(WAIDI) WEST AFRICAN INFECTIOUS DISEASE INSTITUTE

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The West African Infectious Diseases Institute (WAIDI) on behalf of The National Agency for the Control of AIDS (NACA) engaged EHAI in the implementation of two Operational Researches in Southern Nigeria. These are:

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Improving PMTCT Uptake and Quality of Care through Engagement of Traditional Birth Attendants (TBAs) in Southern Nigeria

 

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Female Sex Workers and Access to HIV Counseling and Testing (HCT) and Sexually Transmitted Infections (STI) Management Services in Lagos State South West Nigeria. Both grants are expected to run from 1 st of July, 2015 to 31 st December 2015 (6 months).

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Improving PMTCT Uptake and Quality of Care through Engagement of Traditional Birth Attendants (TBAs) in Southern Nigeria

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In Nigeria, several studies have shown that clients have confidence in Traditional Birth Attendants (TBAs) and therefore they enjoy a high patronage. With adequate training and appropriate support, TBAs can become an important link in the prevention of mother to child transmission of HIV transmission of HIV in Nigeria.

EHAI has therefore been engaged by The West African Infectious Diseases Institute (WAIDI) on behalf of The National Agency for the Control of AIDS (NACA) for the implementation of this Operational Research: Improving PMTCT Uptake and Quality of Care through Engagement of Traditional Birth Attendants (TBAs) in Southern Nigeria. This study which will take place in Edo, Enugu and Ogun States is expected to run from 1 st of July, 2015 to 31 st December 2015 (6 months). It entails carrying out a comprehensive desk review on the activities of TBAs in these states, series of Focus Group Discussions (FGDs), Key Informant Interviews (KIIs) as well as administration of structured questionnaires among TBAs and their pregnant women clients. The primary objective of the study is to determine strategies that can improve PMTCT Uptake and the Quality of ANC and Delivery through Engagement of Traditional Birth Attendants in Southern Nigeria. Other objectives are:

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To determine the characteristics of ANC clients patronizing TBAs

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To determine factors influencing the preference for TBAs services

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To identify existing gaps in PMTCT knowledge and services among TBAs.

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To determine the willingness of TBAs to co-manage PMTCT clients with neighboring health facilities.

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To make recommendations on strategies that can improve the PMTCT uptake and the quality of care among TBA clients.

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The expected study outcomes include:

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Geographical distribution of TBAs in the State.

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Characteristics of clients patronizing TBA.

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List of reasons for the preference for TBA services

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List of gaps in PMTCT knowledge and services among TBAs.

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Level of willingness of TBAs to co-manage PMTCT clients with neighboring health facilities.

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Recommendations on strategies that can improve the PMTCT uptake quality of care among TBA clients to relevant policy makers

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The Principal Investigator of this study is Dr Abayomi Joseph Afe, Head, Community Medicine and Prevention Services, EHAI.

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Female Sex Workers and Access to HIV Counseling and Testing (HCT) and Sexually Transmitted Infections (STI) Management Services in Lagos State South West Nigeria

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Female Sex Workers (FSWs) are especially vulnerable to HIV and Sexually Transmitted Infections (STIs). Some of the predisposing factors include multiple sexual partners, unsafe working conditions, high prevalence of STIs, socio-economic barriers to negotiating consistent and correct use of condom including availability of lubricants. Their HIV and STI management seeking behavior however is very poor. Statistics indicate that HIV prevalence even though reducing among the general population, is increasing among Female Sex Workers (FSWs). This makes them very important drivers of the epidemic as they are responsible for about 20% of new HIV infections in the country.

EHAI has been engaged by The West African Infectious Diseases Institute (WAIDI) on behalf of The National Agency for the Control of AIDS (NACA) for the implementation of this Operational Research: Female Sex Workers and Access to HIV Counseling and Testing (HCT) and Sexually Transmitted Infections (STI) Management Services in Lagos State South West Nigeria. This study is expected to run from 1 st of July, 2015 to 31 st December 2015 (6 months). It is cross sectional mixed method (qualitative and quantitative) study aimed at exploring factors affecting the accessibility of FSWs to HCT and STI screening and treatment services and reviewing existing cluster model service delivery to these key target population.

EHAI will partner with two well-grounded Community Based Organizations (CBOs): SafeHaven Development Initiative (SDI) which has been working with FSWs in Lagos State for over 10 years and Women of Power Initiative (WOPI), an FSW led CBO to carry out all field activities.

By the end of the study, we aim to achieve the following objectives in Lagos State:

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To determine the factors affecting accessibility of HCT services by FSWs in Lagos State.

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To determine the factors affecting accessibility of STI Screening and Treatment services by FSWs.

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To determine the factors affecting the utilization of HCT services by FSWs.

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To determine the factors affecting the utilization of available STI Screening and Treatment services by FSWs.

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To review existing Cluster model service delivery structures to STI/HIV screening and treatment management among FSWs.

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The Principal Investigator of this study is Mrs Abimbola Oduola, Head, Strategic Knowledge Management and Training, EHAI.

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