Reducing provider-held stigma and improving young client satisfaction in strengthening integrated delivery of and access to comprehensive HIV and sexual/reproductive health and support services for MSM in Lagos, Nigeria

Riding on the success of the one-stop shop community health center, in 2016 the Elton John AIDS Foundation engaged the Population Council to implement an integrated model providing comprehensive HIV and sexual and reproductive health and support services to men who have sex with men (MSM) in Lagos, Nigeria. The two-year project was designed to deploy a “hub and spoke” peer-led (or peer navigation) model to integrate comprehensive MSM-friendly HIV and sexual and reproductive health (SRH) services in public health facilities in Lagos state. This brief summarizes findings from the study which sought to reach 9,500 MSM with HIV testing services, and link and retain those in care who test HIV positive and/or present with a sexually transmitted infection. Findings indicate that despite rising homophobia in Lagos, the peer navigation hub and spoke model is a viable strategy for the integration of comprehensive HIV prevention, treatment, and SRH services for MSM in public health facilities