Assessment Team:
Ekong Emah, FHI/Nigeria
Adamu Imam,FHI/Nigeria
Jummai Bappah, Consultant
Dr. Mustapha Nnamadi, Consultant
Dr. Shehu Umar, Consultant
Dr. Judith Walker, Consultant
FA M I LY H E A LT H I N T E R N AT I O N A L • FEBRUARY 2001
In-Depth Assessment Report
Table of Contents
PAGE
Tables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4
Acronyms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6
Executive Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7
1. Introduction/Background . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9
2. Methodology and Objectives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10
3. Kano State . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11
3.1 Ministry of Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11
3.2 Ministry of Education . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11
3.3 Ministry of Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11
3.4 Ministry of Women Affairs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12
3.5 Ministry of Agriculture . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12
3.6 State Action Committee on AIDS (SACA) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12
4. Fagge Local Government Area . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13
4.1 Site inventory and mapping . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14
4.2 Risk settings and populations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16
4.2.1 Female sex workers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17
4.2.2 Butchers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18
4.2.3 Long-distance drivers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18
4.2.4 Petrol sellers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20
4.2.5 Male traders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20
4.2.6 Male clients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20
4.2.7 Vulnerable women – Female traders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21
4.3 Health facilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22
4.4 Care and support . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .24
4.4.1 Public institutions providing care for PLHA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25
4.4.1.1 Sheik Mohammed Jidda Hospital . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25
4.4.1.2 Infectious Disease Hospital . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25
4.4.2 Private institutions providing care for PLHA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .26
4.4.2.1 ECWA Hospital . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .26
4.4.2.2 Light Clinic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .26
4.4.2.3 Assumpta Clinic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .26
4.5 Community leaders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27
4.6 Organisational assessment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27
4.6.1 Nigerian Labour Congress (NLC) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27
4.6.2 Nigerian Union of Teachers (NUT) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27
4.6.3 National Association of Women Journalists (NAWOJ) . . . . . . . . . . . . . . . . . . . . . . . .28
4.6.4 Monitoring, Support and Mobilisation Group (MOSMDG) . . . . . . . . . . . . . . . . . . . . .28
4.6.5 Jam'iyyar Matan Arewa . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28
4.6.6 Muryar Jama'ar Fagge (Fagge Peoples Forum) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28
2
Kano State
3
In-Depth Assessment Report
List of Tables
Fagge Local Government Area
Demographic information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13
Residential characteristics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13
Primary schools . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14
Secondary schools . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15
Vocational schools . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15
Quaranic and special schools . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15
Size of target populations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16
Female sex workers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17
Sex workers and brothels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17
Prices charged by sex workers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17
Bars and clubs where sex workers operate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17
Streets where sex workers meet clients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17
Truck and bus companies that pass through this site . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18
Estimated number of trucks and buses entering or leaving site daily . . . . . . . . . . . . . . . . . . . . . . . .18
Estimated number of trucks and buses parking overnight . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18
Places trucks and bus drivers park at night . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18
Guest houses, hotels, motels and lodgings frequented by truck and bus drivers . . . . . . . . . . . . . . . .19
Bars and clubs frequented by truck and bus drivers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19
Places and locations truck and bus drivers find sex workers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19
Youth . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20
Condoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20
Major marketplaces . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21
Number of public facilities in Fagge LGA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22
Number of private facilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22
Estimated number of pharmacies and drug stores . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22
Profile of facilities in Fagge LGA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23
Profile of facilities by type of HIV/AIDS service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23
Non-governmental organisations working in HIV/AIDS prevention and
care and reproductive health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .24
Total number in formal employment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29
Religious denominations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29
Professional and trade associations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30
Major community groups . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30
Guesthouses, motels, hotels and lodgings frequented by mine and oil workers . . . . . . . . . . . . . . . .31
Farms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31
Construction companies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31
Media people read, watch or listen to . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31
4
Kano State
5
In-Depth Assessment Report
Acronyms
AHIP Adolescent Health and Information Project
AIDS Acquired Immune Deficiency Syndrome
AIDSCAP AIDS Control & Prevention Programme
AIDSTECH AIDS Technology Project
AKTH Aminu Kano Teaching Hospital
CBO Community-based organisation
CHEW Community health extension worker
CRD Centre for Research and Development
COPOP Council of Positive People
DOTS Directly observed therapy, short-course (for tuberculosis)
ECR Expanded comprehensive response
FSW Female sex workers
FHI Family Health International
FGD Focus group discussions
GHON Grassroots health organisation
GRA Government Reserved Area
HQ Headquarters
IDH Infectious disease hospital
IMPACT Implementing AIDS Prevention and Care Project
LACA Local Action Committee on AIDS
LDDS Long-distance drivers
LGA Local Government Area/Authority
MSO Muslim Sister Organisation
MTCT Mother-to-child transmission (of HIV)
NACA National Action Committee on AIDS
NAWOJ National Association of Women Journalists
NGO Non-governmental organisation
NLC Nigeria Labour Congress
NNPC Nigerian National Petroleum Corporation
NTA Nigerian Television Authority
NUPENG Nigerian Union of Petroleum and Gas
NURTW Nigerian Union of Road Transport Workers
NUT Nigerian Union of Teachers
PLHA Person/people living with HIV/AIDS
SACA State Action Committee on AIDS
STD/STI Sexually transmitted disease/infection
SWAAN Society for Women and AIDS in Africa, Nigeria Chapter
TB Tuberculosis
TOT Training of trainers
USAID United States Agency for International Development
UNICEF United Nations International Children’s Emergency Fund
VCT Voluntary counselling and testing
VOA Voice of America
WHADNET Women Health and Advancement Network
YEDA Youth and Environmental Development Association
YOSPIS Youth Society for the Prevention of Infectious Diseases and Social Vices
6
Kano State
Executive Summary
Family Health International (FHI) Nigeria conducted an Major Findings
in-depth assessment in Kano State as part of re-designing
its on-going IMPACT project funded by the United States Kano State’s mix of ethnic groups, lifestyles, and demog-
Agency for International Development (USAID). The re- raphy makes it highly susceptible to contracting and trans-
design is intended to develop comprehensive programs in mitting HIV/AIDS. Since Shari’a has been adopted as the
key risk areas for both HIV/AIDS prevention and care. state religion, FSW operate clandestinely. Reaching them
Three Local Government Areas (Fagge, Nassarawa and with information and education might be problematic.
Tarauni) were assessed in Kano State.
In all three LGAs, the general population have access to
The assessment was conducted simultaneously in various health facilities where HIV/AIDS care and support can be
parts of Nigeria 15 - 21 February 2001. Objectives of the provided. Very active NGOs (especially SWAAN and
in-depth assessment in Kano State – as in other parts of COPOP) also operate here, providing care and support to
Nigeria – included: PLHA, and many health workers are willing to be
involved in providing such care.
• Identifying STI/HIV/AIDS risk factors and prevention
and care opportunities in the three LGAs; There is little or no funding from the state government for
HIV/AIDS prevention and care activities. These activities
• Obtaining data for designing a strategic plan for are not considered a priority at any level; this may be a
STI/HIV/AIDS prevention and care initiatives in prior- major reason for the lack of funding. Only one of the
ity communities; and LGAs assessed had HIV/AIDS budgeted for in this fiscal
year. And while there is a NACA at the federal level, there
• Developing a standard assessment tool/methodology are neither SACA nor LACAs at state and local levels in
that planners can use to evaluate risks, identify pre- Kano. Nor is there any standardisation or coordination of
vention and care opportunities and design coordinated HIV/AIDS activities among the public and private organi-
state/LGA level STI/HIV/AIDS prevention and care sations providing care and support here. In addition, drugs
initiatives. are rarely available at those facilities that do provide care.
FHI conducted the in-depth assessment in collaboration Knowledge and skills about current concepts in the syn-
with stakeholder representatives. The assessment utilized dromic management of STDs, tuberculosis or HIV/AIDS
multiple data collection methods such as: care are minimal. This is compounded by the fact that
organisations like SWAAN and COPOP have little effect
• Site mapping on public and private health facilities or the general pop-
• Site inventory ulation.
