REVIEW OF COMMUNITY BASED DISTRIBUTION IMPACTS ON 95-95-95 GOALS AMONG KEY POPULATIONS IN ZAMFARA STATE, NORTHWESTERN NIGERIA.

Abstract

Community-Based Distribution, one of the methods used in Differentiated Service Delivery, involves taking HIV treatment, care, and services to the key population in their communities through trained healthcare providers. This approach has been shown to have positive impacts on the outcomes of HIV care and services. The study was a retrospective study involving pooling data from the client’s clinical notes and electronic records using observational method over a period of forty months between November 2021 and February 2025 which were then analysed using simple statistical methods. Between November 2021 and February 2025, a total number of 64,455 key population were tested; out of which 5,965 (9.3%) were tested positive. Among those tested positive: men who had sex with men, 464 (7.5%), Female sex workers 1,271 (21.3%), Sexual partners of HIV positive clients 1,651 (27.7%), People who inject drugs, 4,298(41.9%). Numbers tested at community levels 53,758(92.0%) while 4,732(8.1%) were tested at the central facility. Numbers currently on HIV treatment 5,875(98.8%); those virally suppressed 5,868(99.9%) while retention rate stood at (99.9%) as at Feb 2025. The cervical cancer screening rate in the period under review was 29.3%. Community based distribution under differentiated service delivery model has significantly enhanced the achievement of 95-95-95 goals among Key populations living with HIV in Zamfara, however, there is low rate of cervical cancer screening in the state.