact on treating urethra discharge symptoms and abnormal vaginal discharge symptoms, but no significant impact on genital ulcer disease or lower abdominal pain symptoms. The study concludes that syndromic management can help address STIs and related issues among youths if properly implemented.
The document summarizes a study that examined the youth friendliness of sexual and reproductive health services in Kwadaso Sub-Metro, Ghana. 170 youth aged 10-24 were surveyed using both qualitative and quantitative methods. Key findings included that over half of youth had utilized services previously, with 37.2% rating services as very friendly. However, 18.6% also reported unfriendliness. The study concluded that a comprehensive approach is needed to improve youth access and utilization of youth-friendly reproductive healthcare services.
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The perceptions of health workers on the effectiveness of HIV Prevention Programmes for MSM in Jamaica
May 2013
Abstract
The Jamaican Ministry of Health (MOH) has framed a policy and strategy that allows for sexual health promotion and HIV prevention programmes to be conducted for men who have sex with men (MSM), despite an enforced legal framework which makes it illegal to participate in anal sex. The population of Jamaica’s MSM accounts for the highest HIV prevalence rate on the island. While the National HIV/ STI Programme conducts a government-run programme, a significant portion of the work is conducted by local and internationally funded non-government organizations (NGO). This study seeks to explore the efficiency of these HIV/AIDS prevention programmes from the experiences and perspectives of the health care workers involved in their implementation. It will utilize qualitative research methodology of a descriptive cross-sectional design. The procedure will involve the use of interviews. These will be conducted with health workers in MSM programmes from NGOs and the Jamaica National HIV/STI Programme. It is expected that the results may indicate a view of success with many programmes, with limitations being attributed to the societal and legal framework within which they work. It may also show disparities between government and locally ran programmes conducted by NGOs. The results of this study will be shared and made available to public libraries, the government of Jamaica and other stakeholders working to alleviate the impact of HIV and AIDS in Jamaica and the world. *
Keywords: HIV/AIDS, health promotion and HIV prevention, men who have sex with men (MSM), Jamaica, sexual health, gay men, other MSM and transgender individuals (GMT).Table of Contents
Page #
Abstract
Introduction
Methodology
Discussion
Conclusion
Reflection
References
Appendix Consent
Appendix Draft Interview
Glossary
Privacy Statement
1. Introduction
This study explores the effectiveness of the HIV and AIDS response within the target population of MSM in Jamaica. It investigates, the views and perspectives of the health workers who carry out or implement these programmes.
Thanks to science, the ability to treat and care for persons living with HIV (PLHIV) and AIDS has grown exponentially. Individuals are defying their prognoses and are living with HIV and AIDS for record number of years than they did when the virus was first discovered. Gay, bisexual, transgendered and other men who have sex with men but may not identify as gay, are disproportionately affected by sexually transmitted infections like HIV (MOH, 2011a). For the purpose of this research the term MSM will be defined and utilized as the public health terminology to capture the target audience of all males who have sex with males.
For the purpose of this research.
The influence of prevention of mother to-child hiv transmission campaigns on ...Alexander Decker
The document discusses mother-to-child transmission of HIV in Nigeria and prevention efforts. It notes that mother-to-child transmission accounts for over 90% of pediatric AIDS cases globally. To address this, Nigeria and other countries have implemented Prevention of Mother-to-Child Transmission (PMTCT) campaigns. However, the document aims to study whether these campaigns have effectively improved knowledge, attitudes and practices around PMTCT among Nigerian women. It finds that while campaigns have increased to some degree, overall knowledge, attitudes and practices regarding PMTCT among Nigerian women remains quite low. It recommends campaign messages be more clear, specific and convincing to better educate women and encourage improved PMTCT practices.
This document discusses gender dimensions of HIV/AIDS among young girls in the context of achieving the Millennium Development Goals. It provides background on MDG 6, which aims to combat HIV/AIDS, malaria, and other diseases. It notes that young women ages 15-24 are particularly vulnerable to HIV infection due to various biological and socioeconomic factors. Statistics about HIV prevalence, condom use, and access to treatment in Bangladesh are presented. The document also discusses programs and interventions supported by various organizations to prevent HIV and achieve universal access to treatment.
MSM in sub-Saharan Africa face low levels of access to HIV services. Only 47% reported easy access to condoms, 19% to lubricants, 48% to HIV testing, 27% to HIV treatment, and 14% to HIV educational materials targeted at MSM. Access is affected by three main factors: relationships with healthcare providers, experiences of homophobia and violence, and engagement with the local MSM community. Improving access will require addressing stigma from providers, discrimination, involvement of MSM community organizations, and creating a more supportive legal and social environment.
Effectiveness of Community based Interventions in Reducing Maternal Mortality...ObinnaOrjingene1
Background & Aim: Maternal mortality ratio for sub-Saharan Africa in 2010 was estimated to be about 600 per 100,000 live births, which is approximately higher than what is obtainable in advanced countries. To this end, several community-based interventions have been put in place by governments and developmental partners in the region to address the situation. This review aimed to seek evidence from existing literature on the level of effectiveness of these interventions in improving maternal health outcomes in the region. The literature search process resulted in retrieval of six full text studies that were written in English, published between 2000 and 2019 and were focused on intervention based at the community level which resulted in the reduction of maternal deaths in some sub-Saharan African countries. The Critical Appraisal Skills Programme (CASP) tool was used to critically review retrieved literature.
Findings: Findings from the articles reviewed show that community-based interventions with a direct reduction in maternal mortality were implemented in Ethiopia and Nigeria and were effective since maternal mortality declined by 64% and 43.5% respectively. Other community based interventions did not directly address the reduction in maternal mortality but rather addressed leading causes of maternal mortality such as home and unskilled birth attendance, low Ante-Natal Care (ANC) & Post-Natal Care (PNC) services utilization, Eclampsia, delay in accessing care and Postpartum Hemorrhage (PPH). Such interventions were implemented in Nigeria, Zambia, Tanzania, and the Democratic Republic of Congo and were proved to be effective in reducing maternal mortality.
Conclusions and Recommendations: Based on the literatures reviewed, it was concluded that community based interventions were effective in reducing maternal mortality in Sub-Saharan Africa. The following recommendations were made based on gaps observed in the implementation of some interventions. Introduction of emergency transport scheme in countries where they do not exist as despite the existence of maternity waiting homes and dedicated maternity ambulances in Zambia, many expectant mothers still had difficulty reaching the health facilities in time to deliver, Engagement and training of more health workers so as to avoid human resources challenges that may be associated with increased demand for health facility deliveries.
A study of hivaids media campaigns and knowledge of high risk factors among s...Alexander Decker
This document summarizes a study that investigated HIV/AIDS media campaigns and knowledge of high risk factors among sex workers in South-South Nigeria. The study found that sex workers still engage in high risk behaviors despite media campaigns on HIV/AIDS in the region. Specifically, sex workers did not consistently use condoms with clients and were willing to have sex without condoms for higher pay. Additionally, sex workers were not willing to quit their work, even though it is a high risk behavior for HIV/AIDS. The study concluded that media campaigns on HIV/AIDS have not been effective in influencing the attitudes and behaviors of sex workers in South-South Nigeria. It recommends restructuring campaign strategies to make them more impactful.