• Key informant interviews
• Structured questionnaires for collecting information Even though it is apparent that the general population
on care and support facilities and activities –especially STD patients – should be counselled on con-
• Life histories dom use, the cultural and religious circumstances of Kano
• Structured organisational assessment questionnaire State hinder condom promotion. Health workers and
• Focus group discussions with FSW and PLHA facilities refer all suspected HIV cases to the IDH, causing
• Ethnographic survey stigmatisation: anyone going to the IDH is believed to
have contracted HIV. Such referral also discourages a
Information was collected from various sources including comprehensive-care approach at other facilities.
public officers, private healthcare providers and facilities,
NGO executives, community leaders and members of It is pertinent to note that manuals and guidelines regard-
high-risk and vulnerable groups. ing syndromic management of STDs, TB management,
HIV/AIDS clinical guidelines and HIV/AIDS home-based
care guidelines have not been distributed or disseminated
to health facilities and providers. This affects their ability
to function effectively and adequately train new workers.
7
In-Depth Assessment Report
Recommendations
8
Kano State
1. Introduction/Background
Family Health International (FHI) is a private voluntary For the proposed comprehensive program under IMPACT
organisation based in the United States. FHI has more re-design and Expanded Country Response (ECR), FHI
than 30 years of experience in reproductive health, partic- suggests a participatory process:
ularly in the areas of family planning and HIV/AIDS.
With funding from the United States Agency for • Rapid assessment in selected states and LGAs
International Development (USAID), FHI has, for over a • Selection and orientation of partners
decade, been working in HIV/AIDS programming in • In-depth assessments
Nigeria (AIDSTECH 1998-1991; AIDSCAP 1992-1997; • Project design
Bilateral Grant Agreement 1997-1998; and the IMPACT • Project implementation and evaluation
Project that began in 1998). Over these years, FHI has
developed excellent collaborative relationships with pub- This overall comprehensive approach strives to establish a
lic- and private-sector organisations in Nigeria, including synergy of effort to ensure the link between prevention
non-governmental and community-based groups. and care and between related high-risk and vulnerable
populations.
In the initial phase of the IMPACT project, FHI worked
with a variety of NGOs and national organisations to In Kano State, FHI identified three LGAs as key risk areas:
develop pilot initiatives for high-risk groups. During the Fagge, Nassarawa, and Tarauni. Rapid assessment was
next phase of the project, FHI – working closely with the conducted in the three LGAs; the findings led to the in-
National Action Committee on AIDS (NACA), state and depth assessment reported here.
local governments – will concentrate on lessons learned in
key high-risk areas in Nigeria. The goal of the second
phase of the project is to develop comprehensive pro-
gramming in key risk areas for both prevention and care.
This will entail working with local governments and high-
risk and vulnerable groups to develop strategic plans of
action and ensure that their care and support needs are
met. FHI will also help them work with national organi-
sations and structures, drawing on FHI’s collaborative
experiences with the military, police, unions and schools.
9
In-Depth Assessment Report
A pre-activity planning meeting was held in Lagos 4-9 2. Obtain data for designing a strategic plan for
February 2001 to finalise and adopt the research tools to STD/HIV/AIDS prevention and care initiatives in pri-
be used. A training of trainers (TOT) workshop was also ority communities.
organised in Lagos at which key FHI/HQ, FHI/Nigeria
staff and selected local and international consultants par- 3. Develop a standard assessment tool/methodology that
ticipated. The objective of the TOT was to train partici- planners could use to evaluate risk, identify preven-
pants in use of the research tools. After the training ses- tion and care opportunities and design grounded coor-
sions, all research tools were pre-tested in selected loca- dinated state and LGA level STD/HIV/AIDS preven-
tions in Lagos. One objective of this pre-test was to assess tion and care initiatives
the ability of respondents to understand the questions.
Based on lessons learned from this pre-test, tools were
then edited and finalised.
• Site inventory
• Key informant interviews with officials of local gov-
ernment and communities
• Mapping
• Structured questionnaires for collection of information
on care and support facilities and activities
• Life histories
• Structured organisational assessment questionnaires
• Focus Group Discussions (FGD) with target groups
(FSW and PLHA)
• Ethnographic survey
10
Kano State
3. Kano State
Kano City in northern Nigeria is the capital of Kano State. the agency maintains that it needs more staff and more
The historical city has several districts, including an indus- women community mobilisers.
trial center (Bompai) and the old city, which is walled and
contains many clay houses. Principal industries include The ministry is also seeking funds from UNICEF and
peanut production and the manufacture of Morocco NACA.
leather goods, metal ware and cotton. Kano also has a
large trade in the farm produce and livestock of the sur-
rounding area. The area’s trading history dates back to the 3.2 Ministry of Education
trans-Saharan era, and remains the commercial nerve cen-
tre of Nigeria. The region was one of the seven original Since the creation of Kano State 34 years ago, this agency
Hausa States, dating from AD 900; Islam was adopted has consistently received the greatest fiscal allocations
probably between the 12th and 14th centuries. The area from government because of its immense importance to
was taken by the Fulani in the 19th Century and held by the growth and development of the society. Along with
them until 1903, when it was seized by the British. the Ministry of Health and other stakeholders, Education
Population (1992 estimate): 699,900. Governance, as in actively participates in public enlightenment programmes
all Nigerian states, is three-tiered. on STDs/HIV/AIDS, especially those undertaken through
the formation of clubs and associations in schools. These
programmes urge protection against AIDS, but have been
3.1 Ministry of Information hampering by inadequate funding. The ministry has been
trying to secure funds through the involvement of tradi-
The Ministry of Information reported that SACA/LACAs tional institutions and communities. The ministry organ-
have not been established in the state. As the voice of state ises seminars and workshops and produces publications to
government, the ministry is responsible for creating aware- enlighten the public about STDs/HIV/AIDS.
ness about HIV/AIDS, and has a strategic or action plan
that addresses STD/HIV/AIDS. This includes touring all
44 Kano Local Government Areas (LGAs) on advocacy 3.3 Ministry of Health
visits and strategies. The latter include public enlighten-
ment campaigns and film shows about the deadly disease. This agency’s main STDs/HIV/AIDS responsibilities are
The ministry is currently producing video documentaries to planning, implementation, monitoring and evaluating
highlight the scourge of HIV/AIDS and other STDs. HIV/AIDS activities in the state. Priorities include infor-
mation, education and communication, safe blood trans-
Execution of these programmes has mainly been hindered fusion, and home-based care. The ministry has logistics
by a lack of funds. However, the agency has included its problems in the implementation of home-based care serv-
AIDS action programme in the current budget. ices, but intends to address them by recruiting trained
counsellors and seeking funds and support for its
The ministry also produces pamphlets to educate the pub- HIV/AIDS programmes. At present, the Ministry of
lic about STDs/HIV/AIDS. As part of their efforts to sup- Health is working through the Ministry of Education,
port HIV/AIDS programs, the ministry’s department of labour organisations and other NGOs in the area of
youth is trying to create awareness among young people in HIV/AIDS.
the state. Youth and information officers for HIV/AIDS
programmes are stationed in all 44 LGAs. At present, the HIV/AIDS programmes are included in this year’s Health
agency has budgeted N800,000 for such programmes. But budget. The ministry has assigned the following personnel
only N350,000 has been released – not enough to run the to the HIV/AIDS programme: two doctors, one nurse, one
programmes. community health extension worker (CHEW) and one
messenger. Additional staff is needed, such as health edu-
This funding (in the form of both money and equip- cators, laboratory technologists, counsellors, social work-
ment)was used to tour and show films in all LGAs, ers and medical records workers.
arrange seminars for LGA information officers and pro-
duce video documentaries. At present, the Ministry of
Information has 44 community mobilisers, 44 trained
counsellors and 29 photographers in the LGAs. However,
11
In-Depth Assessment Report
3.4 Ministry of Women Affairs 3.6 State Action Committee on AIDS (SACA)
This ministry’s main HIV/AIDS activities are public There is no SACA in Kano State. However, there is a State
enlightenment and mobilisation of women. The AIDS Control Programme (SACP) and a State AIDS
STDs/HIV/AIDS campaign is not a priority. Its AIDS Programme Coordinator. The SACP has two doctors, a
awareness activities are channelled through the depart- nurse, a senior health extension worker and a messenger.
ment of women affairs, dealing with NGOs that are main- This staff strength is not sufficient; additional personnel
ly concerned with PLHA or which support HIV/AIDS pro- are needed – especially health educators, laboratory tech-
grammes: SWAAN, GHON, and MSO. nicians, trained counsellors, social workers and medical
record staff/statisticians.
The ministry has not budgeted anything for HIV/AIDS
activities during the 2000/2001 fiscal year, but intends to The coordinator’s main responsibilities are planning,
include it in next year’s budget. implementing, monitoring and evaluating HIV/AIDS
activities in the state and coordinating groups involved in
such activities.
