Presentation on FIDU project by eHealth Nigeria and Population Council

1. HIV among Male & Female
Drug Users in Nigeria
eHealth Africa In Partnership With
www.eHealthAfrica.org
Info@eHealthAfrica.org
+234 809 515 0590

2. HIV among Male and Female
Drug Users in Nigeria

IDU is a major source of infection in Asia and C.
Europe.

Little known about IDU in Africa

Much less is known about female drug users

More hidden and stigmatized

More vulnerable to HIV infection

No tailored services to address unique needs of
Female IDU

Pregnancy, children, transactional sex, abuse

3. Nigeria Male IDU – IBBSS 2010
10 9.3 Common Drugs Used:
9
Heroin 70.4%
HIV prevalence (n=1,317)
8 Cocaine 73.3%
7 Marijuana 71.6%
6 5.8
5.1
5 4.8
4 3.3
3
3
2
1
0
Cross River Abuja Kaduna Kano Lagos Oyo
Avg prevalence: 5.2%. Methods:
Male: 3.1% (CI 2.1 – 4.1)

Data collected via RDS
N=1236

6 States in Nigeria (n=1317)
Female 21.0% (CI 12.1 – 29.9)

Participants tested for HIV
N= 81

4. Female Drug User Characteristics
Characteristic % n
HIV Positive 18.7 28
Age: Median [range] 27 [27-50]
Education – Secondary + 67.1 80
Income Source - Prostitution 62.9 90
Previously in Rehab 38.3 49
Drug Injection 6.5 9
Use of Heroin + Other Drugs 52.7 79
Facility Data from 4 Cities (n=150)
Self – Reported HIV Status

5. Mapping Results - Lagos

Mapping using mobile
Community phones
Observation Point

Posted to web
Facility
Observation Point 
Coverage & targeting
Danger Zone
Boundary 
Concerns for privacy,
Migration Corridor
safety & security

6. Conclusions
Male Drug Users Female Drug Users:

Low HIV ~ 3% 
High burden of HIV ~ 20%

Low needle sharing 
Few inject drugs

Poor HIV Prevention 
Lower socio-economic
Knowledge status

Low Testing 
Majority engage in

Over two-third use transactional sex
heroin

Engage in sexual risk
behaviors