This document summarizes the status and management of HIV/AIDS in India. It finds that India has an estimated 2.4 million people living with HIV, with high prevalence states accounting for over half of infections. The epidemic is concentrated among high-risk groups and spread primarily through unprotected sex and injection drug use. The national response involves targeted interventions for high-risk groups, STI management, condom promotion, blood safety programs, counseling/testing, and care/treatment. While prevalence is declining overall, some low prevalence states are seeing rises, emphasizing the need to sustain prevention efforts.
This document summarizes the status of the HIV/AIDS epidemic in India. Some key points:
- India has an estimated 2.4 million people living with HIV, with prevalence highest in the southern and northeastern states.
- The epidemic is concentrated among high-risk groups like sex workers, clients of sex workers, men who have sex with men, and injection drug users.
- Unsafe sex, lack of condom use, and injection drug use fuel transmission. Migration and the low status of women also increase vulnerability.
- The national response involves targeted interventions for high-risk groups, care/treatment, and prevention education through NACP programs.
Educational and Occupational Maternal Attitude towards Prevention of Malaria ...iosrjce
IOSR Journal of Humanities and Social Science is a double blind peer reviewed International Journal edited by International Organization of Scientific Research (IOSR).The Journal provides a common forum where all aspects of humanities and social sciences are presented. IOSR-JHSS publishes original papers, review papers, conceptual framework, analytical and simulation models, case studies, empirical research, technical notes etc.
Healthcare seeking and sexual behaviour of clients attending the suntreso sti...Alexander Decker
A study of 185 clients with sexually transmitted infections (STIs) attending an STI clinic in Kumasi, Ghana found that 64% delayed seeking treatment for more than 4 weeks after symptoms appeared. 61% had previously sought treatment elsewhere before coming to the clinic. 80% had unprotected sex while symptomatic. The document discusses factors that influence healthcare seeking behaviors for STIs, including long wait times, stigma, lack of privacy, and attitudes of healthcare providers. It also examines sexual behaviors among STI patients, noting that most engage in unprotected sex during symptomatic periods. Understanding these healthcare seeking patterns and behaviors can help develop more effective STI prevention and control programs.
Socio-Economic Effect of HIV/AIDS on Orphans and Vulnerable Children in Nyami...paperpublications3
Since the first case of HIV/AIDS was reported in Kenya in 1984 the numbers of those infected have risen and many people have since died or are living with the HIV/AIDS since the epidemic started in 1980s in the drug injecting people and the homosexuals. These deaths have resulted in Orphans and Vulnerable Children (OVC). This was a descriptive cross-sectional study, with one of the objective of finding out the socio-economic effect of HIV/AIDS on Orphans and Vulnerable Children in Nyamira district. A sample of 384 people participated in the study. The people were through simple random selected from Bonyegwe sublocation of Nyamusi division. Semi-structured interview schedules were used in data collection from the households. To remove ambiguity, the research tools were pre-tested to both HIV/AIDS organizations and householders not in the sample population but with similar characteristics. The research tools were refined and used on the actual sample population. Text, graphs, figures and tables were used in data presentation. The study indicates that those people who had not attained any level of formal education were (17%). The study revealed that householders (40%) had higher proportion of secondary education as compared with members of HIV/AIDS organizations (37%). Most of the members of HIV/AIDS organizations (89%) indicated that farming is their main source of income and a cushion for food security as compared with householders (63%). The ministry of health should strengthen provision of PMTCT services at the ANC clinic so that we prevent more cases of orphans and vulnerable children. The study suggests that in future all mothers who test positive for HIV virus should be put on treatment in order to reduce defaulters at the same time reach sustainable coverage in the provision of HIV/AIDS services to the orphans and vulnerable children in the society.
Achievements and Implications of Care and Support Programme among Orphans and...QUESTJOURNAL
Background: In Nigeria, children who need special protection on the account of being in vulnerable situations are observably increasing due to growing levels of poverty and the poor socio-economic situation of the country and it is necessary to ameliorate the problem by strengthening the capacity of families. This article therefore presents the achievements of care and support programme among orphans and vulnerable children (OVC) in Bayelsa State, Nigeria as well as the implications for future programming. Methods: The project was an intervention study carried out among OVC in Bayelsa State, Nigeria. Four civil society organizations were engaged by Bayelsa State Agency for the Control of AIDS (BYSACA) under HIV and AIDS Fund (HAF) II project to provide care and support services for OVC. The target population consisted of paternal orphan or maternal orphan, double orphan and vulnerable children whose parents are infected with HIV but alive in six local government areas. A total of 3000 was an estimated sample size for this intervention and data were collected using various data reporting tools and analyzed using Microsoft Excel. Results: The total number of OVC reached during the project period was 5410 given a target reached of 180.3%. Among these, 87.7% of the children were reached with at least one service, 74.9% were reached with psychosocial services, nutrition (37.4%), educational services (33.3%), healthcare services (9.5%) and protection services (4.4%). Thirty-five children withdrawn from the programme and two children reported died during this project. Conclusion: Efforts to care, support and protect vulnerable children should not only focus on their immediate survival needs such as food, education, water, shelter and clothing, but also on long-term developmental needs that reduce children's vulnerability such as life skills, child protection, vocational training, food security, and household economic strengthening.
- The study assessed factors influencing the utilization of voluntary HIV counseling and testing (VCT) services among youth in Awassa town, Ethiopia using a Health Belief Model approach.
- Through focus group discussions and interviews, the major factors found to inhibit VCT utilization were fear of stigma and discrimination, fear of coping with a positive HIV test result, and high HIV risk perception. The factors found to enhance utilization were having marriage plans, access to care and support including antiretroviral therapy, and persuasion by health professionals.
- HIV risk perception was a debated factor, with some seeing it as enhancing utilization by raising awareness, and others seeing it as inhibiting due to low perceived risk. Tailored interventions
Adolescents and utilization of family planning services in rural community of...Alexander Decker
This study examined family planning services utilization among adolescents in a rural Nigerian community. 400 adolescents ages 10-19 completed questionnaires. Over two-thirds reported family planning services being available, with main sources being health centers, chemists, and pharmacies. Reasons for service selection included low cost, privacy, and proximity. While most adolescents were sexually active and knowledgeable about contraception, condom use was low and many were unconcerned about pregnancy or STDs. The study concluded family planning services were available but underutilized, with worrisome attitudes towards unprotected sex among adolescents in the community.
[[INOSR ES 11(2)108-121, 2023.Evaluation of Male partner participation in pre...PUBLISHERJOURNAL
Evaluation of Male partner participation in prevention of mother to child transmission of HIV/AIDs at Hoima Referral hospital
Sebwami Richard
School of Allied Health Sciences, Kampala International University Uganda.