3.5 Ministry of Agriculture
STI/HIV/AIDS priority areas include disseminating infor-
This ministry noted that it is not responsible for health in mation, education and communication (IEC) about these
the state, but acknowledged that the threat of HIV/AIDS infections, ensuring safe blood-transfusion services and
is real and that each level of government should contribute providing care and support for HIV/AIDS victims. Only
to educating people about risks. Respondents said they programmes that address safe blood-transfusion and IEC
believe more efforts should be placed on eradicating the are currently in effect.
disease.
Funding for SACP activities is grossly inadequate: fifty
percent comes from international donors and 25 percent
each from government and local fund-raising/national
organisations. No money was released from the govern-
ment for HIV/AIDS programs for the years 1999/2000.
12
Kano State
Residential characteristics
Residential characteristics Total number of settlements Average number of people
per household
Low-density 5,000 8
Middle density 10,003 8
High density 5,007 23
Slums - -
Rural 6 14
13
In-Depth Assessment Report
Primary schools
Name Type Males Females Total
14
Kano State
Secondary schools
Name Type Males Females Total
Vocational schools
Name Type Males Females Total
15
In-Depth Assessment Report
Fishermen/women NA
With the introduction of Shari’a as a state law in Kano, In addition to FSW, other high-risk groups include butch-
many businesses were rendered illegal (their licenses were ers, men with multiple partners, long distance drivers,
revoked) and closed. These include bars, brothels and petrol sellers (Yan Cuwa-Cuwa) and motorcycle drivers
other places where FSW work. Because Sabon Gari is (Yan Acaba). Vulnerable women such as low-income
multi- cultural and a settlers’ ward, it has remained the earners who trade or wash plates constitute another
major area in Kano where beer parlours and FSW work in important group in determining risk settings and risk fac-
large numbers. Bukavu Army Barracks and its women-run tors.
Mammy Market also have many FSW. Still more are
found in the beer and burukutu shops. They come from
within and outside the barracks. These two locations
(Sabon Gari and Bukavu) give Fagge LGA the highest inci-
dence of FSW and risk settings.
16
Kano State
4.2.1 Female sex workers Within the Sabon Gari ward itself, different locations for
This section focuses on women who render sexual favors and types of FSW were identified. The highest density is to
for money, as opposed to vulnerable women who occa- be found in the areas around Weatherhead, Sani Giwa,
sionally have casual sex for payment in cash or kind. The Abedi and Odutola roads. While some FSW are resident in
FSW often proudly assert, ‘I be Ashawo, wetin?’ (I am a motels within the area, others come from the old city
prostitute; what’s your business?). They get paid between nightly and return home next morning. Residents in parts
N100 and N200 per round and N250 or more per night. of Fagge such as Layin Jahannama believe that FSW come
In addition to the Bukavu barracks, beer and burukutu from outside their own area.
shops in the Mammy Market attract sex workers both
from within and outside of the barracks. Their busiest
Bars and clubs where sex workers operate
times are between 7 pm and midnight.
Names Names
Gidan Bam Fagge A Plaza Streets where sex workers meet clients
Bays Water Hotel Onitsha Road, Sabon Gari Civic Centre Road Freetown Road
Midwest
Bricity
While some FSW are selective and accept only special
Blue Circle boyfriends, others take all clients. The introduction of
Shari’a in Kano State has greatly increased their business
Paro
in popular bars. Many FSW reported being less selective,
Honeymoon but using the demand to raise their rates. Barmen and
brothel owners who were key informants in this research
stated that condom use is low and there is no effort to per-
suade sex workers to use condoms – despite the fact that
Prices charged by sex workers most people know about AIDS.
Round Night
Sex workers expressed fears about having enough money
Jigawala N500 N500 or food and drinks and about eventually leaving the business.
Okoto N100 N300
17
In-Depth Assessment Report
4.2.2 Butchers LDDs are usually married, with families in other states;
The butchers in Fagge attest to the long-held Hausa tradi- they are between the ages of 26 and 48. They do not take
tion that butchers like to associate with ‘free women’. prostitutes in the motor park, but follow the women to
They pride themselves on their virility and meet FSW in their rooms in Sabon Gari. There seems to be a great affin-
hotels and social clubs. One butcher interviewed boasted ity between the FSW and the LDDs. As one LDD said, ‘We
of having several sexual partners even though he is mar- think that the girls are OK. Just prostitutes doing their
ried. He does not use a condom with any of them and thing like us’. The LDDs interviewed along Galadima
seeks traditional cures for STIs. He does not see his sexu- Road reported that while some people viewed them as ras-
al behaviour as risky, but as evidence of his manhood. cals, others considered them professionals.
Inland Containers Kokiya Transport Places trucks and bus drivers park at night
Salisu Adamu Fagge Gobir Transport Ibrahim Taiwo Road by Galadima Road
Unity Road
Shakka Babu Baba Brothers
Singer Church Road
Chami Cup Mai Yaya Transport
Niger Street New Road
Ekwenibe Motors Ekene Dili Chukwu
Bello Dandago Abeokuta Road
Brothers Group New Tarzan
Ibrahim Taiwo Road Warri Road
Chijioke P.N. Emera by railway
1,030
220
18
Kano State
Guesthouses, hotels, motels and Places and locations where truck and
lodgings frequented by truck and bus drivers bus drivers find sex workers
Nova Guest Inn 34 Warri Road Murtala Muhammed Way near camp by Akija Hotel
Take Your Choice 8-9 France Road Briggy Hotel 20, Sanyaolu Street
Bars and clubs frequented by truck and bus drivers Metro Hotel Abeokuta Road
Name Location
Dallas Weatherhead
19
In-Depth Assessment Report
20
Kano State
4.2.7 Vulnerable women – Female traders A key informant interviewed was aware of AIDS, but did
Female petty traders make up one of the most significant not know the name of the disease. The women know
groups of vulnerable females in this LGA. While some about STIs generally, and worried especially about gonor-
women are by no means petty traders, others are indeed rhea – a disease which many have had. When affected,
small-scale sellers with no access to capital. They buy and they visit traditional herbalists for cures.
sell low-cost goods such as second-hand clothing and
shoes. Many in this area move back and forth to Kasuwar They are not aware of condoms and may have never seen
Rimi in Yakasai ward of the Metropolitan LGA, where one. The PRO of the women petty traders association in
they have stalls. Hajji Camp says that he does not believe people can get
AIDS through manicures or pedicures; he thinks AIDS can
only be contracted through sexual activity.
Major marketplaces
Name Location
Radio Kano, Radio Kaduna, VOA and BBC are the main
Gadar Karuwai Market Rigiyan Lemo media listened to, in this order. The petty traders are not
fully incorporated into the traders association. Hopes for
Kwari Market IBB Way/Plaza
the future have to do with care for children while fears
Mayanka (Butchers Murtala Muhammed/IBB concern national level politics and the fact that ‘Nigerian
Market) Way leaders are not truthful’. They also expressed fear of
Abubakar Rimi (Sabon-gari) Skiri plainclothes law enforcement agents in the Pilgrim Camp
area (ciwon sanyi).
Yarkina Market Yarkina
Rijiyar Lemo
21
In-Depth Assessment Report
General Hospital 3
Others 2
Hospital 30
Clinic 18
Nursing Home 2
279
22
Kano State
Name of clinic/ hospital Screening Counselling Medical man- MTCT Population Average num-
agement of Prevention of catchment ber of STI/HIV
HIV/TB area patients
(estimated) monthly
ECWA Hospital - - - - - 5
Assumpta Clinic _ _ _ _ - 8
23
In-Depth Assessment Report
Non-governmental organisations working in HIV/AIDS prevention and care and reproductive health
HIV/AIDS prevention and home care Reproductive health
SWAAN
COPOP
24
Kano State
4.4.1 Public institutions providing care for PLHA 4.4.1.2 The Infectious Disease Hospital
This specialist hospital has three doctors, 52 nurses, 10
4.4.1.1Sheik Mohammed Jidda Hospital clinical officers, two trained HIV/AIDS counsellors, 10 TB
This is a general hospital with seven doctors, 62 nurses, 20 staff (full-time), two laboratory technicians/technologists
clinical officers, two trained HIV/AIDS counsellors and and one traditional healer. It provides medical care for
one laboratory technician/technologist. It offers HIV HIV/AIDS patients (including counselling) and TB and
screening and counselling, medical management of admits an average of 3000 patients per year (higher in
HIV/AIDS and prevention of mother-to-child transmission years with epidemics). About 1000 -1800 of them present
of HIV. It serves a population of about 750,000, of whom with HIV/AIDS-related illness.????????????
