report of the ghain community rapid assesment anambra state

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IEC Information Education and Community IFRC International Federation of Red Cross JDP Justice Development and Peace JDP Justice Development and Peace LACA Local Action Committee on AIDS LDD Long Distance Driver LGA Local Government Authority M&E Monitoring and Evaluation MCH Maternal and Child Health Center MD Medical Director MOH Ministry of Health MSF Medicine Sans Frontier MSM Men who have Sex with Men NACA National Action Committee on AIDS NACA/NPT National Action Committee on HIV/AIDS/National Project Team NANNM National Association of Nigerian Nurses and Midwives NART National Association of Radiographer and Technologists NAUTH Nnamdi Azikiwe Teaching Hospital Nnewi. NCWS National Council of Women Societies NEPWHAN Network of People Living with AIDS NGO Non Governmental Organization NID National Immunization Days NMA Nigerian Medical Association NNRIMS Nigerian National Response Information Management Systems NPF Nigerian Police Force NURTW National Union of Road Transport Workers OIs Opportunistic Infections OVC Orphans and Vulnerable Children PABA People Affected by HIV/AIDS PAC Project Advisory Committee PATHS Partnership for Transforming Health Systems Programme PEFFAR Presidential Emergency Fund For AIDS Relief PHC Primary Health-Care Center PHE Peer Health Educators PLWHA People Living with HIV/AIDS PMTCT Prevention of Mother to Child Transmission SACA State Action Committee on AIDS SAWO Save the World Organization SPT State Project Team SS3 Senior Secondary School 3 STIs Sexually Transmitted Infections SWAAN Society for Women and AIDS Africa-Nigeria TB Tuberculosis TBA Traditional Birth Attendants TOT Training of Trainers TRACAS Transport Company of Anambra State UNDP United Nations Development Program UNIZIK Nnamdi Azikiwe University UNTH University of Nigeria Teaching Hospital USAID United States Agency for International Development VCT Voluntary testing and counseling WAEC West African Examination Council WASA West African Social Awareness WHO World Health Organization 6
Executive Summary The Community Rapid Assessment, the first comprehensive community level research carried out under the new GHAIN project was designed as a baseline survey to provide key pieces of information upon which a veritable yellow pages of organizations and activities would be developed about is doing what, where and how on HIV/AIDS in the programming area. The assessment was expected to provide rich and detailed data upon which programming decisions would later be taken. Specifically, the five objectives set for this exercise were: 1. To identify high risk settings, high risk groups and predominant risk behaviors in the focal states. 2. To identify private for profit, civil society non-profit sectors and public sector organizations/institutions implementing HIV/AIDS interventions. 3. To identify networks and structures for HIV/AIDS prevention, care and treatment in the focal states 4. To identify HIV/AIDS prevention, care and treatment program gaps in the focal states. 5. To produce a spatial map of HIV/AIDS prevention, care and treatment activities in the focal states. This report provides information to address these questions by establishing at risk groups, risk settings and high risk behavior. The report also focuses on the responses of SACA, LACA, public facilities, private facilities, CBOs, pharmacies to HIV/AIDS in the selected LGAs. Risk settings, groups and behaviors Over 25 specific risk settings were identified by the research team in this community rapid assessment. They include roads and junctions where mobile sex workers are found, hotels, bars, brothels and areas around schools, motor parks and barracks. FSWs, transport workers, traders, men of the uniformed services, businessmen visiting the Onitsha market and students were the key populations identified by several key informants as at risk groups in the 3 LGAs. Risk behavior includes unprotected sex by both full-time and part-time student sex workers, the quest for multiple partners by older male clients, poor care seeking behavior, a high incidence of alcohol abuse, disbelief in the existence of AIDS as well as the high display of stigma. 7
Page 1 and 2: REPORT OF THE GHAIN COMMUNITY RAPID
Page 3 and 4: CSOs- NGOs, FBOs, CBOs response to
Page 5: List of Acronyms and Abbreviations
Page 9 and 10: public facilities need support in t
Page 11 and 12: data collection and record keeping.
Page 13 and 14: exercise. The third stage of the tr
Page 15 and 16: Introduction to Anambra the State A
Page 17 and 18: The other funding sources include t
Page 19 and 20: a. Ama-good evening (pit pat 1&2)in
Page 21 and 22: Government Response to HIV/AIDS in
Page 23 and 24: Government facility response to HIV
Page 25 and 26: e. empower teachers in schools to c
Page 27 and 28: illnesses are from the Gods and so
Page 29 and 30: Onitsha, NAUTH and the Society for
Page 31 and 32: These facilities however, lack suff
Page 33 and 34: Nnewi. There are many government ow
Page 35 and 36: According to the LACA Secretary, th
Page 37 and 38: Regarding SACA, the key informant r
Page 39 and 40: g. Communication aids and other tra
Page 41 and 42: CSOs- NGOs, FBOs, CBOs, response to
Page 43 and 44: strategic plan and have targeted, F
Page 45 and 46: suspected to be infected by the dis
Page 47 and 48: NNAMDI AZIKIWE UNIVERSITY TEACHING
Page 49 and 50: situated at the centre of the town
Page 51 and 52: area attracts large numbers of mobi
Page 53 and 54: such as, sensitisation seminars for
Page 55 and 56: State. He explained that the Centre
Page 57 and 58:
Table 3.2 Major CSOs responding to
Page 59 and 60:
The most successful activity carrie
Page 61 and 62:
Key informants report that pharmaci
Page 63 and 64:
Key informants see a role for the P
Page 65 and 66:
Avenue Awka South Farmers Ifebi Hos
Page 67 and 68:
Table A 4.0 Health care facilities
Page 69 and 70:
Red Cross Society of Nigeria Branch
Page 71 and 72:
Center Public Facility PHC (except
Page 73 and 74:
A 7.0 NNEWI NORTH- LIST OF PERSONS
Page 75 and 76:
A 8.0 Onitsha North Local Governmen
Page 77 and 78:
A 9.0 Ranked Freelist of Organizati
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NATIONAL ASSOCIATION OF NIGERIAN NU
Page 81:
Appendix 8.0 The CRA Assessment Too
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