Title:
Review of Factors Affecting Access to Pre-exposure Prophylaxis Among Key Populations in Nigeria
Authors:
Ojo, Adedoyin Celia
Place:
Amsterdam, The Netherlands
Publisher:
KIT - Royal Tropical Institute [etc.]
Year:
2022
PAGE:
52
Language:
En
Subject:
Governance & HIV and AIDS
Keywords:
HIV, Key Population, Nigeria, Policy, PrEP, Stigma
Abstract:
Background: Nigeria has one of the highest rates of new HIV infections in the world. While progress has been made to operationalize the implementation of Pre-exposure prophylaxis (PrEP), being an effective HIV prevention, which reduces the risk of contracting the infection through by up to 99%, PrEP access, and uptake is, however, still at a sub-optimal level in key populations (sex workers, men who have sex with men, people who inject drugs). This study explores barriers associated with PrEP uptake among key populations to inform effective HIV prevention strategies and recommend effective base practices. Methods: Review of literature and an adaptation of the social and economic barriers framework to analyze PrEP access and uptake in the key population of interest. Findings: The barriers to PrEP access and uptake in Nigeria are multi-dimensional. On one hand is the lack of implementation of government strategies to pro-actively ensure the inclusion of key populations in intervention programs as well as policies and laws that contribute to the stigmatization of key populations. On the other hand, are individual and social barriers that prevent members of key populations from seeking healthcare services including PrEP. These are however modifiable factors that could be addressed through behavioral changes and the building of strong social and community networks. Conclusion: Access and uptake of PrEP have been challenging. Lessons from other countries show that the effective implementation of national prevention strategies is necessary for an impactful effort towards HIV epidemic control.
Organization:
KIT - Royal Tropical Institute , VU - Vrije Universiteit Amsterdam
Institute:
KIT (Royal Tropical Institute)
Country:
Nigeria
Region:
West Africa
Training:
Master in International Health
Category:
Research
Right:
@ 2022 Ojo
Document type:
Thesis/dissertation
File:
xUCcUqqe9Y_20230509155419759.pdf