Department of Medical Microbiology and parasitology

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Browsing Department of Medical Microbiology and parasitology by Author "Adebajo, S."

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    Open Access
    Challenges for the sexual health and social acceptance of men who have sex with men in Nigeria
    (Routledge, 2007) Allman, D.; Adebajo, S.; Myers, T.; Odumuye, O.; Ogunsola, S.
    Little research exists regarding men who have sex with men and sexual risk in Nigeria. Prior to the implementation of a targeted HIV/STI prevalence study, structured focus groups incorporating anonymous questionnaires were conducted with members of this population in secure locations in Nigeria. A purposive sample of men was recruited by word-of-mouth. Five focus groups were conducted with a total of 58 men. Mean age was 27 years (range 16–58); 60% had post-secondary education; 56% were employed full or part-time; 83% were Christian; 16% were Muslim; 66% selfidentified as bisexual; 31% as homosexual. Participants’ experiences were diverse, with ethnic, religious and class distinctions strongly structuring sexual expression. Same-sex community networks were hidden, with social activities taking place in non-commercial, private venues. Socially ostracized by culture, religion, and political will, the risks embodied within same-sex activity are high. For Nigeria — a nation culturally rich and religiously devout — the implications for public health policy are complex. However, these research findings suggest that immediate action is vital to mitigate the impacts of HIV and other STIs.
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    Open Access
    Hiv/aids training of traditional birth attendants in southwest Nigeria
    (2012) Balogun, M.; Odeyemi, k.; Ogunsola, F.T.; Adebajo, S.
    Traditional birth attendants (TBAs), if given additional skills, can be used effectively in program implementation and contribute significantly to reaching women who deliver outside health facilities with Prevention of Mother-To-Child Transmission of HIV (PMTCT) services. In this quasi-experimental study, multistage sampling method was used to select the intervention and control communities and all registered TBAs were recruited for the study. Following the preintervention interviewer-administered questionnaire survey, an HIV/AIDS training program was conducted for the intervention group. Post-intervention questionnaire administration was done after six months. At baseline, only 10.4% (7/67) and 4.9% (2/41) of respondents in the intervention and control groups respectively had good level of knowledge about HIV and PMTCT and the practices of HIV counseling of patients and referral of patients for HIV testing were low. The HIV/AIDS training significantly increased the level of knowledge in the intervention group, there was a significant improvement in the practice of HIV counseling of patients in the intervention group and significant improvements in the practice of referral of patients for HIV testing was evident in both groups. HIV/AIDS training succeeded in improving the level of knowledge and some practice of PMTCT of TBAs.
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    Open Access
    Uptake of hiv self-testing and linkage to treatment among men who have sex with men (msm) in nigeria: a pilot programme using key opinion leaders to reach msm
    (John wiley & sons ltd, 2018-05-16) Tun, W.; Vu, L.; Dirisu, O.; Sekoni, A.; Shoyemi, E.; Njab, J.; Ogunsola, S.; Adebajo, S.
    Introduction: HIV self-testing (HIVST) offers an alternative to facility-based HIV testing services, particularly for populations such as men who have sex with men (MSM) who may fear accessing testing due to stigma, discrimination and criminalization. Innovative HIV testing approaches are needed to meet the goal of 90% of people living with HIV being diagnosed. This study piloted an intervention to distribute oral HIVST kits to MSM through key opinion leaders (KOLs) in Lagos, Nigeria and assessed the feasibility, acceptability, uptake of HIVST and linkage to HIV treatment. Methods: A cohort study was conducted (May through September 2017) with 319 participants who were recruited by 12 KOLs through their networks. A baseline survey was conducted at the time of the oral HIVST kit (OraQuick® HIV antibody test) distribution to eligible MSM followed by a 3-month follow-up survey to assess usage of and experience with the HIVST kits. Each participant was given two kits. Results: The median age of the participants was 25 years, 88.7% were literate and 17.9% were first-time testers. Of the 257 participants (80.7% retention) who completed the three-month follow-up interview, 97.7% reported using the HIVST kit and 14 (5.6%) self-reported an HIV positive result. A quarter (22.7%) tested themselves the same day they received the kit, and 49.4% tested within one week. Almost all participants reported that the HIVST kit instructions were easy or somewhat easy to understand (99.6%) and perform the test (98.0%). The most common reasons they liked the test were ease of use (87.3%), confidentiality/privacy (82.1%), convenience (74.1%) and absence of needle pricks (64.9%). All 14 participants who tested positive had sought confirmatory testing and initiated HIV treatment by the time of the three-month survey. Conclusions: HIVST distribution through KOLs was feasible and oral self-testing was highly acceptable among this urban MSM population. Despite concerns about linkage to treatment when implementing self-testing, this study showed that linkage to treatment can be achieved with active follow-up and access to a trusted MSM-friendly community clinic that offers HIV treatment. HIVST should be considered as an additional option to standard HIV testing models for MSM. Conclusions: HIVST distribution through KOLs was feasible and oral self-testing was highly acceptable among this urban MSM population. Despite concerns about linkage to treatment when implementing self-testing, this study showed that linkage to treatment can be achieved with active follow-up and access to a trusted MSM-friendly community clinic that offers HIV treatment. HIVST should be considered as an additional option to standard HIV testing models for MSM. Conclusions: HIVST distribution through KOLs was feasible and oral self-testing was highly acceptable among this urban MSM population. Despite concerns about linkage to treatment when implementing self-testing, this study showed that linkage to treatment can be achieved with active follow-up and access to a trusted MSM-friendly community clinic that offers HIV treatment. HIVST should be considered as an additional option to standard HIV testing models for MSM.