Achievements and implications of HIV prevention programme among uniform service personnel: a systematic evaluation of HAF II project in Kogi state, Nigeria

Abstract

Background: Considering HIV pandemic among uniform service personnel (UPS), a lot of HIV intervention programmes designed to mitigate the spread have not been very successful thus the introduction of the HIV minimum prevention package intervention (MPPI). This paper therefore presents the achievements of HIV prevention programme among UPS in Kogi State, Nigeria including its implications for programming. Methods: This project was implemented among uniform service personnel who are in army, police, custom and prison in Kogi State. A total of 2676 was an estimated sample size for this intervention and MPPI was used for implementation of project activities. Data were entered on DHIS2 platform and later exported and analyzed using Microsoft Excel. Results: Out of the total number of 67 community dialogues/advocacies carried out during the project period, 56.7% were done in 2014 and a total of 187 participants participated with a participating rate of 62.0% and 38.0% in 2014 and 2015 respectively. The total number of condoms distributed during the entire project was 7,387 and 3038 peers were registered during the project. A total of 82.6% and 71.6% were reached with HIV counselling and testing and MPPI respectively while the prevalence of HIV was 5.3%. Conclusions: This intervention successfully scaled-up demand creation for condoms and HIV counselling and testing among uniform service personnel. More engagement at all levels to engender political commitment and ownership of the HIV response with a view of ensuring sustainability through increased funding should therefore be encouraged.

Evaluation of HIV prevention programme among out-of-school youths: achievements and implications of HIV/AIDS funded project in Osun State, Nigeria

“…As more community dialogue sessions were held, more community influencers who were the participants were trained. This result is consistent with the findings of a similar study carried out among outof-school youths in Nigeria (Adelekan et al, 2017). Community entry and advocacy which are important component of the structural intervention is important to ensure acceptance and ownership of a programme.…”

“…Biomedical intervention in this project included HIV counselling and testing, and condom uptake. From this project, less proportion of people had the HCT done in the year 2015 compared to the preceding year, this finding is inconsistent with the previous study (Adelekan et al, 2017). Responses from the civil society organisations during the in-depth interview sessions revealed that this might be due to some periods of unavailability of test kits, this is a major shortfall as some out-of-school youths might be missed during this period.…”

“…In addition, peerbased interventions have become a common method to effect important health-related behavioural changes and it is one of the most widely used strategies to address the HIV/AIDS pandemic (Medley, Kennedy, O'Reilly, & Sweat, 2009;Tolli, 2012). As more peer educators were registered, more peers were reached and this result is similar to the findings of a previous intervention models (Adelekan et al, 2017).…”

Risky Sexual Behaviour among Male Immigration and Correctional Personnel in Kano State, Nigeria, 2018

“…However, our findings were much lower than 43% that was reported in a nationwide survey among Thai uniformed personnel. The differences in findings could be due to the fact that most new recruits are likely to be single or have non-regular partners, less inclined to abstinence and more likely to engage in transactional sex [22].…”

Risky Sexual Behaviour among Male Immigration and Correctional Personnel in Kano State, Nigeria, 2018

“…However, our ndings were much lower than 43% that was reported in a nationwide survey among Thai uniformed personnel. The differences in ndings could be due to the fact that most new recruits are likely to be single or have non-regular partners, less inclined to abstinence and more likely to engage in transactional sex [22].…”