In Nigeria’s fight against HIV, extremely marginalized populations face unique health challenges that require a tailored human rights-based response. Men who have sex with men (MSM), female sex workers (FSW), and people who inject drugs (PWID) are at high-risk for HIV and HIV- positivity rates amongst these populations (22.9%, 14.4% and 3.4%, respectively) are significantly higher than that of
the general population (2.9%). Key populations account for around 32% of new HIV infections in the country (NACA 2015). Nonetheless, these “key populations” (KP) receive little attention from healthcare providers and social service agencies.

Starting in 2009, Heartland Alliance International (HAI) launched the IMHIPP program in 25 clinics in seven states in Nigeria, where there are high concentrations of key populations and high HIV prevalence. This program focuses on the intersection of health and human rights, developing and implementing effective programs that reach and engage heavily stigmatized and hard-to-access KP through comprehensive services. IMHIPP adopted a “one-stop-shop” approach, providing wrap-around integrated health and human rights services. These services support individuals to overcome different barriers that affect their ability to continue protecting themselves from HIV, STIs and human rights abuses. Some examples of these services are stigma-free health care, mental health and psychosocial support, legal representation, technical and institutional capacity strengthening and other needed social and economic services. Due to IMHIPP’s integrative approach, last year alone it secured a retention rate for HIV treatment of over 90%. Throughout the nine years of its implementation, IMHIPP has had a number of success stories in various areas.

Client: Heartland Alliance International