________________________________________
ABSTRACT
The purpose of the study was to assess the knowledge and attitude, the level of male involvement and factors associated with male involvement in the prevention of mother-to-child transmission of HIV in Hoima municipality. This study was a descriptive cross section in which quantitative method of data collection was employed in collection of data from respondents. Questionnaires were distributed to participants to assess the knowledge and attitude, the level of male involvement and factors associated with male involvement in prevention of mother-to-child transmission of HIV (PMTCT) in Hoima municipality. Sample size of 200 participants were used, this included the Male partners who hard escorted their pregnant partners to the antenatal clinic aged between 20-50years.The predominant religion were Catholics 59% and seventh day Adventists. Regarding educational levels, majority of respondents had completed secondary level and above (61%) and the predominant ages were between 20-29 years. The study revealed that very few males partner were involved in the PMTCT program especially during HIV counseling and testing (HCT) because of being at old age group above 30years couples, couples not living together, high number of wife’s pregnancies four and above, having no knowledge on methods of MTCT, and husbands failure to discuss HCT with their wives. From the findings, majority of the respondents have ever had about the male involvement in the PMTCT but there was still low male involvement in PMTCT programs at antenatal clinics. There is a need to do an in-depth assessment of women’s experiences when tested HIV-positive in the presence of their partners at the ANC, as well as to develop strategies to improve male involvement. The study again recommends formative research on the use of incentives to promote male involvement in the PMTCT program and the government should train more of the health promoters and the Village Health Teams in order to reach even those that are deep in the village that are not having easy access to the health facility.
Keywords: HIV, Hoima municipality, Male partner, counseling
Similar to Achievements and Implications of HIV Prevention Programme among Female Sex workers: A Systematic Evaluation of HAF II Project in Plateau State, Nigeria (20)
On the Use of the Causal Analysis in Small Type Fit Indices of Adult Mathemat...QUESTJOURNAL
ABSTRACT: Model evaluation is one of the most important aspects of Structural Equation Modeling (SEM). Many model fit indices have been developed. It is not an exaggeration to say that nearly every publication using the SEM methodology has reported at least one fit index. Fit is the ability of a model to reproduce the data in the variance-covariance matrix form. A good fitting model is one that is reasonably consistent with the data and doesn’t require respecification and also its measurement model is required before estimating paths in a covariance structure model. A baseline model of four constructs together with a combination of none, one, two, three or four additional constructs was constructed with latent variables: educational performance, socioeconomic label, self concept and parental authority using dichotomous digits 0 or 1 for each additional construct. 16 progressively nested models were considered starting with baseline model using the mathematics adult learners data from the modeling sample and employing some small fit indexes which are commonly used (AIC, CAIC, RMR, SRMR, RMSEA, 2 / DF among others) [1] to test the fitness of the model. The measures of model fit based on results from analysis of the covariance structure model are presented.
The Sov’reign Shrine of Veiled Melancholy- The Shadow of Consumption on La Be...QUESTJOURNAL
This document summarizes a research paper about John Keats' poem "La Belle Dame Sans Merci" and how it reflects his struggle with tuberculosis. It provides historical context about tuberculosis in the early 19th century, when it was a major epidemic in Europe and seen as linked to creativity. It describes how Keats' life was affected by tuberculosis, with his mother and brother dying from it. Keats himself showed early symptoms of the disease in 1820. The paper analyzes how La Belle Dame Sans Merci can be seen as a representation of tuberculosis and Keats' preoccupation with mortality. It explores how themes of death and the briefness of life were central to Romantic poetry and sensibilities.
Recruitment Practices And Staff Performance In Public Universities: A Case St...QUESTJOURNAL
ABSTRACT: Recruitment, as a human resource management function, is one of the activities that impact most critically on the performance of any organization irrespective of its size and location. Public Universities, known to train professionals that exhibit transformative leadership and successfully run blue-chip companies have equally suffered from rampart industrial unrest and human resource malpractices across Kenya. Could it be a unique trend of organizational deviance that could be reflecting absence of a well executed staff recruitment practice? While it is understood and accepted that poor recruitment decisions continue to affect organizational performance and limit goal achievement, knowledge about this aspect in Public Universities remains scanty. The aim of this study was to address this gap by evaluating how recruitment practices affect performance of administrative staff in Public Universities using Masinde Muliro University of Science and Technology, Kenya as a case reference. A cross-sectional survey design was employed while sampling strategy was a blend of multiphase, stratified and purposive sampling. A sample size of 124 out of 1150 comprised mainly of administrative staff was used and that a questionnaire was the principal tool of data collection. Results were analyzed using frequency tables, mean, standard deviation and simple linear regression. The study found that a recruitment policy existed at Masinde Muliro University of Science and Technology, Kenya and that both external and internal recruitment practices were used to recruit employees at the University. However, it was noted that most of the university employees are recruited through media advert, internal advertisement, through transfers and promotions. The results of the regression indicated that recruitment practices are a significant predictor of employee performance, which was explained by 32% of variance and a moderate relationship captured by beta weight value of 0.57. On effectiveness of the recruitment policy, only 30% rated it as effective while 62% were indifferent and 8% rated it ineffective. The study concluded that although a significant relationship between recruitment practices and employee performance existed, it’s effectiveness and therefore positive impact on employee performance depended on employees’ positive perception and rating. It’s recommended that the Universities should avoid biasness in the recruitment process as this will negatively impact on employee performance.
Pesse Na Siri’ Budgetary System: A Historiography Study of Luwu Kingdom in Is...QUESTJOURNAL
ABSTRACT: This study aimed to explore the budgetary system of pesse na siri’ at Luwu kingdom in the Islamic period of 1593 to 1945. Through the historiography method, it showed the base existence of the spiritual sense sensitivity, i.e., pesse (empathy) and siri’ (shame) and Islamic law in budgetary system. In the resources management, it was carried out in four stages, namely planning, implementation, reporting, and evaluation. Operationally, the pesse na siri’ budgetary system on the mobilization mechanism of resources or budget (balanca) through the top down system (i.e., known as balanca pole riwawo) and bottom up system (i.e., known as balanca pole riawa). The top down system was a mobilization resource form from agricultural products of the king’s land (i.e., known in Buginese language as Tanana datue) and the palace logistic. Meanwhile, the bottom up came from the resource offer–i.e., known as makkasiwiyang–mechanism, consisting of makkasiwiyang lili’ (the lower government level), makkasiwiyang ale (personal/individual), and makkasiwiyang reso (labor). One of the Islamic impacts in this system was to direct the budgetary system based on the Shari’a or Islamic law.
Fabrication of Complete Dentures for A Patient with Resorbed Mandibular Anter...QUESTJOURNAL
ABSTRACT: The loose and unstable lower complete denture is one of the most common problems faced by denture patients with highly resorbed ridge. The management of such highly resorbed ridges has always posed a difficulty to the prosthodontist.Obtaining consistent mandibular denture stability has longbeen a challenge for dental profession. The simplest approach often is to extend the denture base adequately for proper use of all available tisues.To achieve this goal impression of the resorbed mandibular ridge is very important. The objective is to develop a physiologic impression with maximum support of both hard and soft tissues.In such cases, an innovative technique of impressionmaking by using a close fitting tray and anelastomeric impression material tomake a proper impression to achieve maximum retentionand stability.This article describes an impression technique used for highly resorbed mandibular ridge using an all green impression technique, to gain maximum retention andstability
Steganographic Technique Using Instant Messaging Conversation DynamicsQUESTJOURNAL
This document discusses a steganographic technique for hiding secret messages in instant messaging conversations. It proposes encoding messages in the time stamps of messages and the order they are sent. The technique was tested using a custom instant messaging web service. Tests showed it was possible to encode short messages in real conversations with minimal impact on conversation flow, but transmission speed was relatively slow, with a few hundred characters sent per hour. The technique allows for one-way or two-way hidden communications within a conversation.
