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there are administrators who are quite indifferent about condom promotion/distribution, and some are opposed on religious and moral grounds. Strongest programs of condom promotion and distribution are likely to be found in NGOs and other organizations that are not affiliated with religious organizations. Networking Among the Governmental and Non-governmental Organizations Our field workers found that there are complex patterns of interaction among the various organizations involved in HIV/AIDS activities. Of course the networking organizations such as CiSNHAM and NEPWHAN make it their business to be in contact with many different organizations. A second point of organizational networking is in the FACA organization (involving governmental entities and NGO representation), and the various LACA structures in local areas, where they, too, have governmental and non-governmental participation in the planning and development of HIV/AIDS activities. As noted above, the networking at the LACA levels is more of a promise for the future than an on-going reality, as most of those structures are recently activated. Referrals of cases to health facilities constitute another type of networking activity, involving the interactions of non-medical, or low-level medical facilities with the higher levels, in which more complex services are provided for testing and treatment. Many groups, both governmental and non- governmental, mentioned referrals to the Specialist Hospital (governmental), St. Mary's Hospital (Catholic) and the Gede Foundation. The following excerpt from an interview with the Kwali LACA coordinator illustrates some complex networking: In September 14 we tested four people who were positive. We sent them to St. Mary’s Catholic Hospital Gwagwalada for confirmatory test and they were confirmed. Our tests are free under a program we run with the Islamic Education Trust (IET). IET ,working with a USAID sponsored Pathfinder International project, gave us 100 test kits to use. Several organizations reported that they are in contact with CACA. The informant in that Catholic Action organization said that they particularly collaborate "with the Islamic Education Trust (IET), Umma Support Group, Anglican church and CISCGHAN [CiSNHAN]. The Womens Health, Education and Development (WHED) informants said that they send women to COPOP (Community of Positive Women). Referrals are made to the NIPR ( Nigerian Institute of Pharmaceutical Research) for testing. Other collaboration: We belong to CiSNHAN; APIN (Aids Prevention Initiative in Nigeria) is funding us; also NACA, MFCT, DFID, MacArthur Foundation, SFH (Society for Family Health), FHI, Action AID, and also some charities…. 50
The Umma Support Group at the Central Mosque makes referrals to the National Hospital and to the Gede Foundation. They receive funding from NACA and FACA, and their facilities are provided by the NSCIA (Islamic leadership). They also collaborate with the Interfaith Coalition. The USG is a member of NEPWHAN and CiSNHAN. These excerpts from a few of the interviews point to the existence of considerable networking among the organizations, with the NEPWHAN and CiSNHAN playing important roles in maintaining communications among the groups. The need to refer persons for various kinds of testing and services put the smaller organizations into contact with the major hospitals, as well as with special entities such as the Gede Foundation and the Nigerian Institute of Pharmaceutical Research (NIPR). The evidence of collaboration between Islamic and Christian groups is especially important, and any future upscaling of programs should seek to strengthen those efforts. Conclusions: The Uses of these Community Assessment Data The primary objective in carrying out community assessments is to provide information that can be used in program planning and development. In this case the data are intended for the use of Program Officers who will develop the GHAIN programmatic system in the FCT. Therefore the information given here is intended to be as concrete as possible. The information gained from three weeks of field research gives a framework for understanding the overall picture of HIV/AIDS in the FCT. The persons developing the GHAIN activities in Abuja can follow these pathways to get more detailed information from the specific organizations with which they enter into agreements and working relations. The data contained in this report are a rough draft of a sort of "yellow pages" directory, with information about how the various organizations can be sorted into different categories in terms of their orientations and origins, and how they inter-relate in the complex system of actions for developing a more effective HIV/AIDS campaign in the FCT. The Maps The products of the community assessment include a number of rough maps, as well as more carefully drawn maps showing major features derived from the data-gathering. Those maps should 51
Page 1 and 2: Report of Rapid Community Assessmen
Page 3 and 4: Methods and Strategies of The Commu
Page 5 and 6: Plate 1. Key informant giving infor
Page 7 and 8: communities, but in this case we ch
Page 9 and 10: Gate Health Clinic Ex-Soldiers' Vil
Page 11 and 12: members the network. Their office i
Page 13 and 14: The Federal Capital Territory (FCT)
Page 15 and 16: Figure 2: Nigerian governmental HIV
Page 17 and 18: Planning for the Next Stage of Acti
Page 19 and 20: testing and for PMTCT. Three other
Page 21 and 22: intended to maintain communications
Page 23 and 24: NEPWHAN was established in the year
Page 25 and 26: Recently the WHED activities have i
Page 27 and 28: III Anglican IV. Other Protestant e
Page 29 and 30: The CACA organization has very subs
Page 31 and 32: "Hot Spots" or Areas of Concentrati
Page 33 and 34: Sex worker clusters were identified
Page 35 and 36: In the rough draft map, above, "H"
Page 37 and 38: Map 3. The Mabushi Hotspot Area. 37
Page 39 and 40: Map 4. Main "Hotspots" in the Feder
Page 41 and 42: The AIDS Club According to Captain
Page 43 and 44: “I had to give back my office key
Page 45 and 46: equirement is not a legal enactment
Page 47 and 48: Prevention of HIV: Condom Awareness
Page 49: The Nigerian Union of Road Transpor
Page 53 and 54: These generalizations are intended
Page 55 and 56: Instructions Concerning Ratings of
Page 57 and 58: RATINGS OF ORGANIZATIONS INVOLVED I
Page 59 and 60: 53 ECWA 1 8 13.000 0.006 54 GEDE FO

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