Achievements and Implications of Positive Health Dignity and Prevention Model among People Living with HIV: A Systematic Evaluation of HAF II Project in Kogi State, Nigeria

Background: Positive Health, Dignity and Prevention (PHDP) is the next stage in the HIV response, where people living with HIV (PLHIV) are at the centre and services offered in an environment that is supportive to meet all their needs and their families. It is believed that these strategies would contribute to the well-being and development of all Nigerians. This paper therefore presents achievements and implications of PHDP model among people living with HIV in Kogi State, Nigeria. Methods: This intervention was carried out by six civil society organizations engaged by Kogi State Agency for the Control of AIDS and PHDP model which is the minimum package for PLHIV interventions under the continuum of care was used for this intervention activities. A total of 44,190 PLHIV were the estimated sample size for this intervention and selection of participants was done using purposive sampling. The data collected were entered into DHIS2 platform and this was exported into Microsoft excel and analyzed using same. Results: A total of 63 community dialogues were held and 910 community influencers attended these meetings. Furthermore, 10 income generating activities were conducted for 46 PLHIV. A total of 47,909 persons were reached with a minimum of one care. A total of 18,871 PLHIV were provided with adherence support between 2014 and 2015, 69.7% of which was in the year 2015. A total of 30,228 male and 18,422 female condoms were distributed during this intervention. The total of condoms distributed is only 23.3% of the required condoms. A total of 1,394 pregnant women were refereed for antenatal care services Conclusion: This project successfully increased access to and understanding of individuals living with HIV to make choices that address their needs and allow them to live healthy lives free from stigma and discrimination. However, condoms which are part of most national HIV, STI and reproductive health programmes, were not consistently distributed nor promoted proactively enough in this intervention.