Simple Obfuscation Tool for Software ProtectionQUESTJOURNAL
ABSTRACT: This paper discusses the issue of source code obfuscation and also the creation of a tool for automatic obfuscation of source code written in C language. The result is a tool that performs both data flow and control flow obfuscation and allows the user to configure the applied transformation algorithm. For easier and better usability the tool provides a graphical user interface, which brings possibility to control and configure transformation process.
Block Hybrid Method for the Solution of General Second Order Ordinary Differe...QUESTJOURNAL
The document is a research paper that proposes a block hybrid method for solving general second order ordinary differential equations. It derives a 3rd order uniform block hybrid method based on Hermite polynomial basis functions. The method is obtained by interpolating and collocating a continuous formulation at certain points to form a system of equations. The method is then applied in block form as a simultaneous integrator. Two numerical examples are given to illustrate the accuracy and efficiency of the new method.
Modeling – Based Instructional Strategy for Enhancing Problem Solving Ability...QUESTJOURNAL
ABSTRACT: The modeling-based instructional framework accommodates the physics modeling mechanism in which the learner apply the fundamental principles in physics and develop an idealized physics model of the real world situation by means of assumptions and approximations. The present study was intended to find out the effectiveness of Modeling-based instructional strategy for enhancing physics problem solving ability of students at secondary school level. The investigator adopted a quasi-experimental method with two group pretest post-test design for the study. The sample selected for the study consisted of 242 IX standard students from three different schools of Palakkad district. The tools used for collecting the data were the Problem Solving Ability Test in Physics, lesson designs based on Modeling-based instructional strategy and activity oriented method. The findings of the study concluded that the Modeling-based instructional strategy enhanced the problem solving ability of students of secondary school level. And also the strategy scaffolded the formation of mental models of problem representations with in the cognitive structure of the learner.
Exploring the Effectiveness of the Arabic LanguageTeaching Methods in Indones...QUESTJOURNAL
ABSTRACT: The aim of this research work is to identify the effectiveness of the Arabic language teaching methods in Indonesia(National University of Malang for Sample)in terms of making use of Arabic as a medium of communication among the students in the light of the modern approaches in teaching and learning of Arabic language. This research is methodologically characterized as a descriptive, analytical, evaluative and field research work. In order to arrive at the purpose of this study, a questionnaire has been designed and carried out on a specimen from the teachers of the concerned university. Eventually, the study has arrived into a finding that the method used in the university is the Eclectic Method (i.e. Selective Method), except that translation is utilized extensively with it, and it might influentially cause the depreciation of the communication skill of the students, and the major intermediary language for the Arabic language teaching is the Indonesian language. However, its uncontrolled over-usage in the Arabic language teaching procedure may negatively cause the weakness of the students in the listening and speaking skills, since they could not get enough opportunity to practice them during language learning, in addition to the fact that the teachers might be employed as Arabic language teachers on the basis of their high conversance with the grammatical rules of Arabic language and not on their skills in the Arabic language communication medium.
The Teller & The Tales: A Study of The Novels of Amitav GhoshQUESTJOURNAL
ABSTRACT: The paper re-visit the plot and setting of the novels of Amitav Ghosh. The paper has two parts – (i)The Teller & (ii) The Tales. In the first section the text tries to give a brief sketch of the life of Amitav Ghosh to chornicle the life of the visionary commentator of life and the social anthroplogist , the most prominent among the Indian writers of English. In the second part the theme and storyline of the novels were revisted along with characters and narrative technique. The first section has been introduced to give an overview of the prolificness of the author and the second part is the testimony of his logocentricism. The paper aims to present the plot and theme of all Ghosh’s novels
ABSTRACT: The purpose of Larkin as literary artist was to convey his ultimate message that man has to transcend the gross environment for the attainment for final goal. His poem opens with important question which prompt us to scrutinize ourselves. According to Philip Larkin “when you come to talk about once duty as writer then ones can say that his duty is to write for harmony”. In this paper there an urge in Larkin’s poem to attain transcendental knowledge by which everything is known. The meaningful change in environment through literature result from the development of qualities and attitude that foster constructive pattern of human interaction through literature. In an age of highly industrialized and mechanized structure of our society where we have 'given our hearts away a sordid boon' and where all spiritual values have been thrown overboard, the relevance of selecting this topic "Spiritual Quest in Philip Larkin" becomes important. In Larkin's poetry there is invariably, an element of spiritual crises, a note of subsequent struggle to step out of it. This inner conflict to proceed forward in the path of Divine realization lends magnificence to his poetic and spiritual personality.
The Influence of Religiosity on Marital Satisfaction and Stability AmongChris...QUESTJOURNAL
ABSTRACT: Various studies indicate that religious couples are more likely to enjoy stable and happy marriages. They are also less likely to experience conflict and violence, or to divorce perhaps because religion offers couples theologically grounded guidelines on how to handle marital conflicts when they arise. The present qualitative study was conducted using face to face interviews with nine participants in Kenya who had been identified as practicing Christians. The aim of the study was to explore how religiosity impacted the participant’s marital satisfaction. Results indicated that specific attributes related to religiosity like individual and partner prayer, reading the Bible, church attendance, impacted participants and their spouses lives positively and in turn their experiences in marriage. Engaging in religious practices was reported by the participants as eliciting qualities like perseverance, forgiveness and humility which in turn assisted them in keeping their marriages stable and thus resulting in marital satisfaction
The SA0 Group Reservoir ’S Compositive Evaluation In The Central Developing P...QUESTJOURNAL
ABSTRACT: Using the data from logging in a net of high density, the sand core from a airtight well, and the testing data for oil and gas , and then according to the experiment of exploitation, we studied the deposit visage in macroscopical way, the physical characteristics of the reservoir, and the partition of the oil and gas’s border. It is clear that the zero group of Sa’s oil floor is mainly deposit in the foreside of a delta under the background of lake incursion, and the ventro-delta express a character that there were some sandstones which was transited for two times. Make a certain that the oil and gas’s border of zero group in Sa is maybe 600m underground, and demarcated the maximal square is 26.8km2 about this reservoir, and tell us that it lies in the top of the anticline. Of course, this production can be used in the designing of the zero group of Sa’s exploitation
Down the Purgatory of Memories:The Pain of Remembering in M alayalam Naxal Ci...QUESTJOURNAL
ABSTRACT:Keralam, the southern most state in India is known for its cinema and politics. It is in Kerala that Communist Party came to power through Parliamentary election process for the first time in history. The political consciousness nurtured by the Communist movement found its reflections in Malayalam (language being spoken by the people of Keralam) Cinema as well. As a result films produced during the formative years of Malayalam Cinema were characterized by their political content. Having said this it should also be added that since those films are produced within the dominant production system with a view to garner profit they fail to politically stimulate the audience. But the situation had been changed after the Naxalite (radical left movement ideologically inclined to Maoism) uprising in 1969 during which both the feudal/bourgeois value orientations and the alleged degeneration of the Communist Party were challenged by the educated radical youths who fought for an immediate revolution. The state promptly intervened and contained Naxalite uprising with an iron fist. The repressive machinery of the state intervened whenever instances of resistance occurred. The Emergency declared in 1975 exposed the inhuman face of government that unleashed series of tortures against its citizens. The post -1980 political films, otherwise called as Naxalite films, try to recapture the tormenting experience of being political during the time of such mass oppression. Those movies resort to memory to expose the stark experience of the past.Remembering is a way of representing the past with all its nuances as it situates the remembering subject at close proximity with the past. At the same time Naxalite movies explored the possibility of forgetting also to unveil the subtle complexities of individual's relationship with the past. Here I consider two Malayalam films-AmmaAriyan(1986) directed by John Abraham and Margam (2003) directed by Rajeev Vijayaraghavan- to investigate how memory and oblivion are meticulously used by the filmic narratives to politicize a society already under the grip of political amnesia.