15, 000 need HIV care. Two to three percent of adult in-
patients here have HIV-related illnesses. The facility needs The hospital serves the entire Kano State and needs more
more staff to cope with the increasing demand for such staff – especially nurses – to meet current demands. IDH
care. Generally, TB patients are not managed here, but are receives written referrals from all Kano institutions and, in
referred to the Infectious Disease Hospital (IDH). turn, refers HIV/AIDS patients to support groups for
home-based, PLHA and traditional care. Their referrals
The Sheik Mohammed hospital treated 44 cases of STDs are usually without letters.
(29 males, 15 females) in the month preceding this survey.
The number of STDs seen at the facility has increased over The respondent interviewed had not seen the national
the last two years. Treatment is based on a combination HIV/AIDS/STI policy; the hospital does not have
of unspecified approaches to diagnosis (probably etiolog- HIV/AIDS care guidelines.
ic and syndromic). Staff had received training on syn-
dromic management of STDs and clinical management of IDH is the major institution providing TB treatment and
HIV/AIDS (organised by the Federal Ministry of Health care in the state and TB cases here have been increasing:
and WHO). They had seen the syndromic management of the number of all forms of TB recorded in 1998 was 1080;
STDs manual produced by the Federal Ministry of Health. by the year 2000 AD, it had increased to 2097. DOTS
strategy –under nurse responsibility – is employed.
Staff does not routinely screen STD patients for HIV but Mortality before completing treatment is high and loss to
refer suspected cases for VCT. They give proper and ade- follow-up during treatment exceptionally high. For exam-
quate advice to STD patients but do not keep a supply of ple, of the 902 smear positive cases of TB recorded in the
condoms at the clinic. The following manuals are avail- year 2,000, only 240 patients completed their treatment.
able at the hospital: HIV/AIDS clinical management Patients pay for their drugs. TB patients are not routine-
guidelines, STD syndromic management manual, home- ly screened for HIV.
based care manual and guidelines for HIV/AIDS coun-
selling. They do not have the manual on TB management. The hospital does not see STD patients.
25
In-Depth Assessment Report
4.4.2 Private institutions providing care for PLHA 4.4.2.3 Assumpta Clinic
This clinic has two doctors, eight nurses, four clinical offi-
4.4.2.1 ECWA Hospital cers, two trained HIV/AIDS counsellors and two labora-
This is a Christian missionary (faith-based) institution tory technicians/technologists. Assumpta offers medical
with four doctors, 11 nurses, 35 clinical officers and three care for HIV/AIDS patients (including counselling and
laboratory technologists. The hospital provides clinical palliative care, antiretroviral therapy and spiritual care).
care (including the medical management of HIV/AIDS and It also treats TB patients. About 15-20 percent of their
counselling services) for people with HIV/AIDS. It also adult in-patients are HIV/AIDS cases. Approximately
offers social support for PLHA. The hospital sees about eight patients with HIV/AIDS-related illnesses are seen
five cases of AIDS-related illnesses each month. They do each month – and the number is increasing.
not supply drugs or manage STDs or TB.
Respondent had not seen the national HIV/AIDS/STI pol-
The facility has three full-time counsellors and one estab- icy, but had received training in clinical management of
lished staff with counselling skills. The respondent said HIV/AIDs. Care guidelines for HIV/AIDS are available in
there is an expressed demand for HIV testing in their the clinic.
catchment for voluntary, pre-marital and pre-employment
reasons. They counsel an average of five clients per Assumpta screens all TB patients for HIV. The number of
month. TB patients presenting has been increasing. The clinic
nurse does the observation for the DOTS strategy. Home
4.4.2.2 Light Clinic visit services are provided TB patients with HIV. This
This facility employs two doctors, four nurses, and one serves a double purpose: it helps the patients comply with
laboratory technician/technologist. The clinic provides drug regimens and also traces defaulters.
medical care for HIV/AIDS (including counselling and pal-
liative care) and TB. Light Clinic admits about 200 The clinic sees four to six STD cases each month; this
patients every year, three to five of these have HIV-related number has remained steady over time. Treatment is
illnesses, five to seven have TB. All TB patients are based on a combination of all three approaches to diag-
screened for HIV. DOTS strategy is not employed. The nosis. The respondent interviewed had been trained in
clinic treats five to eight cases of STDs per month - a num- and seen the manual for syndromic management of STDs.
ber that has remained more or less steady over time. He had also received clinical management of HIV/AIDS
Treatment is based on etiologic diagnosis or sometimes a training at courses organised by the Jos University
combination of approaches. Teaching Hospital (JUTH) and AKTH.
The respondent interviewed had not had training on or The medical director and the matron are trained counsel-
seen the manual for syndromic management of STDs. lors and disclose HIV results and counsel patients who test
Hospital personnel had not seen the national HIV-positive. There is an expressed demand for HIV test-
HIV/AIDS/STI policy and did not have HIV/AIDS care ing for premarital, MTCT and pre-employment reasons.
guidelines. They had not been trained in clinical manage-
ment of HIV/AIDS. Respondent was unaware of inter- The clinic does not offer advice on or demonstration of
ventions to prevent MTCT but said the clinic does screen condom use and does not stock condoms.
all new antenatal clinic attendees for HIV and provides Respondents were aware of interventions to prevent
post-test counselling for those who have tested positive. MTCT, but screen all ANC attendees for HIV. The facil-
ity emphasizes instrument sterilization and proper dispos-
Though not trained as counsellors, the two doctors pro- al of materials. However, episiotomies are still performed
vide this service to patients. There is an expressed demand routinely. Exclusive breast feeding is very common
for HIV testing for voluntary referral and premarital rea- amongst the women who deliver here – formula-only feed-
sons. ing is never practiced. The respondent believes, however,
that if the latter were promoted to prevent MTCT among
Light Clinic does not offer advice on condom use or HIV-positive mothers, it would be well accepted by both
demonstration and does not keep condoms in their clinic. mothers and their relatives– if they are adequately
informed about it.
26
Kano State
Fagge community leaders agree on the need for 4.6.1 Nigerian Labour Congress (NLC)
STI/HIV/AIDS interventions here. This conclusion was Nigerian Labour Congress is a single trade union organi-
reached based on interviews conducted with three com- sation with 29 affiliated labour groups. NLC is located on
munity leaders (one traditional ruler, a Muslim cleric and Katsina Road, near Bukavu Barracks, Kano. It is regis-
a Catholic reverend). tered with the government as a NGO. The organisation
has a board of trustees, state administrative council and a
The community leaders are already engaged in mobilising state executive council. The NLC mission statement
community members for development activities and initia- declares that the organisation strives to protect the inter-
tives, with priorities for health issues. Until the onslaught est of all workers and the general public. These aims and
of AIDS, malaria and drug abuse were considered the objectives are achieved through its affiliated trade/profes-
greatest health threats to the community. The leaders sional unions. NLC’s main sources of funding are member
believe the immediate solution to the AIDS problem here contributions, union dues, and donations from the state
is good and effective education and enlightenment pro- government, organisations and individuals. The congress
grammes – and they think community leaders and other provides feedback on project/programme progress to the
adults should be involved in the effort. community, beneficiaries, donors and government. NLC
also organises seminars for trade union leaders. The
All leaders expressed willingness to care for male or Nigerian Labour Congress has been involved in many
female relatives who become ill with HIV and said they HIV/AIDS awareness campaigns.
would like to be involved in community STDs/HIV/AIDS
activities and initiatives. They would also like more Members of this association are willing to care for male or
HIV/AIDS information, education and communication, female relatives who become ill with HIV/AIDS. Should a
voluntary counselling and testing services, youth clubs for relative become ill with HIV/AIDS, they said, they would
HIV/AIDS education, community care and support activi- not want the nature of such illness to remain secret.
ties and community orphan care.
27
In-Depth Assessment Report
4.6.3 National Association of Women The group is fully aware of STD/HIV/AIDS and knowl-
Journalists (NAWOJ) edgeable about health issues. MOSMOG is therefore rec-
ommended for participation in future activities.
