Barriers to HIV Prevention and Treatment Services in Achieving Epidemic Control Among Key Population in Nigeria: An Implementation Science Study on NAHI Project.
Objective: This mixed-method cross-sectional study identified different barriers faced by key population in accessing HIV services hindering epidemic control on National Aligned HIV/AIDS Initiative (NAHI) in Nigeria. Methodology: Data were collected from 1932 participants (≥18 years) in 12 NAHI stat...
| Publicado en: | Journal of the International Association of Providers of AIDS Care Vol. 25; pp. 1 - 16 |
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| Autores principales: | , , , , , , , , , , , , , , , , , |
| Formato: | Journal Article |
| Publicado: |
Sage Publications Inc.
4/9/2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=192937225&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 192937225 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 23259582 FUHQ jtl: Journal of the International Association of Providers of AIDS Care issn: 23259582 maglogo: Y pubinfo: dt: 4/9/2026 vid: 25 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 192937225 10.1177/23259582261423609 192937225 ppf: 1 ppct: 15 formats: tig: atl: Barriers to HIV Prevention and Treatment Services in Achieving Epidemic Control Among Key Population in Nigeria: An Implementation Science Study on NAHI Project. aug: au: Kareem, Ganiyat O Laniyan, Christiana Akolo, Christopher Imohi, Philip Ashivor, Joseph Anoje, Emeka Uba, James E. Ugbe, Ugbe Maurice-Joel Bamidele, Samson Amalu, Uche Aliu, Oluwapelumi Ndam, Joyce Workneh, Nibretie Michael Ugwoke, Uchenna Adegbe, Onyinoyi Aishatu Oguntokun, Mary Morenike Obeten, Ofem Umeokeke, Leah affil: FHI 360, Abuja, Nigeria sug: ab: Objective: This mixed-method cross-sectional study identified different barriers faced by key population in accessing HIV services hindering epidemic control on National Aligned HIV/AIDS Initiative (NAHI) in Nigeria. Methodology: Data were collected from 1932 participants (≥18 years) in 12 NAHI states using structured surveys and analyzed with SPSS. Focus Group Discussion and Key Informant Interview were conducted among 312 KPs and 12 health workers respectively and thematically analyzed using NVivo. Results: From 1932 respondents, 40% were Female Sex Workers (FSW), 37% Men who have Sex with Men (MSM) and 24% People who inject drugs (PWID). About 82% self-reported receiving HIV testing, 67% accessed prevention services and 63% currently receiving ART treatment among participants. Major barriers faced by KP included distance to facilities (57%), financial constraints (30%) and stigma (24%). Socioeconomic status significantly predicted risky behaviors (R = 0.201, p < 0.001). Qualitative findings highlighted abuse and violence, attitude of health workers, mental health, homelessness and drug stock-outs, as barriers. Conclusion: Structural, biomedical, and behavioral barriers hinder HIV epidemic control among KPs in Nigeria. Multilevel interventions addressing commodity supply, socioeconomic support, abuse and stigma reduction are critical to improve HIV outcomes in Nigeria. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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