Professional Competences: An Integrative Approach for Defining The Training C...QUESTJOURNAL
ABSTRACT: This paper offers an integrative proposal for Business Administrationcurricular programs. For that purpose, we have carried out a survey with teachers from upper Business Administration courses so as to select a group of key competences for the contemporary Administrator, which has allowed us to elaborate an integrative proposal of curricular program for the Business Administration scholars in Brazil. As a qualitative research, it consists of a multiple case study with empirical approach and a triangular analysis based on Moraes (2014).Its main objective has been to analyze the curricular programs from five higher education institutions in the state of Rio Grande do Sul and two other foreign institutions in South America. At first, we have asked ourselves the following question: How to adapt the Business Administration curricular program to the contemporary needs as far as the vocational training competences of Administrators are concerned?In order to answer it, we have analyzed the National Curriculum Guidelines (DCN) and the Political-Educational Projects of Business Administration Courses (PPC/CSA). After that, we have compared the Curricular Components (CC) of the Higher Education Institutions (HEIs) under analysis. After performing the triangular textual analysis of the DCN, PPC/CSA and CC of all HEIs under study, we have carried out a survey with 35 teachers from Business Administration upper courses through a computerized online questionnaire.We have sent a Survey Monkey link for a total of 40 teachers, however, only 35 answered it (87.5%); we have considered 100% valid answers. Previously, based on the doctrine of competences and curriculum according to the most renowned authors – suchas Vygostsky, Freire, Sacristán, Piaget, Saviani, Bloom, Libâneo (curriculum); Fleury & Fleury, Zarifian, Perrenoud, Lisboa (competences), among others – wehave concluded that implementing the integrative proposal will providemore well-prepared graduates from the Business Administration course right to the competitive and globalized labor market.
Resisting Total Marginality: Understanding African-American College Students’...QUESTJOURNAL
This document summarizes a research paper that explores how African American students attending predominantly white institutions (PWIs) develop their racial identity and achieve academic success despite facing marginalization. The paper examines how total marginality, defined as the cumulative dissonance Black students face on campus, impacts identity development and success. It reviews literature on racial identity and oppositional culture theories. The study was conducted through interviews at a Midwestern state university to understand how successful Black students resisted total marginality and developed their racial identity. The findings provide insight into how peer groups, environment, and embracing their racial identity can help Black students graduate from PWIs.
“To the Truthful Death, From the Shining Life” By Joe VargheseQUESTJOURNAL
1. The document contains 5 poems by Joe Varghese exploring themes of death, mortality, and the realization that death proves one's life was real.
2. The poems cover topics like capturing moments through photography, writing love letters to one's dead body, being inspired by a heavenly muse, being shaped by life experiences like failures and betrayals, and viewing one's grave as the greatest monument ever built.
3. Overall, the poems reflect on death as enlightening humans to the reality of their existence and that death is what proves a person was truly alive.
Alternative dispute resolution and civil litigation barriers to access to jus...QUESTJOURNAL
ABSTRACT: Civil law is the predominate system of law in the world. Civil law as a legal system is often compared with common law. The main difference that is usually drawn between the two system is that common law drawn abstract rules from specific cases, whereas civil law with abstract rules which judges must then apply to the various cases before them. Civil law has its roots in Roman law, Common law and the Enlightenment, alongside influence from other religious laws such as Islamic Law. The legal system in many civil law countries are based around one or several codes of law which set out the main principles that guide the law. On the other hand, Criminal Law as offences and prescribes punishment for them. It not only precludes or prevents crimes but also punish the offender. It is necessary for the maintenance of law, order and peace within state. In criminal cases, it is the state which initiates proceeding against the offender. Laws relating to the Civil Proceeding as the Code of Civil Procedure 1908; the Civil Courts Act 1887; the Suit Valuation Act 1887; the Limitation Act 1908; the Registration Act 1908; & the Specific Relief Act 1877.
Challenges to Traditional Gender Norms in Mary Wollstonecraft’s A Vindication...QUESTJOURNAL
Mary Wollstonecraft challenged traditional gender norms of the late 18th century in her work A Vindication of the Rights of Women. She argued that women deserved equal rights to education and independence as men, as they possessed the same rational capacities. Wollstonecraft criticized views that saw women's purpose as pleasing men and focused solely on domestic duties. She believed women should have the opportunity to develop their minds through education instead of being limited by their gender. Wollstonecraft's radical arguments for women's rights and education still resonate today in discussions of gender equality.
Unlocking the Secrets to Safe Patient Handling.pdfLift Ability
Furthermore, the time constraints and workload in healthcare settings can make it challenging for caregivers to prioritise safe patient handling Australia practices, leading to shortcuts and increased risks.
Joker Wigs has been a one-stop-shop for hair products for over 26 years. We provide high-quality hair wigs, hair extensions, hair toppers, hair patch, and more for both men and women.
About this webinar: This talk will introduce what cancer rehabilitation is, where it fits into the cancer trajectory, and who can benefit from it. In addition, the current landscape of cancer rehabilitation in Canada will be discussed and the need for advocacy to increase access to this essential component of cancer care.
At Apollo Hospital, Lucknow, U.P., we provide specialized care for children experiencing dehydration and other symptoms. We also offer NICU & PICU Ambulance Facility Services. Consult our expert today for the best pediatric emergency care.
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This particular slides consist of- what is Pneumothorax,what are it's causes and it's effect on body, risk factors, symptoms,complications, diagnosis and role of physiotherapy in it.
