TUAD0204 - Oral Abstract
Assessing policy impact on HIV intervention targeting MSM in Abuja, Nigeria
Presented by Ifeanyi Kelly Orazulike (Nigeria).
I.K. Orazulike1, J. Adeniyi2, O. Stanley2, U. Ononaku3, D. Kalu2, A. Doroh4, C. Akolo5, S. Kennedy5, S. Baral6, M. Charurat5
1International Center for Advocacy on Rights to Health (ICARH), Executive Director, FCT, Nigeria, 2International Center for Advocacy on Rights to Health (ICARH), Human Rights and Advocacy Unit, FCT, Nigeria, 3Institute of Human Virology Nigeria (IHVN), Research, FCT, Nigeria, 4International Center for Advocacy on Rights to Health (ICARH), HIV Prevention Unit, FCT, Nigeria, 5Institute of Human Virology (IHV), Epidemiology and Prevention, Baltimore, United States, 6Johns Hopkins University Bloomberg School of Public Health, Epidemiology and Prevention, Baltimore, United States
Background: Men who have Sex with Men (MSM) have
always had a key role in the global HIV epidemic. On January 7, 2014, the
Nigeria President signed an Act that “criminalizes any same sex ''amorous''
relationship and imposes a total ban on gay clubs, societies, and organizations
and created criminal liability for any person who aids or supports such an
organization” .Nigeria has the second largest number of people living with HIV and
account for 10% of global HIV burden. MSM in the country including MSM
associations such as support group of MSM living with HIV (MSMLHIV) are being
driven underground at the stake of risking 10 years imprisonment by the virtue
of the new anti-gay law which criminalizes gay
Description: The International
Centre for Advocacy on Rights to Health (ICARH) in partnership with the
Institute of Human Virology (IHV) and the Johns Hopkins University Bloomberg
School of Public Health through an ongoing MSM-specific combination prevention research,
including HIV treatment as prevention at a trusted community venue in Nigeria
(Trust Study),conducted a quantitative analysis and interpersonal interviews to
access the factors/situation driving MSM away from assessing life saving HIV
Lessons learned: There is a sharp decline in the number
of MSM assessing healthcare services since the passage of the new law.
Between March and December 2013, 572
MSM participated in the study, reflecting an average participation of 63 MSM
monthly. Only 10 MSM participated in the study between 7th-25thJanuary
which reflects and average monthly participation of 15 MSM.
strong 84 MSM (96.6%) of 115 MSM individuals interviewed expressed adeclining
interest for continuous engagement in HIV intervention programs as a result of
the new law that criminalize their involvement in services provided to gay men
in Nigeria. The major reasons for
declining interest are: fear of persecution, extortion and blackmail.
Conclusions/Next steps: The overwhelming decline in the
participation of MSM in HIV programs poses grave consequences in public health
intervention in Nigeria.
Countries having punitive laws limiting
the optimum participation of MSM and healthcare workers in public health
interventions/institutions should repeal such laws and provide adequate
alternatives for the affected Key Population.
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