National Association of Women Journalists (NAWOJ) is
housed at 13B Farm Centre, NUT Press Centre, Kano. Members say they are willing to care for male or female
Established in 1989, it is limited by guaranty and is not relatives who become ill with HIV/AIDS and would not
registered. NAWOJ has an approved constitution and a want the nature of such illness to remain secret.
board of trustees. Its mission statement discusses creating
awareness among women journalists. Funding comes
mainly from members’ union dues and grants from donor 4.6.5 Jam’iyyar Matan Arewa
agencies such as USAID and JHU/CCP. The organisation Jam’iyyar Matan Arewa’s office is located at No. 4 Bawo
has been involved in HIV/AIDS campaigns for several Street, Hausawa New Layout, Kano. It was established in
years. 1964 and is registered with the Ministry of Information
and USAID. The organisation has an executive committee
Members say they are willing to care for male or female and patrons. In its mission statement, Jam’iyyar Matan
relatives who become ill with HIV/AIDS, and would not Arewa says that its purpose is ensuring that women and
want the nature of such illness to be kept secret. children are well-looked-after, enlightened, empowered
and allowed to participate in government decision-mak-
ing. The organisation has received funds from USAID and
4.6.4 Monitoring, Support and Mobilisation Johns Hopkins University. Most money comes from phi-
Group (MOSMOG) lanthropists, other individuals and – occasionally – gov-
MOSMOG headquarters are at No. 92 Sarkin Yaki Road, ernment. The group has submitted proposals to donors in
Nomansland, Kano. The group was established 29 the past year.
October 1998, and is registered with the government as an
NGO. It has an approved constitution and board of Jam’iyyar Matan Arewa has been involved in various
trustees. Operations include: (1) reaching out to the pub- HIV/AIDS awareness campaign. Members say they are
lic and propagating MOSMOG ideas, (2) providing willing to care for male or female relatives who become ill
parental advice where and when necessary, (3) settling dis- with HIV/AIDS, and would not want the nature of such
putes between members and providing disciplinary meas- illness to remain secret.
ures where and when necessary and (4) fund-raising for
MOSMOG.
4.6.6 Muryar Jama’ar Fagge (Fagge Peoples Forum)
Its mission statement claims MOSMOG’s aim is to pro- This is a voluntary NGO established in July 2000. It is a
mote unity and peace among Nigerians, discourage anti- limited-guarantee community-based organisation located
social practices, enhance socio-cultural integration and at Fishing Caladium Fagge. It has a board of trustees,
youth empowerment. The statement has not been responsible for formulating financial policies. The board
changed in the last three years. MOSMOG has developed advises the executives on asset valuations and depreciation
a one-year strategic plan for community development, and their general assembly on asset disposal and acquisi-
poverty alleviation and job creation and youth enlighten- tion. The forum’s aim is to provide gainful employment
ment about the dangers of antisocial behaviours. No for unemployed youth in the community through educa-
stakeholders were involved in the plan. MOSMOG is now tion and development and job provision. Muryar Jama’ar
monitoring results of the plan, and making necessary cor- Fagge has taken part in various HIV/AIDS awareness cam-
rections or amendments for future projects. paigns, particularly among youth in the community.
The organisation has received funds from the Centre for Members say they are willing to care for male or female
Research and Documentation (CRD) Kano. MOSMOG’s relatives who might become ill with HIV/AIDS and would
main sources of funding are registration fees, levies, dona- not want the nature of such illness to remain secret.
tions by members, grants, payment for works undertaken,
launchings, etc. The board of trustees is responsible for
fund-raising. MOSMOG reports quarterly to the commu-
nity, beneficiaries and donors on progress of its projects
and programmes.
28
Kano State
Employment statistics
Total number in formal employment at the site: 47,700
Farming/agriculture 100
Construction 11,100
Shipping NA
Fishing NA
Religious denominations
Names of denominations Number of stations
Tijjaniya 15
Kadiriyya 12
Izala 40
29
In-Depth Assessment Report
Mawanka Association
30
Kano State
Guesthouses, motels, hotels and lodgings frequented by mine and oil workers
Name Location
Midwest Sanyaolu
Farms
Name of farm Number of employees Activity Does site have
HIV/AIDS program?
Construction companies
Names Number of employees
Phototec Lab. 12
Ugo Lab. 15
Mummylin 10
Ossily Company 3
The Guardian
31
In-Depth Assessment Report
Farming/agriculture 200
Nassarawa LGA was carved out of the old Kano Construction 6,000
Municipal LGA. Its current population is estimated at 1.2 Uniformed government 4,500
million. It is bounded by Ungogo to the northwest; services
Gezawa to the northeast, Kumbotso to the southeast;
Other government services 5,500
Tarauni to the south and Fagge to the west. Nassarawa
LGA has 13 wards: Brigade, Badawa, Dakata, Gama, Retail (shops) 2,500
Giginyu, Gwagwarwa, Hotoro North, Hotoro South,
Shipping -
Kaura Goje, Kawaji, Kawo, Tudun Murtala and Tudun
Wada. Fishing -
Tourism 1,000
This LGA can be described as urban with a multi-ethnic, (Hotel/lodgings/motels, etc.)
multi-religious and multi-national population of Hausas,
Fulanis, Yorubas, Arabs, Nigerians, Malians, Ghanaians
and several other groups. Nassarawa is a commercial cen- Both pubic and private health care facilities serve the peo-
tre with the following major markets: Gwagwarwa, ‘Yan ple living within and around Nassarawa. Six NGOs pro-
Kaba, Tudun Wada and Kasuwar Allah Sarki situated vide HIV/AIDS related services and numerous community
respectively at Brigade, off Hadejia Road, Tudun Wada groups work in the LGA. Some of these community
Road and Dakata areas. There are also seven overnight groups are essentially vigilante groups; others are involved
parks located at ‘Yan Kaba market, ‘Yan Kaba motor in community development and self-help projects. There
park, Hotoro NNPC petrol tanker depot, Dan Marke, are numerous primary and secondary schools and two ter-
Dakata market, Bompai Road and Tudun Wada bus stop. tiary institutions in the LGA.
Several truck and bus companies operate from
Nassarawa. More than 2000 trucks and buses leave the The LGA has no plans to conduct HIV/AIDS activities,
LGA for various destinations; about 1,200 trucks and but is quite willing to participate actively in and support
buses remain there overnight. There are also many indus- programmes and projects that address this infection.
tries and construction companies, which – together with
the markets and transport businesses– generate substantial Community leaders, both traditional and religious, have
revenue for the LGA. expressed their willingness to support HIV/AIDS-related
activities in their community – as long as such activities do
There is a substantial entertainment industry for both not conflict with the beliefs and customs of their people.
high-income and ordinary persons in this LGA: several
cinemas, outdoor snooker clubs, hotels, bars and clubs.
32
Kano State
5.1 Mapping and site inventory There is no definite HIV/AIDS policy in most industries –
nor is there machinery in place to prevent workers from con-
Nassarawa LGA can be divided into three demographic sub- tracting HIV/AIDS. Most employers cannot provide treat-
areas. The first covers Tudun Wada, Gwagwarwa, Dakata, ment for infected employees. It is important to note that a
Kawaji, Gama and some neighbouring wards; these are poor significant percentage of workers in this sub-area are not
and densely populated. This sub-area has very few public unionised.
facilities, but many privately run quaranic schools and
mosques. The second division covers the Government Many women from northern ethnic minorities also live here.
Reservation Area (GRA) Nassarawa and parts of Hotoro.
This is a low-density sub-area with wide streets and general-
ly cleaner environment than the first described above. The
third sub-area includes Bompai, home to many industries. It
is the oldest industrial estate in Kano State.
Residential characteristics
Type of residence Total number of settlements Average number of people per household
Low-density 3 4
Middle density 3 7
High density 7 12
Slums
Rural 4 12
Fishermen/women
33
In-Depth Assessment Report
The LGA has many active NGOs and CBOs. COPOP, There are 13 public and eight private secondary schools
SWAAN and Rotary Bompai are among the organisations and in the LGA. The Local Education Authority puts the
that concern themselves with HIV/AIDS prevention and number of primary schools at 63, including private Islamic
home-based care. schools that receive some public funding or support.
There are no firm estimates of the number of in-school
There are two general hospitals, one tertiary hospital, youth and out-of-school youth. This LGA has a dispro-
eight PHC centres, seven health posts and two major dis- portionate number of public facilities located within its
pensaries. There are 30 private health facilities in this boundaries.
LGA. About 200 medicine stores and pharmacies were
identified during the mapping exercise. Like many other
areas of Kana State, Nassarawa LGA also has several
chemists.