This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
Here is a summary of Pneumothorax:
Pneumothorax, also known as a collapsed lung, is a condition that occurs when air leaks into the space between the lung and chest wall. This air buildup puts pressure on the lung, preventing it from expanding fully when you breathe. A pneumothorax can cause a complete or partial collapse of the lung.
International Cancer Survivors Day is celebrated during June, placing the spotlight not only on cancer survivors, but also their caregivers.
CANSA has compiled a list of tips and guidelines of support:
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Gemma Wean- Nutritional solution for Artemiasmuskaan0008
GEMMA Wean is a high end larval co-feeding and weaning diet aimed at Artemia optimisation and is fortified with a high level of proteins and phospholipids. GEMMA Wean provides the early weaned juveniles with dedicated fish nutrition and is an ideal follow on from GEMMA Micro or Artemia.
GEMMA Wean has an optimised nutritional balance and physical quality so that it flows more freely and spreads readily on the water surface. The balance of phospholipid classes to- gether with the production technology based on a low temperature extrusion process improve the physical aspect of the pellets while still retaining the high phospholipid content.
GEMMA Wean is available in 0.1mm, 0.2mm and 0.3mm. There is also a 0.5mm micro-pellet, GEMMA Wean Diamond, which covers the early nursery stage from post-weaning to pre-growing.
2024 HIPAA Compliance Training Guide to the Compliance OfficersConference Panel
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DECODING THE RISKS - ALCOHOL, TOBACCO & DRUGS.pdfDr Rachana Gujar
Introduction: Substance use education is crucial due to its prevalence and societal impact.
Alcohol Use: Immediate and long-term risks include impaired judgment, health issues, and social consequences.
Tobacco Use: Immediate effects include increased heart rate, while long-term risks encompass cancer and heart disease.
Drug Use: Risks vary depending on the drug type, including health and psychological implications.
Prevention Strategies: Education, healthy coping mechanisms, community support, and policies are vital in preventing substance use.
Harm Reduction Strategies: Safe use practices, medication-assisted treatment, and naloxone availability aim to reduce harm.
Seeking Help for Addiction: Recognizing signs, available treatments, support systems, and resources are essential for recovery.
Personal Stories: Real stories of recovery emphasize hope and resilience.
Interactive Q&A: Engage the audience and encourage discussion.
Conclusion: Recap key points and emphasize the importance of awareness, prevention, and seeking help.
Resources: Provide contact information and links for further support.
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Achievements and Implications of HIV Prevention Programme among Female Sex workers: A Systematic Evaluation of HAF II Project in Plateau State, Nigeria
2. Achievements And Implications Of HIV Prevention Programme Among Female Sex Workers: …..
*Corresponding Author: Ademola L. Adelekan1
11 | Page
I. INTRODUCTION
Nigeria being the ‘giant of Africa’ is not left out of the scourge of HIV/AIDS. Gomwalk et al. [1] noted
that the impact is greater on Nigeria given that one out of every five Africans is a Nigerian, so much so that an
estimated 3.7% of Nigerians representing between 3.2 and 3.8 million persons are living with HIV, and the
country is ranked second place to only South Africa among the countries with the highest burden of HIV [2].
Gomwalk et.al [1] also warned that the incidence of HIV in Nigeria is bound to rise even further. The PEPFAR
report [3] showed that despite the above-stated statistics condom use with non-marital partners was generally
low (49%) across the nation, with the least use being reported in the North-East, North-Central and North-West
zones of the country. The roles of female sex workers (FSWs) as bridging groups and major drivers of the HIV
epidemic across the globe cannot be over-emphasized, particularly in countries within the Sub-Saharan region
where the epidemic has reached a maturity [4-6]. Ogbe et al [7] described the FSW population as reservoirs of
HIV and other sexually transmitted infections (STIs). Studies on the prevalence of HIV among female sex
workers who provide sexual services to paying clients in Nigeria revealed increasing rates of 17.5% in 1991 to
35.6% in 1995. Imade et al [8] in a survey conducted in Jos found among 398 FSWs an alarmingly high
prevalence of 48%.
Hesketh et al. [5] highlighted the factors which make FSWs vulnerable as conduits of HIV and AIDs to
include: low levels of risk awareness, the frequency of sexual intercourse with clients, their condom usage, STI
prevalence, amidst other factors. Ntozi el al., [9] revealed that the high risk of infection among FSWs extends
beyond the fact that they usually have multiple partners. According to these scholars, a bevy of other factors
which may be socio-economic as well as personal often add to the vulnerability of FSWs. These factors which
often make them prone to having unprotected sex include poverty, low educational levels, low levels of
knowledge about STI and HIV/AIDS prevention, gender inequalities and limited ability to negotiate condom
use. The IBBSS 2010 FCT proxy report on HIV Prevalence among Key Populations in Plateau State pegged the
prevalence among FSWs (both Brothel-based and Non-Brothel based) at 56%, while risk perception among
FSWs was also significantly low according to the report, with as much as 78.6% of the FSWs being out of sync
in terms of their vulnerability [10]. The 2012 report of The National HIV and AIDS and Reproductive Health
Surveys (NARHS) however revealed a downward trend of HIV prevalence from 7.7% to 2.3% among the
general population, hinting as well that there have been significant declines in the rate of new infections due to
several intervention efforts, some of which have concerned FSWs [11]. The current study was an intervention
study conducted among FSWs in Plateau state, Nigeria to increase the adoption of safer sexual practices,
provide access to HIV counselling and testing (HCT), promote good health seeking behaviour for prompt
treatment of STIs, reduction in the number of sexual partners, increase in condom use, among other social
norms and values. This article thus presents the results of the HIV prevention programme carried out among
FSWs in Plateau State, Nigeria, including the achievements and implications for programming.
II. METHODOLOGY
Study Design
This was an intervention study carried out among FSW in Plateau State. Plateau State is one of the
recipients of the HIV and AIDS Programme Development Project (HPDP) across the country. While MARPs
were not covered in the scope of the first phase of HPDP which ended in March, 2010, the second phase of the
initiative (HPDP II) has HIV/AIDS Fund (HAF II) as one of its components to reduce the incidence of new
infections, while ensuring a reduction in risky sexual behaviour among MARPs.
Study Area
This intervention was carried out in 3 purposively selected Local Government Areas (LGAs) in the
State. Plateau State is one of the states in the North-Central geo-political Zone of Nigeria. The state is bounded
in the North East by Bauchi State, North West by Kaduna State, South East by Taraba State and to the South
and South West by Nasarawa State. Plateau state has a total population of 3,206, 531, which comprises
1,598,998 males and 1,607,533 females with an annual growth rate of about 2.7%. The State has three senatorial
zones and 17 Local Government Areas (LGAs) with a land area of 30,913km2
[12].
Study Population
The study population are female sex workers with a minimum age of 15 years in Jos North, Jos South
and Mangu LGAs.
Sample Size
The estimated sample size for this intervention was 460 FSWs.
