HIV Related Stigma and Discrimination: The Attitudes and Behavior of Workers in Insurance Companies in Lagos State

One of the greatest health problems threatening the human race is the HIV/AIDS pandemic. HIV/AIDS stigma and its related discrimination is a major constraint to the prevention and control of HIV. The HIV/AIDS pandemic has had a selective impact on young men and women who constitute the main stay of the workforce. This study aims to assess the opinion of workers in a corporate setting regarding HIVrelated stigma and discrimination and their attitudes towards HIV positive persons in the workplace. A cross sectional descriptive study was carried out. Asemi-structured, self-administered pre-tested questionnaire was filled by four hundred workers in three randomly selected insurance companies in Lagos State. All workers present at work on the day of the survey were given the questionnaires to fill. All questionnaires were filled independently and collected immediately after they had been filled. Data was collated and analyzed using Epi info software version 6. Most of the respondents (83%) were of the opinion that HIV positive persons were being unfairly treated in the society and almost all of them (93%) believed that they did not deserve such treatment. However up to 25% of them felt that an employer had the right to deny a person employment solely based on his/her HIV status and up to 15% believed that HIV positive persons should be isolated. Fortyfour percent of respondents would not share an office computer with a known HIV positive coworker, 47.7% would not share the same eating utensils and 55.9% would not share the same toilet with a known HIV positive co-worker. Similarly, up to 64% felt that there should be separate dining facilities for HIV positive persons and almost 60% felt that there should be separate toilet facilities for HIV positive persons. This was despite the fact that over 95% of the respondents were aware that HIV could not be transmitted by such means. Almost a quarter (23.5%) of the respondents would not openly associate with known HIV positive persons. There was no statistically significant relationship between sex, income, ethnicity or religion and the decision to openly associate with HIV positive persons. (p>0.05) however educational level was found to be significantly associated with the decision to openly associate with HIV positive persons. (

Sexually transmitted infections knowledge, practices and treatment: assessing facility treatment gap among female sex workers in Lagos, Nigeria

Background:  Globally as significant progress was made in reducing new cases of viral STI specifically HIV and HPV, new strains of antibiotic resistant STI causing organisms emerged. Key population having high burden of bacterial STI also have high prevalence and incidence of HIV. This study was carried out to assess knowledge about STI, HIV and HCT as well as to identify prevention and treatment practices for STI among brothel based female sex workers in two urban communities in Lagos state.Materials and Method: A cross sectional descriptive study design was used; sample size of 300 was calculated. The study population is females who sell sex in brothels in two communities in Lagos. Simple random sampling was used to select 15 brothels from the list of brothels compiled in each local government through community mapping. The rooms in the brothel were the unit of sampling, 10 female sex workers were interviewed in each of the brothels using a pre tested questionnaire. Data analysis was done with IBM SPSS statistics version 20. Frequencies percentages and means were generated. Relationship was demonstrated using Chi square at p<0.05Results: The mean age was 27.77 + 6.16, majority were less than 30years of age (72.0%), single (75.7%), from the southsouth zone of Nigeria (57.0%) and had at least a secondary school education (51.7%). Three quarters of the single FSW had steady sexual partners. A high proportion of the respondents still have misconceptions about routes of transmission and prevention of HIV. About half (53.3%) had good knowledge of HIV/AIDS, 90.0% knew that Ebola Virus Disease can be sexually transmitted and 62.0% had good knowledge of the symptoms of STI. A high proportion reported symptoms of STI (25.0% genital itching, 14.7% genital discharge). Treatment was obtained mostly from the chemist (44.0%) followed by self-medication (42.7%) and health facility (38.7%). Over two thirds have been tested for HIV. All the respondents reported condom use with paying and non-paying casual partners but consistent use was higher with paying partners. A high proportion (77.0%) reported burst condom which was treated by using antibiotics. FSW who were single (p=0.002) and those from the South South-zone of Nigeria (p=0.010) were more likely to be knowledgeable about STI symptoms. Young FSW (<24years) were more likely to use female condoms (p=0.023) and get tested for HIV (p=0.008).Conclusion: FSW in this study had high burden of STI and poor treatment practices. A high proportion also had poor knowledge of HIV and STI. Health workers did not play a major role in giving information about HIV/HCT and STI or in providing treatment. There is a need to promote referrals, linkages and contact between healthcare workers and this vulnerable group to ensure access to correct information and appropriate treatment.Keywords: STI, Female Sex Workers, Lago