AN ASSESSMENT OF AN INTEGRATED MULTIPHASIC COMMUNITY OUTREACH IN A LOCAL GOVERNMENT AREA IN NORTHERN NIGERIA.

摘要

In 2015, the National Agency for the Control of AIDS (NACA) in partnership with the SubsidyReinvestment and Empowerment Program (SURE-P) conducted an integrated multi-disease HIVcounselling and testing outreach campaign in Tudun Wada LGA of Kano State, Nigeria to assess theprevalence of HIV and other communicable and non-communicable diseases in that local council. Dataon different aspects of the screening and treatment campaign were collated using a Federal Governmentof Nigeria outreach client data form and analyzed using Statistical Package for Social Sciences. A totalof 3114 members of the community registered for the outreach but only 2869 accessed services. While51.6 of all the clients were females, 29.9 were in full employment, 8.9 had a body mass indexabove 25kg/m , 52.1 engaged in very active exercise and only 7.9 ate fruits daily. About 40.8,12,8.6 and 0.7 tested positive for malaria, HBsAg, HCV and HIV/AIDS on screening with rapiddiagnostic kits. Even though 25.4 and 25.1 had a family history of hypertension and diabetes only4 and 6.5 had abnormal readings using standardized WHO recommended cut-off points. Malaria andpeptic ulcer disease were the most prevalent diseases seen and managed by the medical teams with ratesof 59.8 and 22.8 respectively. The integrated multi-diseases outreach carried out in this local councilwas well attended. Clients were screened for both communicable and non-communicable diseases andreferred to the general hospital in the area for follow-up and further management. Political support fromthe National Agency for the Control of AIDs, the state government and from relevant line ministries,robust advocacy, communication with electronic and print media, training of teams and sustained socialmobilization were veritable tools to the overall success of the campaign in Kano State.