3. Achievements And Implications Of HIV Prevention Programme Among Female Sex Workers: …..
*Corresponding Author: Ademola L. Adelekan1
12 | Page
The Intervention Process
This intervention was carried out between 2013 and 2016 by six civil society organizations (CSOs)
engaged by Plateau State Agency for the Control of AIDS. These CSOs were Women in Agriculture and Youth
Empowerment (WAYE) Foundation, Inter Gender Development Centre (IGDC), Country Women Association
of Nigeria (COWAN), Youth Adolescent Reflection and Action Centre (YARAC), Scripture Union West Africa
(SUWA), and Manna Resource Development Centre (MRDC). The three components of HIV Minimum
Prevention Package Intervention (MPPI) which are structural, behavioural and biomedical interventions were
used for this project activities.
Structural Interventions
The structural level of the intervention included promotion of community-based interventions with the
purpose of creating adequate access to information and services among FSWs. This level of intervention
focused mainly on income generation activities (IGA), community dialogues and advocacy.
Advocacy
Advocacy visits were made to stakeholders particularly the gate-keepers and the brothel owners to seek
their support as regards HIV prevention among FSWs.
Community dialogues
Efforts were made at addressing structural barriers within the community such as cultural beliefs and
discriminatory practices, policies and legislation that hinder FSWs and their clients from accessing and utilizing
appropriate HIV prevention, treatment and care services. This was achieved by bringing together the key actors,
and gate-keepers within the communities, and FSW communities to discuss critical issues.
Income generation activities
At this level, the intervention sought to provide alternative means of livelihood for FSWs by engaging
them in community-based programmes with a view of rehabilitating them, whilst also providing them with
alternatives to thrive on outside of sex work. The CSOs engaged FSWs by providing capacity-building in
different entrepreneurial skills, teaching them finance-management in business, marketing strategies, as well as
how to maintain effective customer relations.
Behavioural Intervention
Behaviour change communications (BCCs) were aimed at influencing beneficiaries to adopt healthy
behaviours, whilst reducing their risk for HIV infection. The BCC was carried out by Peer Educators (PEs)
selected among FSW. These selected PEs recruited peers among FSW who they reached out to during cohort
session using the MPPI. Cohort sessions were held at the individual level of BCC with PEs discussing HIV with
their peers. Issues discussed during cohort session included partner reduction, correct and consistent use of
condom, good health seeking behaviour for prompt treatment of STIs, treatment referral, follow-up and HCT.
The PEs were members of the FSW group who had been previously selected, trained and supported to educate
members of their peer group about HIV and related topics, the condom negotiation (both male and female) and
lubricant use. Other areas of focus during the peer to peer education included: issues revolving round stigma and
discrimination, human anatomy, reproductive system, stages of human development, self-esteem and other life
skills, value system, and getting treatment for STIs. A maximum of 3 and minimum of 2 cohort sessions were
held monthly in 10 and 15 days interval respectively. The intervention was conducted in a period of 3 months
with 6 to 9 contacts after which the cohort were graduated.
Biomedical Intervention
The biomedical level of interventions was with the aim of increasing access to HIV prevention,
treatment and care services. It is within this level that the issues pertaining to the strengthening of the referral
system to provide quality STIs treatment and increase in the uptake of HCT services by the FSWs ensued. HIV
counseling and testing (HCT) services by trained counsellor testers were provided to the participants and
condoms were distributed while referral were made for those tested positive and other STIs treatment.
Data Collection
Data collection was done using various data collection and reporting tools. HCT was documented using
the client intake form. Data were collected during peer education/cohort sessions by the peer educators. Also
collated were the number of FSWs counselled and tested for HIV, those followed-up for incidence of STIs, as
well as those who tested positive for HIV.
Data Analysis
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Data were entered into District Health Information Software (DHIS2) and checked for errors and other
inconsistencies before being exported and analyzed using Microsoft Excel.
Ethical Issues
Prior to the commencement of the intervention, the proposal was subjected to a two-stage review and
ethical approval to conduct the research was obtained from the National and the State Ethical Review
Committee, Federal Ministry of Health, Nigeria. Also, permission was obtained from the brothel owners and
chairlady of the FSWs Association. The criteria for selection of FSWs included voluntary declaration of
participation in the project and the ability for transmission of information. The HIV tests were done under HCT
tents within the community, with only one client attended to at a time to ensure privacy of the client. The HIV
client intake forms were kept in a safe place to ensure confidentiality. Those that tested positive were referred
for appropriate treatment.
III. RESULTS
The findings are presented based on the levels of intervention: structural, behavioural and biomedical
interventions. The target reached during this intervention was 601 given a target reached of 130.7%.
Structural Intervention
Out of the 68 community dialogues held, 30 (44.1%) took place in the 2014 calendar year, 28 (41.2%)
took place in 2015, and only 10 (17.7%) in year 2016 (Table 1). A total of 1466 influencers were involved with
percentages of 11.9, 87.7 and 0.4 in 2014, 2015 and 2016 respectively. Eight IGAs were held in 2015 and 2016
with 18 persons benefiting from the activities. There was no IGA conducted in 2014 (Table 1).
Table 1: Structural Intervention
Period
Number of
community
dialogues held
Influencers
participated in
community
dialogue
Number of
IGA held
No of persons
referred for
IGA
No of persons that
benefited from
IGA
2014 30 (44.1%) 174 (11.9%) 0 (0.0%) 0 (0.0%) 0 (0.0%)
2015 28 (41.2%) 1,286 (87.7%) 7 (87.5%) 12 (44.4%) 15 (83.3%)
2016 10 (17.7%) 6 (0.4%) 1 (12.5%) 15 (55.6%) 3 (16.7%)
Total 68 1,466 8 27 18
Behavioural Intervention
The distribution of condoms began in 2014, with 183 female condoms and 705 male condoms
distributed the same year (Table 2). The total number of condoms distributed during the intervention period was
4,528 female condoms and 6,032 male condoms. There were 66 lubricants distributed throughout the duration of
the intervention, all of these being distributed in the second year of the intervention. A total of 601 peers were
registered, a figure exceeding the estimated target population by 30.7%. Most (68.6%) of them were registered
in 2015 while the number of FSWs reached with complete HIV education was 547 out of the 601 registered
peers, representing 91.0%. The total number of condoms, both male and female, required across the duration of
the intervention totaled 32,918, while only 10,560 condoms (male and female) were distributed representing
32.1% of condoms required (Fig. 1)
Table 2: Behavioural Intervention
Period
No of female
condoms
distributed
No of male
condoms
distributed
No of
lubricants
distributed
No of peers
registered
No of peers
reached with
complete HIV
education
2014 183 (4.0%) 705 (11.7%) 0 (0.0%) 92 (15.3%) 74 (13.5%)
2015 3785 (83.6%) 2500 (41.4%) 66 (100.0%) 419 (69.7%) 398 (72.8%)
2016 560 (12.4%) 2827 (46.9%) 0 (0.0%) 90 (15.0%) 75(13.7%)
Total 4528 6032 66 601 547
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Fig 1: Condom required and distributed
Biomedical Intervention
A total of 642 FSWs were counseled, tested, and received results; this included 32 persons in 2014,545
and 65 persons in 2015 and 2016 respectively. Furthermore, 15 persons representing 2.3% of participants were
tested positive and referred for further services. The total percentage of the estimated population that was tested
for HIV was 128.1%. Thirty two persons were currently receiving STIs services while 247 persons were also
referred (Table 3).