Tertiary hospital 1
General hospital 2
Hospital 8
Clinic 24
Nursing home 1
221
34
Kano State
Primary schools
Name Type Males Females Total
ECWA Private
Dakata Public
Kawo Public
Brigade Public
Gawuna Public
35
In-Depth Assessment Report
Secondary schools
Name Type Males Females Total
Hamdala Private
36
Kano State
Tertiary schools
Name Type Males Females Total
Tertiary schools
Name Type Males Females Total
There are also many smaller quaranic schools in the LGA, At other locations – such as the Yankaba motor park, the
but enrollment information could not be obtained during Tudun Wada bus stop and Dan Marke at Hotoro – truck
the short period of site inventory. and bus drivers park overnight. Sex workers operate here
as food sellers or plate washers, but also offer sex services
should the moment of opportunity arise. FSW have also
5.2 Risk settings and factors recently been observed attaching themselves to pimps for
protection and residential accommodation. A few FSW
The risk setting for HIV/AIDS transmission in Nassarawa are still present in Dakata, Yankaba, Gwagwarwa and
LGA is created by the zones of freedom which still exist Tudun Wada – the major markets in Nassarawa LGA –
despite the introduction of criminal Shari’a law. This situ- but they are now accompanied by leading figures who
ation is compounded by the presence of high-risk men and offer them protection.
vulnerable women who seize moments of opportunity to
engage covertly in high-risk behaviour. FSW are still found In short, the cosmopolitan nature of the LGA, combined
in a few entertainment locations within the zones of free- with the availability of men away from their families (with
dom. In Tudun Wada, Gama, Badawa and Kawaji ready cash) and vulnerable women makes the setting ideal
Quarters, FSW service lower-income clients in brothel-like for commercial transaction sex. Nassarawa’s mix of ethnic
establishments. More prosperous clients seek entertain- groups, lifestyles and demography increases the chances of
ment spots such as King’s Garden, Kano Polo Club, transmitting and contracting HIV/AIDS.
Kawaji Guest Inn, Rendezvous, Nigerian Airways Club,
Customs Staff Club, Jingo Jazz and Central Hotel. The
urban and cosmopolitan nature of the LGA creates a situ-
ation where sex workers also feel free enough to walk the
streets looking for men – despite the introduction of
Shari’a. These women can be seen around the State House
area, pretending to be waiting for public transportation
late in the evening.
37
In-Depth Assessment Report
5.3 High risk populations Bars and clubs where sex workers operate
Name Name
5.3.1 Female sex workers
It is estimated that more than 1000 women earn a living Rendevous Kano Polo Club
from sex work in this LGA. The least educated among Jingo Jazz Kano Club
these women are usually found in Kawaji Quarters and in
the Gama, Badawa and Kawo areas. The better educated King’s Garden Central Hotel Bar
are located in entertainment spots in the GRA, where men Gidan Zaituna Gidan DPO (Kawo)
come for alcohol and entertainment. Central Hotel is per-
haps the best known of these establishments. FSW also Duala Hotel, Bar
cross LGA borders (which were highly artificial); they may
operate in as many as four different locations in one night.
The street walkers – on streets such as Hadejia Road, Streets where sex workers meet clients
Ahmadu Bello Way, Bompai Road, Tudun Wada Road, Name Name
Racecourse Road and Murtala Mohammed Way – follow
clients in their cars. Key informants report that while the HADEJIA Road, near Daula Race Course Road
risk is great, these FSW can earn more that N1000 per BOMPAI Road Murtala Muhammed Way
night.
Tudun Wada Road Agangara, Badawa
DC 10 Kawaji Quarters
Agangara Badawa
38
Kano State
Nigerian male clients include men staying in Nassarawa ASAH Sakwaya Line
LGA hotels while attending workshops or conferences.
A.A.Girgiri Bababa Line
Wealthy young Abuja-based men often become clients
during weekend visits to their homes in Kano. The yan A.S. Nagero Kwajafa
cuwa cuwa, in-school youth of rich families, motorcyclists
A.A.Mudallabi Babban Gawo
and office workers are other clients in this area.
A. Sani Yaro Ahmed ‘Yan Tsaki Transport
Shafka Gangara
2,1000
1,200
39
In-Depth Assessment Report
Places truck and bus drivers park at night Guesthouses, hotels, motels and
lodges frequented by truck and bus drivers
Places Places
Names Location
Yan Kaba Motor Park Dan Marke
Palm Grove Badawa
Yan Kaba Market Dakata Market
Gidan Gayu Sauna
Hotoro NNPC Depot Bompai Road
Gidan Hajiya’Yan Biyu Gwagwarwa
Tudun Wada Bus Stop
Gidan Zaituna King’s Garden
However, many drivers said they used condoms, although Daula Hotel Murtala Muhammed Way
those who reported having had an STI did not report con- Central Hotel Bompai Road
sistent condom use. The reason usually given for not using
condoms was that it reduces pleasure. Drivers who report-
ed using condoms with FSW also said they relied on the
women to supply the condoms. They said they did not
carry condoms because it is embarrassing and they were
afraid the rubber would melt in the lorry.
40
Kano State
41
In-Depth Assessment Report
5.4 Care and support services in Nassarawa LGA 5.5.2 Mohammadu Abdullahi Wase Hospital
This is a specialist hospital with 15 doctors, 96 nurses, 15
There is no LACA in place in the LGA and essentially no clinical officers, and nine laboratory technicians/technolo-
plan to address STI/HIV/AIDS. Nor was there any budg- gists. The hospital has been providing medical care for
et for HIV programs for the 1999/2000 fiscal year. There HIV/AIDS patients (including counselling) and TB.
has been no collaboration between the LGA and other
departments, agencies and NGOs for HIV/AIDS pro- The respondent interviewed had seen the national
grams. Home-based care is the only HIV/AIDS service HIV/AIDS/STI policy, but could not make a copy for the
considered high priority; VCT, clinical and orphan care interviewer. The hospital does have HIV/AIDS care guide-
are ranked low priority by LGA authorities. lines, which were shown to the researcher.
The LGA has 21 public health facilities, including one ter-
tiary hospital, two secondary hospitals, seven primary The hospital had between adult in-patients per annum in
health care centres, nine health posts and two dispen- the years 1998-2000. During the same period, they saw
saries. There were 33 private health facilities in the LGA in-patients with HIV-related illnesses.???????? The num-
(eight hospitals, 24 clinics and one nursing home). ber of AIDS patients seen at the facility has been increas-
ing: four or five such patients are now seen at the hospital
Neither public nor private care providers have adequate each month. The number of TB patients has also been
knowledge or skills in the syndromic management of increasing in the last few years. DOTS strategy is not
STDs, DOTS strategy or clinical management of PLHA. practiced in the institution. All patients are routinely
Training and retraining is needed. The facilities them- screened for HIV. Patients pay for drugs in treatment.
selves are not properly oriented towards providing ade-
quate care to PLHA and may require re-orientation. The facility treats [how many?????] females on average
per month. The hospital sees about 30 cases of STDs
among equal numbers of males and females. Treatment of
5.5 Public institutions providing care for PLHA STDs is based on all three approaches to diagnosis. The
respondent interviewed had received training on and had
5.5.1 Sir Mohammadu Sanusi Hospital seen the manual regarding syndromic management of
This is a specialist hospital with four doctors, 39 nurses, STDs. He also had been trained in the clinical manage-
16 clinical officers, two trained HIV/AIDS counsellors and ment of HIV/AIDS at sessions organised by the State AIDS
five laboratory technicians/technologists. The hospital Control Programme in 1999.
has provided only HIV screening and counselling services
since 1999. The estimated population in its catchment
area is 1.5 million, of whom 100,000 need HIV care.
The hospital had 103 adult in-patients in the year 2000, none
of whom had AIDS-related illness. Generally, TB patients are
not managed in this facility, but are referred either to AKTH
or IDH –except for incidental genito-urinary TB. (The hospi-
tal MD is an urologist.) When treating such patients, the hos-
pital uses short-course therapy, not DOTS (i.e., patients were
not observed taking their medication) – the reasoning being
that patients comply with a short-course therapy.
42
Kano State
5.6 Private institutions providing care for PLHA 5.6.2 Warshu Hospital
This hospital has three doctors, 20 nurses, one clinical
5.6.1 Ahmadiyya Muslim Hospital officer and two laboratory technicians/technologists. It
This Islamic missionary (faith-based) institution employs provides medical care for HIV/AIDS patients (including
two doctors, nine nurses and two laboratory technolo- counselling, antiretroviral therapy and palliative care) and
gists. The hospital provides clinical care (including med- also treats TB patients.
ical management of HIV/AIDS and tuberculosis, palliative
care and counselling services) for PLHA. The population Respondents had not seen the national HIV/AIDS/STI pol-
of the catchment area is approximately million, with icy or been trained in clinical management of HIV/AIDS.
about 50,000 people needing HIV care. The hospital has The hospital does not have HIV/AIDS care guidelines.
an estimated annual in-patient turnover of between 364
and 500. The hospital estimates that five of these were Respondents did not supply the number of annual in-
HIV/AIDS patients each year. The demand for HIV/AIDS patients, but indicated that one percent of them were usu-
clinical care has been increasing over the last few years. ally HIV/AIDS patients. The number of AIDS patients
seen at the facility has been increasing; about three such
The hospital provides social support for PLHA only in the patients are being seen at the hospital each month.
form of religious and psychological counselling and nutri-
tional talks and cookery demonstrations. There is no The number of TB patients has also been increasing over
space to ensure privacy during counselling sessions; HIV- the last few years. All patients are routinely screened for
positive patients are referred to SWAAN for counselling. HIV. The patient pays for treatment drugs. DOTS is not
The facility does not provide home-based care or orphan practiced because staff are not familiar with the strategy
care and support. and have not been trained in it nor have staff received the
TB management manual.
