Lagos State, Nigeria - Family Health International

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In-Depth Assessment Report 4. Methodology for the In-Depth Assessment 4.1 Purpose of the Assessment Information gathered in a successful rapid assessment in selected states and LGAs (Anambra, Nassarawa, Kano and Lagos) provided the basis for an in-depth assessment to: • Identify STI/HIV/AIDS risk factors and prevention and care opportunities in these states • Develop a standard assessment tool/methodology that other planners can use to evaluate risk, identify prevention and care opportunities and design effective State/LGA level STI/HIV prevention and care initiative • Obtain data for designing STI/HIV/AIDS prevention and care initiatives in priority communities and LGAs in the four states 4.2 Intended Use of Assessment Information Data collected from the in-depth assessment will be used to develop comprehensive prevention and care programs in identified risk areas and vulnerable populations. This will involve working with selected LGAs to develop strategic plans of action for these high-risk groups. In each selected risk area, FHI intends to work with a variety of partners to reach the identified high- risk and vulnerable groups with prevention and care programs. As much as possible, activities will be linked to those of national organisations and structures such as the military, police, unions and schools. In other words, the data generated will provide information to prepare a protocol for an intervention program. 10 4.3 Researchers The research team consisted of three FHI/Nigeria staff including the Resident Advisor, four consultants (three sociologists and a medical doctor), and eleven research assistants (holders of at least 1st degree from various universities and similar field experiences). Other members represented the State Hospital Management Board, ministries of Health, Education and Youth and LGA representatives such as AIDS Action Managers and NGO partners, all totaling 40 persons. (See Appendix I).
4.4 Selection of Consultants Before training began, sociologists from various Nigerian universities were asked to submit their curriculum vitae. Nine consultants were selected from the submitted applications; these included specialists in medical sociology, demography and epidemiology. Two consultants represented the Federal Ministry of Health. 4.5 Pre-Training Activities Eight different instruments were sent to these consultants for review. These papers also served as working documents during the training. 4.6 Tool Development Workshop An in-depth assessment pre-planning meeting to finalize the tools was held 5 - 11 February 2001. Participants in the workshop reviewed tools from similar surveys in Togo, Nigeria and Rwanda. They worked in small group sessions and made presentations in plenary. At the end of two days, semi-structured guidelines were developed and adopted for use during the assessment. The following guidelines were developed: site inventories, mapping guide, ethnographic observations/analysis, care and support, and organisation assessment guidelines for line ministries, partner NGOs, and community leaders. 4.7 Training of Core Research Group/ Team Members Training was conducted for the core research team members, including consultants, FHI/ Nigeria staff and a representative from the Federal Ministry of Health (NASCP). A participatory approach was used. The international consultant, FHI/Arlington and London, provided technical assistance and facilitated sessions on care and support for people living with HIV. Lectures and basic information about HIV/AIDS/STIs were given. The Report of Rapid Assessment was used as a working document to familiarise team members with the initial findings from various states. The team was trained in conducting key informant interviews, ethnographic analysis and observations. The developed tools were pre-tested in groups similar to the intended populations. Materials were then reviewed to incorporate findings from this pre-test to produce the final tools. 11 4.8. Intensive Training for Stakeholders and Research Assistants Lagos State A three-day intensive training, conducted by the trained FHI staff and consultants, was held for selected NGOs, representatives from states and LGAs and research assistants 12-14 February 2001 at the Excellence Hotel, Ogba in Lagos. The course involved a series of lectures on basic STI/HIV/AIDS information. Participatory method was adopted using the principles of adult education and experiential learning theory, with emphasis on content and process of conducting the in-depth assessment. Formal and informal learning methods, including peer reviews, role plays and simulation exercises, were also used to train on questionnaire administration. Study sites were selected during the training sessions and facilitated by the consultant on sites with the highest concentration of groups in the community at risk of contracting HIV/AIDS. 4.9 Data Collection Various data collection methods involving communityderived participatory approaches and structured assessment tools were used to gather information for development of the intervention programs. Informants and/or respondents were selected using a convenient sampling method. Other criteria included local involvement/ownership and suitability for possible interventions. Each of the five LGAs fulfilled the criteria of both ‘risk groups’ and ‘risk setting’. Data gathering began immediately after the training. It continued for six days, with a team of 10 persons per LGA working 15-21 February 2001. At least 10 field workers, including a coordinator, were assigned to each LGA, with two overall team facilitators. Multiple data collection methods were used to ensure that all required information was collected from different target groups and stakeholders. This also served for data triangulation. The following methods were used: 1. Site inventories 2. Key informant interviews 3. Target group in-depth interviews 4. Ethnographic observations/analysis 5. Mapping exercises 6. Structured questionnaire on care support
Page 1 and 2: Lagos State, Nigeria Report of the
Page 3 and 4: 3 Lagos State 6. Lagos Mainland LGA
Page 5 and 6: Acronyms AIDS Acquired Immune Defic
Page 7 and 8: 1. Introduction/Background A situat
Page 9: 3. Response to the HIV/AIDS Epidemi
Page 13 and 14: 5. Findings 5.1 Ojo Local Governmen
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Page 19 and 20: 5.12 Conclusions It is obvious from
Page 21 and 22: 6.3 Ethnographic Overview Lagos Mai
Page 23 and 24: 6.4.4 Out-Of-School Youth Lagos Mai
Page 25 and 26: any of them because of drugs and pe
Page 27 and 28: 7.3 Ethnographic Overview LGA/Site
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Page 39 and 40: 9.3 Ethnographic Overview LGA/State
Page 41 and 42: 9.4.2 Truckers/Bus Drivers LGA/Site
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Page 49 and 50: Appendix II: Life History of a Sex
Page 51 and 52: Appendix III Cont. S/N 22 23 24 25
Page 53 and 54: Notes 53 Lagos State
Page 55 and 56: Notes 55 Lagos State

Lagos State, Nigeria - Family Health International

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