Table 3: Biomedical Intervention
Period No
Counselled
Tested and
Received
Result
No of
persons
who tested
positive
No of persons
currently
receiving STI
services
No of persons
referred for
STI
No going for
STI follow-
up
2014 32 (5.0%) 5 (33.3%) 7 (21.9%) 27 (10.9%) 7 (22.6%)
2015 545 (84.9%) 10 (66.7%) 19 (59.4%) 214 (86.6%) 19 (61.3%)
2016 65 (10.1%) 0 (0.0%) 6 (18.8%) 6 (2.4%) 5 (16.1%)
Total 642 15 32 247 31
Coverage of MPPI, HCT and Prevalence of HIV
A total of 528 (87.9%) of the registered peers were reached with all the three stages of MPPI and 642
(139.6%) of the estimated sample size were reached with HCT. Among these, 15 (2.3%) were tested positive to
HIV (Fig. 2).
Figure 2: Coverage of MPPI, HCT and Prevalence of HIV
IV. DISCUSSION
The findings of the intervention point to the fact that 2015was the major implementation year for the
bulk of the intervention, and as such was the most active year for the CSOs, the preceding and succeeding years
2014 and 2016 were less active years in terms of programme indicators, due to preparatory activities in 2014,
and programme winding-down in 2016. At the structural level of the intervention, 2015 served as the year for
conducting community dialogues, and conducting income generation activities. In both the behavioural and
biomedical intervention levels, CSOs in 2015 distributed more condoms, reached more peers, and conducted
HCT services on more persons, having laid the groundwork in the preceding year.
The income generation activities and capacity building of the FSWs were thus embarked upon to
provide the sex workers trainings on vocational skill sets which could reduce their dependence on commercial
sex activity, as well as what they perceive as the need to cater to the whims and caprices of customers with the
zest for risky sexual behavior. This is due to the belief as captured by Gungul and Audu [13] on the subject of
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HIV prevalence in Nigeria that it is driven by the low risk perception, high risk behavior and sexual networks
amongst FSWs and their clients, as well as poor STIs management and vulnerability, which all arise from
economic challenges, and the absence of choice alternatives. The findings of this study reiterates the position of
PEPFAR [3] that HIV prevalence was higher among persons who have exchanged sex for gifts than among
persons who do not do so. This is easily observed by contrasting the HIV prevalence among FSWs in the state
with the 2012 report of the National HIV and AIDS and Reproductive Health Surveys (NARHS) which revealed
a downward trend from 7.7% to 2.3% among the general population [11]. However, despite the increasing
numbers of FSWs, there has been a decline in HIV prevalence among FSWs in the state in recent years. This
was a key finding in the study conducted by Ogbe et.al [7], and further attested to by the findings on the HIV
prevalence on FSWs within the state from this intervention. The low knowledge of HIV-related issues as well as
the socio-economic context limited the sexual bargaining among FSWs according to the NDHS report [14], and
although the socio-economic context of the nation has barely improved since then, it must be noted that there are
appreciable differences in terms of risk knowledge and condom negotiation. These differences may well be
attributed to HIV prevention programming efforts, such as HAF II, geared at increasing condom negotiation
skills as well as risk knowledge among FSWs.
It is important that risk knowledge and condom negotiation are brought to the fore as topical issues
amongst those who engage in transactional sex, particularly in light of the fact that condom use among FSWs
and their clients were generally low (49%) across the nation with the North-Central being one of such areas of
interest [3]. To deal with the issue of condom negotiation, access to condoms among FSWs was considered,
bearing in mind that Massiah [15] revealed that most FSWs in Plateau State considered the cost of purchasing
condoms regularly as being on the high side, leading many to engage in unprotected sex with their clients with
resultant increase in the cases of STIs. These FSWs as he noted also engaged in self-medication frequently,
using penicillin-based creams as antibiotics (and lubricants) in their treatment of STIs. At the time, many of the
FSWs who claimed never to have seen anyone infected, also believed that HIV was not a ‘black man’s ailment’
[15]. Thus, condom distribution as occasioned during this intervention proved a necessity in a bid to increase the
correct and consistent use among FSWs and their clients. However, it must be pointed out herein that that the
number of condoms provided during this intervention fell short of the number required, and this could have a
negative effect on the process of condom negotiation among FSWs. It is also crucial to note that the
consequences of not providing as much condoms as required might be dire. This is because such a failing can
draw many of the FSWs into the pit of unprotected sex as a result of economic and financial hardship.
Implication for Programming
The HPDP II initiative under the aegis of the HAF II targeted FSWs in a bid to block the transmission
of HIV epidemic to the general population. It considered the health and human rights of FSWs as key to the
overall goal of HIV prevention. As such, the income generation activities and capacity building of the FSWs
were embarked upon to provide the sex workers with alternatives to sex work. This is due to the belief as
captured by Gungul and Audu [13]on the subject of HIV prevalence in Nigeria that the epidemic in Nigeria is
driven by factors arising as consequences of the harsh economic realities in the country. A comprehensive HIV
prevention programme as the HPDP II shows that the HIV prevalence among FSWs can be brought even lower
than the 2.3% witnessed in this intervention, and that other site-based intervention strategies that promote safer
sex, diagnosis and treatment of STIs and access to HIV treatment, care and support should be prioritized, and
integrated into the State Government’s health plans. Also condoms distributed in this study fall way short of
condoms required, and as such condom distribution would need to be improved significantly in subsequent
interventions. Furthermore, as Ogbe et.al [7] suggests, the integration of rapid diagnostic technologies which
may improve the effectiveness of such programmes should be pursued, alongside other intervention
programmes aimed at providing life-long antiretroviral therapy for all HIV infected FSWs and pre-exposure
medication for HIV negative FSWs.
V. CONCLUSION
This study showed that the HIV prevalence of 2.3% among FSWs at the time of the intervention is low
compared to previous years, it also points out that while FSWs and their activities may be considered social
evils, there is however a crucial role for FSWs to play in the plot of taking the HIV prevalence of Plateau State
even further down, as noted in the use of FSWs as Peer Educators, and the uptake in sex negotiation practices,
and the resultant decline in HIV prevalence. Thus, the health of FSWs must be seen as important to the overall
process of HIV prevention, and the sex workers themselves, a part of programming solutions to the epidemic.
While the intervention can to a fairly large extent be deemed a success, it must be noted that similar
programmes should be extended to other LGAs not covered in the current programme so as to capture other
FSWs in the State.
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ACKNOWLEDGEMENT
The evaluation team wishes to acknowledge the World Bank and the National Agency for the Control of
AIDS (NACA) for making available the funding for the evaluation and dissemination of this project
intervention. Special appreciation goes Mrs. Philomena Daduut, Mrs. Aishetu J. Garang, Seign. Ango G.
Abdullahi, Mr. Albert Fube Bewaran, Mr. Melchizedek Toma, Apollos Enoch and Dachollom Pam for their
support during this project implementation.
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