Patients with TB are treated at the facility; patients pay for
the drugs. An average 30 cases are managed yearly, with The clinic treats about three cases of STDs per month,
an increasing number over the last few years. DOTS strat- based on a combination of the etiologic and syndromic
egy is employed, but about a third of the patients are lost approaches. The respondent interviewed had not had
to follow-up before completion of treatment. training on or seen the manual regarding syndromic man-
Tuberculosis patients are not routinely screened for HIV. agement of STDs. He also had not attended the training
session on clinical management of HIV/AIDS organised in
Although respondents are aware of interventions for the 1999 by the State AIDS Control Programme.
prevention of mother-to-child transmission of HIV, such
services are not provided at the institution.
43
In-Depth Assessment Report
5.7 NGOs providing care and support 5.7.1 Council of Positive People (COPOP)
This is an NGO of people living with HIV/AIDS (PLHA).
Various organisations provide a number of services, It was formed two years ago by PLHA to support one
including care and support for people living with another. The group provides counselling services (post-
HIV/AIDS: test and on-going/follow up and nutritional counselling),
outreach services to homes and other social support serv-
NGOs providing care ices to each other and to newly diagnosed HIV-positive
people. They have one full-time counsellor and eleven
HIV/AIDS prevention and Reproductive health
home care part-time counsellors. SWAAN Kano trains COPOP
members on HIV counselling. Members of COPOP are
COPOP PPFN frequently invited to assist in counselling newly diagnosed
BASICS Nigeria HIV patients to assist them in accepting and coping with
their situations. The organisation provides monthly visits
Rotary Bompai to members and offers such services as vocational training
PPFN for income-generating activities and pain management.
COPOP also supplies drugs – when available – for oppor-
SWAAN tunistic infections. All services are free; local donors
Grassroots Society (SWAAN) are their chief source of funding; COPOP
works closely with this group. COPOP also derives a
Health in general Others
small amount of money from dues or stipends from work-
BASICS Nigeria Tundun Wada Patriots shops and seminars. The organisation’s main challenges
are financial (lack of adequate support from government
Gwagwarwa
Ambassadors and a general shortage of funds) and societal stigmatisa-
tion and rejection.
44
Kano State
Four respected leaders of the community were inter- Many civil society organisations in the LGA – NGOs,
viewed, using the community leaders' questionnaire. They CBOs, trade unions and associations – are actively
were the traditional ruler of Nassarawa (the Dan Buram involved in human development activities. They focus pri-
of Kano), two Islamic religious leaders and the principal marily on community development, environment and
of a Catholic missionary school. Given the influence social welfare services; only a few work on HIV/AIDS
wielded by traditional and religious leaders in Kano, their issues. These groups include: Council of Positive People
opinions carry substantial weight with members of their (COPOP), Tudun Wada Patriots Association, Nigerian
community. The leaders are important when considering Red Cross Society, Gama Self Help Group and Youth
appropriate community interventions. Environmental Development Association (YEDA).
45
In-Depth Assessment Report
Farms
Names Does Site Have HIV/AIDS
Program?
Jakara Ordiad No
Poly – Bags 25
Air Liquide 2
Asada 60
46
Kano State
Temporary population NA
Farm workers 29
Fishermen/women -
Uniformed government employees (Customs, police, immigration, defence forces, etc.) 232
47
In-Depth Assessment Report
Residential characteristics
Type of residence Total number of settlements Average number of people per household
Slums - -
Rural 2 12
Religious denominations
48
Kano State
6.1 Site inventory and mapping There are two public and 12 private secondary schools in
the LGA. Ten of the 39 primary schools identified during
There is only one major market in this LGA – the Tarauni the in-depth assessment exercise are public, the remainder
market – located in Tarauni Gabas. There is a smaller one private. More than 300 schools were also identified in the
in Kundila and a livestock market (Kasuwar Awaki) in area between Tarauni and Unguwa Uku. There are sever-
Unguwa Uku. With no major industries and most workers al Islamyyia night schools for married women, which
who reside in this area working elsewhere, the LGA gener- operate out of government primary and secondary
ates little income and therefore cannot meet its obligations schools. The population of in-school youth is about 5000,
and that of out-of-school youth approximately 2500.
Numerous almajiria can be seen in the marketplace, in
Major marketplaces and their locations
motor parks or at the middle- class housing estates wait-
Name Location ing to render small services, such as washing clothes or
Kasuwar Awaki Unguwa Uku carrying load in the hope of raising money. Female street
hawkers can be found selling food, kola nut and ground-
Yanawaki Market behind Unguwa Uku nuts. Almajiria can also be found begging. The large
Motor Park
NNPC depot installation and the mobile police barracks
Kundila Market inside Kundila located on the border of the Tarauni LGA contribute to
the local risk settings.
Tarauni Market Tarauni Gabbas
Dinop Private
Ebony Private
Kristal Private
49
In-Depth Assessment Report
Secondary schools
Name Type Males Females Total
Kundila Women
AHIP
There are more than 300 sewing shops in Tarauni. Several Total number in formal employment
are run – though not owned –by migrants from neigh- Economic sector Number employed
bouring West African countries such as Mail, Gambia and
Mine or oil workers -
Senegal. Young men and women from other LGAs and
other states come here to become apprentices, hoping that Farming/agriculture 1,000
they may someday open their own shops. The young
Construction 2,000
apprentices often experience immense hardships in finding
housing, earning enough money or even feeding them- Uniformed government services 300
selves. There are numerous flats and rooms for rent.
Other government services 5,000
Gidan hire is common and, unlike some of the more tra-
ditional local governments such as Dala and Gwale, work- Retail (shops) 2,000
ing women, widows and independent women can secure
Shipping -
accommodation.
Fishing -
With only one public health facility, the LGA is served by
Tourism 50
numerous private facilities that include patent medicine
(Hotels/lodgings/motels, etc.)
stores, private laboratories and pharmacies. Most phar-
macies sell condoms; several itinerant drug vendors also
discreetly sell condoms.
NUT NURTW
50
Kano State
6.2 Risk settings and factors Before the declaration of criminal Shari’a in Kano State,
many FSW operated in areas where male clients resided.
A large number of factors – and the coping strategies of These included the major motor park and the livestock
vulnerable/low-income groups – contribute to HIV/AIDS market at Unguwa Uku, the neighbouring Na’ibawa and
transmission in the Tarauni LGA: absence of industry or Kauyen Alu parks and areas close to Maiduguri Road
high-income generating activities in the LGA, high levels of (where large numbers of young petrol sellers congregated).
youth unemployment, a large group of vulnerable and low- ‘Roasted meat (suya), women and motorcars follow the
income earning females who must meet their needs and petrol sellers’, one young petrol seller said as he proudly
that of their children, the bustling Unguwa Uku motor discussed his prosperity.
park, many workers from outside the LGA, significant lev-
els of urbanisation, reduced social controls over youth and Since the introduction of criminal Shari’a, FSW activities
a thriving black-market petrol industry in this area. have been greatly reduced. Most have moved to neigh-
bouring states where Shari’a has not been introduced.
These predisposing factors contribute to multiple sexual Others who remain have largely transformed themselves
networking, sex for money and kind and exploitation of into respectable but independent women employed in
younger girls and vulnerable women by men with discre- some low-earning activity such as food selling. This is not
tionary cash. Unlike some other LGAs that have remained to say that there are no FSW in Tarauni LGA; what this
a veritable ‘zone of freedom’ with full-time FSW in broth- means is that they are now more inclined to use sex work
els, the current risk setting in Tarauni mirrors that of met- to augment their income from other activities.
ropolitan local governments in Kano State, where a wide
range of sexual networking takes place – but only when
moments of opportunity arise.
