{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T00:08:24Z","timestamp":1777853304662,"version":"3.51.4"},"reference-count":17,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100004417","name":"Global Fund to Fight AIDS, Tuberculosis and Malaria","doi-asserted-by":"publisher","award":["1373.0003- BL607"],"award-info":[{"award-number":["1373.0003- BL607"]}],"id":[{"id":"10.13039\/100004417","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Assoc Provid AIDS Care"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This mixed-method cross-sectional study identified different barriers faced by key population in accessing HIV services hindering epidemic control on National Aligned HIV\/AIDS Initiative (NAHI) in Nigeria.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methodology<\/jats:title>\n                    <jats:p>Data were collected from 1932 participants (\u226518 years) in 12 NAHI states using structured surveys and analyzed with SPSS. Focus Group Discussion and Key Informant Interview were conducted among 312 KPs and 12 health workers respectively and thematically analyzed using NVivo.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      From 1932 respondents, 40% were Female Sex Workers (FSW), 37% Men who have Sex with Men (MSM) and 24% People who inject drugs (PWID). About 82% self-reported receiving HIV testing, 67% accessed prevention services and 63% currently receiving ART treatment among participants. Major barriers faced by KP included distance to facilities (57%), financial constraints (30%) and stigma (24%). Socioeconomic status significantly predicted risky behaviors (\n                      <jats:italic toggle=\"yes\">R<\/jats:italic>\n                      \u2009=\u20090.201,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Qualitative findings highlighted abuse and violence, attitude of health workers, mental health, homelessness and drug stock-outs, as barriers.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Structural, biomedical, and behavioral barriers hinder HIV epidemic control among KPs in Nigeria. Multilevel interventions addressing commodity supply, socioeconomic support, abuse and stigma reduction are critical to improve HIV outcomes in Nigeria.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23259582261423609","type":"journal-article","created":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T13:18:20Z","timestamp":1775740700000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Barriers to HIV Prevention and Treatment Services in Achieving Epidemic Control Among Key Population in Nigeria: An Implementation Science Study on NAHI Project"],"prefix":"10.1177","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-7841-8121","authenticated-orcid":false,"given":"Ganiyat O","family":"Kareem","sequence":"first","affiliation":[{"name":"FHI 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Stigmatization and criminalization of key populations in Nigeria: Implications for HIV services. AIDS Behav. 2021;25(4):1125\u20131136.","journal-title":"AIDS Behav."},{"issue":"1","key":"e_1_3_4_11_2","first-page":"1","article-title":"HIV Prevention and treatment services for key populations in Nigeria: A review","volume":"19","author":"Idoko P","year":"2020","unstructured":"Idoko P, Adebayo SB, Abiodun LO. HIV Prevention and treatment services for key populations in Nigeria: A review. J HIV AIDS Soc Serv. 2020;19(1):1\u201312.","journal-title":"J HIV AIDS Soc Serv."},{"issue":"1","key":"e_1_3_4_12_2","first-page":"1","article-title":"HIV Testing and treatment among key populations in Nigeria: A systematic review","volume":"12","author":"Oladele AK","year":"2021","unstructured":"Oladele AK, et al. HIV Testing and treatment among key populations in Nigeria: A systematic review. 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