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Evaluating Behavior Change Among SW in Nigeria

Evaluating Behavior Change Among SW in Nigeria. By: Oladosun Muyiwa , PhD Charles Ayo Toriola Femi Oladosu [ MiraMonitor Consulting, Ltd (MMC)] VENUE: NMEMS, Abuja DATE: September 26, 2011. . Mission of MMC .

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Evaluating Behavior Change Among SW in Nigeria

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  1. Evaluating Behavior Change Among SW in Nigeria By: OladosunMuyiwa, PhD Charles Ayo Toriola Femi Oladosu [MiraMonitor Consulting, Ltd (MMC)] VENUE: NMEMS, Abuja DATE: September 26, 2011.

  2. Mission of MMC • To provide quality consultancy services on human development projects to clients in a timely and speedy fashion . • To serve as information powerhouse on best practices in social and human development issues using top-of-the-line approach.

  3. Objectives of MMC (1) • Design and implement evidence-based monitoring and evaluation framework and systems. • Provide products and services to companies and organizations in a timely and effective fashion.

  4. Objectives of MMC (2) • Provide conceptually sound advice on effective project implementation and management. • Conduct independent cutting edge studies and investigation on gray areas of human development towards improving quality of life.

  5. MMC Core Areas • Social & Health Research (Quantitative & Qualitative) • Project Monitoring & Evaluation • Quality Assessment & Control • Capacity Building • Management & Logistics Support

  6. The AIDS Impact Mitigation (AIM) Project • Four year project (October 2006 to October 2010) • Implemented in 15 states • Areas of Intervention: Brothel-Based FSWs, FSW Clients, OSY, OVC, Caregivers, BCS recipients

  7. Evaluation Methodology (1) • Participatory Approach: Consultation with key stakeholders (WIA staff, IPs staff, and other stakeholders • Ex-post comparison design: (both qualitative & quantitative approaches) • Review of documents

  8. Evaluation Methodology (2) • Quantitative: Sample Size, 547 • Qualitative: Six FGDs

  9. Findings (1) Project Objective 1: Prevent HIV Transmission by Reducing Vulnerability Amongst FSW % of FSW by indicators of exposure to HIV prevention messages

  10. Findings (2) Objective 2: Strengthened Capacity of Stakeholders (including FSW) % of FSW according to types of business skills trainings received on IGA

  11. Findings (3) Quantitative Findings

  12. Findings (4) Impact of HIV Prevention Activities (1) • FSW Behavior Change (1): • Most (88%) were still on sex trade • Majority (83%) reported that PE & mentoring • training received change their behavior.

  13. Findings (5) Impact of HIV Prevention Activities (2) • FSW Behavior Change (2): • 19% reduction in number of sexual partners. • 85% reported using condoms always • 27% reported increased risk of HIV awareness

  14. Findings (6) FSW Involvement in IGA Activities: • Over half (53%) were involved in IGA. • 18% reported stopping sex work as result of IGA activities. • Majority (93%) expressed desire to leave the trade.

  15. Findings (7) FSW Ratings of Services (1): Percentage distribution according to FSW ratings on peer education and mentoring, and IGA services received

  16. Findings (8) FSW Ratings of Services (2): • The majority of FSW reported that PE & mentoring program was satisfactory (43%) or very satisfactory (37%). • Only 14% rated IGA as satisfactory or 18% as very satisfactory.

  17. Lessons Learnt Impact of program felt more in urban than rural areas Exposure to information on risky sexual behavior can result in positive change among FSW

  18. Conclusions (1) Urban vs. rural difference in access and impact of services. FSW had challenges in transitioning to other trade mainly due to lack of facilities (getting a shop, paying for the shop, materials) Transition had to be done quick when desire was still high

  19. Conclusions (2) Self efficacy to transition to other trade was weak because it involves making hard sacrifices There is the need to continue working with FSW to and scale-up to include others

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