51
In-Depth Assessment Report
6.3 High-risk and vulnerable populations Sex workers‘ hostels and brothels
Name Address/location
Specific target populations that constitute those at high
risk and vulnerable to HIV infection include butchers, Layin Kokino Tarauni Tarauni Local Government
Area
long distance drivers, petrol sellers, and motorcycle driv-
ers (yan acaba). Low-income women working as female Gidan Yammata Unguwa Uku
traders, food sellers, housemaids and plate washers also
Gidan Isamiya Unguwa Uku
fall within this vulnerable category.
Dofin Café Naibawa
52
Kano State
53
In-Depth Assessment Report
6.3.4 Long-distance drivers Places truck and bus drivers park at night
These men visit girlfriends when they come to Kano State. Places Places
Some (who find themselves with cash) go to hotels and
bars; others stay in the motor park where they also find Unguwa Uku motor park Kasuwa Awaki
women. They are considered big spenders on women and Maiduguri Road by NNPC C.n. Okoli parking lot
are seen to be womanisers. When they contract STIs, the
literate ones go to clinics; the illiterate obtain treatment Naibawa Young Shall Grow
parking lot
from chemists.
They are members of the National Union of Road Guesthouses, hotels, motels and
lodges frequented by truck and bus drivers
Transport Workers and like to listen to radio. They fear
insecurity, police abuse and political instability that may Names Location
Kanuri Line
3,500
1,000
54
Kano State
55
In-Depth Assessment Report
Tarauni LGA has one public hospital and a number of pri- Tertiary hospital 2
vate hospitals, clinics, chemists and medicine stores. The General hospital Nil
Nigerian Medical Association is located here. Most medi-
cine stores are foundd in Darmanawa and Babban Giji Primary health centre 4
wards. Condoms are generally available in pharmacies
and patent medicine stores and from numerous itinerant
vendors of patented and non-patented drugs. Both public Number of private facilities
and private facilities provide some form of clinical care to
Type of facility Bus
patients with HIV. They offer a wide range of services
including religious and psycho-social support. Tables Hospital Nil
below give a profile of the hospitals and the services they
Clinic 45
provide.
Nursing home Nil
171
*Public ** Private
Name of clinic/ hospital Screening Counselling Medical manage- MTCT Average number
ment of HIV/TB Prevention of STI/HIV
patients monthly
*Public ** Private
56
Kano State
6.5 Care and support of PLHA 6.6 Public institutions providing care for PLHA –
Aminu Kano Teaching Hospital (AKTH)
Public hospitals, private clinics and families provide most
of the care for HIV-positive patients in Tarauni LGA. The This is a tertiary hospital with 139 doctors, 245 nurses,
main public health facility, the Aminu Kano Teaching one clinical officer, five social workers and 29 laboratory
Hospital, offers care and support services (clinical, HIV technicians/technologists. AKTH has provided clinical
counselling and care). Social support for PLHA is provid- care (including the medical management of HIV/AIDS and
ed: the hospital has a general policy of support to all tuberculosis, palliative care and counselling services) for
patients, irrespective of the type of illness. Home-based people with HIV/AIDS since 1994. The facility’s catch-
care and orphan care and support, mother-to-child trans- ment area includes Kano and neighbouring states. It
mission (MTCT) prevention services are not now provid- serves a population of at least 11 million; an estimated
ed, but plans are underway to begin doing so soon. STI 250,000 of them need HIV care. The annual in-patient
services are strictly etiological. turnover was between 2,700 and 6,000 during 1998.
Respondents estimated that they see, on average, 30 cases
per week of HIV/AIDS (of which about six are new cases).
Non-governmental organisations working in HIV/AIDS
prevention and care and reproductive health
The demand for HIV/AIDS clinical care has increased in
the last few years.
HIV/AIDS prevention and Reproductive health
home care
The hospital provides social support to PLHA only if they
AHIP are indigent – a policy applied to all patients of the hospi-
tal, irrespective of their illness. The hospital does not pro-
STOP AIDS
vide home-based care or orphan care and support. At
Health in general Others present, they do not provide MTCT services, but plans are
underway to start doing so soon.
Ilumaja Health Project Muslim Sector
Organisation
TB cases seen at this facility range from over 700 per
JMA annum to 1300 and have clearly increased over the last
few years. All TB patients are routinely screened for HIV.
Anti-TB drugs are paid for and DOTS is practiced only
when the patient is in hospital (about four weeks); there-
after, the patient takes his medications without supervi-
sion.
57
In-Depth Assessment Report
6.7 Private institutions providing care for PLHA 6.7.2 Premier Hospital
Premier Hospital provides clinical care (including medical
6.7.1 Al Noury Hospital management of HIV/AIDS and tuberculosis, palliative
This is a missionary (Islamic faith-based) institution with care and counselling services) for people with HIV/AIDS
six doctors (two full-time and four part-time), 10 nurses, in the LGA. The mean annual turnover of in-patients in
two clinical officers, one laboratory technologist and 15 adult wards has been about 150 in the last three years –
volunteer health workers. Since 1990, the hospital has between five and 15 percent of them with HIV/AIDS. The
provided clinical care (including medical management of hospital sees five to 10 patients with AIDS-related illness
HIV/AIDS and tuberculosis, palliative care and coun- each month and demand for care is increasing.
selling services) for people with HIV/AIDS in the LGA.
The catchment area population is around five million, of Patients with TB are treated at the facility and pay for
whom an estimated half million need HIV care. The hos- their drugs. All TB patients are screened for HIV after
pital had an annual in-patient turnover of between 420 counselling. The hospital does not use DOTS strategy.
and 630 patients during the1998-2000 period; HIV/AIDS The total number of TB cases managed at this facility
patients probably constituted 0.5 to 1.1 percent of the ranges from five to16 per annum. Respondents from this
total. Demand for HIV/AIDS clinical care has been institution said nothing about STDs, except that they had
increasing in the last few years. seen the national policy on STI/HIV/AIDS.
58
Kano State
It is important to note that certain constraints must be Three community leaders, one traditional ruler and two
addressed before PLHA can be successfully cared for and religious leaders, were identified as gatekeepers. They
supported. These include: the present lack of coordina- indicated varying degrees of acceptance of the challenge
tion/linkages between care and support providers of posed by HIV/AIDS in the community and willingness to
HIV/AIDS activities, inadequate knowledge and skills actively participate in interventions. The leaders are
regarding current concepts in the management of STIs, TB involved in awareness activities and in decision-making
and HIV/AIDS, no SACA or LACA at the state and LGA for local health actions – most importantly at the imple-
levels and scant availability of drug availability at the mentation level. While two of the men indicated interest in
facilities. caring for a relative with HIV-related illnesses, the third
said he would refuse to participate in intervention activi-
Efforts must be made to improve community awareness ties. He even questioned the methodology adopted in pro-
and participation and to encourage the formation and gramming and donor intentions.
strengthening of community-based care and support It is important to note that secondary school principals
groups for PLHA. Advocacy at all levels of government, (who were supposed to be interviewed under community-
training and re-training of health personnel and re-orien- leader category) were unwilling to participate in the exer-
tation of health facilities to provide HIV/AIDS care and cise. This could be attributed to the lack of sensitisation
support would greatly improve the present situation. and advocacy on the part of agencies responsible for
Better coordination of all parties involved in HIV/AIDS HIV/AIDS programmes.
issues would doubtless aid care and support programs in
the LGA.
Major community groups
Names of Community Groups Activities Carried Out by
the Group
6.8.1 Society for Women and AIDS in Nigeria (SWAAN)
SWAAN provides free services for PLHA: counselling, Kundila Youth
home-based care, some support for motherless babies and Development Association
orphanages and a weekly HIV/AIDS clinic service run by
Vigilante Group Security
a member physician. The organisation began its
HIV/AIDS-related activities in 1996. Funding for
SWAAN is mostly through international donors (75 per-
cent), with individual donors, local fund-raising activities
and membership dues making up the rest. The group had
95 PLHA registered with them (57 males, 38 females) by
December 2000. They have one full-time trained counsel-
lor and 21 part-time counsellors. Most were trained by
SWAAN Lagos or at the Kano branch. Services offered
include pre- and post-test counselling, on-going, family
planning and nutritional counselling.
59
In-Depth Assessment Report
60
Kano State
Notes
61
In-Depth Assessment Report
Notes
62
Kano State
Notes
63
Family Health International implements the USAID IMPACT Project
in partnership with the Institute of Tropical Medicine, Management Sciences for Health,
Population Services International, Program for Appropriate Technology in Health
and the University of North Carolina at Chapel Hill
www.fhi.org