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SPEED

The project aims at enhancing the capacity of subnational levels of government towards improving coordination, coverage and quality of HIV/AIDS services, and ultimately achieving epidemic control of HIV in the target States of Nigeria. ECEWS ( Excellent Community Education Welfare Scheme) is currently a recipient of the Centre for Disease Control and Prevention (CDC) to Implement a 5-yrs grant GH-1753 (October 2022 – September 2027) titled “Delivering Comprehensive and Sustainable HIV/AIDS Clinical and Community Services to achieve HIV Epidemic control in Subnational units in Nigeria under the president’s Emergency Plan of AIDS Relief (PEPFAR)

Child Birth

In a bid to ensure there is a decrease in FSW mortality rate, RWHARI provided foodstuffs that can last a month for 139 FSW who are mothers who are hungry and also provided Maternal Health Care Support for 25 Pregnant mothers who are FSW in Agege, Ijora and Ọjọ Local government Area Lagos state. In the Year under review, RWHARI provided services such as step-down training for 4 gatekeepers, Advocacy visits to stakeholders, Screening of eligible participants, referring of peers for STI syndromic management, monthly food distribution, Pre and Post Natal Care and other continuum of care in a Safe space. 00 FSWs participated in 15 focus group meetings through which 211 FSW deaths were identified. Of these reported deaths, 38·9% occurred in 2019 and 37·2% were among women aged 20-29. Causes of death included abortion (35·5%), other maternal causes (16·6%), suicide (13·6%), murder (12·5%), unclassified causes (11·6%), HIV/AIDS (7·9%), and accidents (3·2%). A total of 369 children lost their mothers. Maternal death comprised the leading cause of FSW mortality in our sample. The maternal health project is a program which looks after the well-being of Female Sex Workers and their children on issues regarding their health and feeding. As a result of this, Global Health Promise (USA) collaborated with RWHARI to ensure the successful implementation of the maternal health project, where Global Health Promise is the funder of the Maternal health project and RWHARI is the implementing organization for the maternal health project in Lagos. During the reporting year, RWHARI provided a monthly food distribution for one hundred thirty mothers (139) and twenty-five (25) pregnant mothers enrolled in antenatal care in different hospitals closer to them and thirteen (13) out of the mothers who were registered for Prevention of Mother To Child Transmission and Antenatal Care all have a successful vaginal delivery except Comfort who delivered via cesarean section.

MHP

food insecurity for Female sex workers who are mothers / Fsw Maternal health In collaboration with Global Health Promise (GHP) Female sex workers (FSW) are a vulnerable population at high risk for adverse health outcomes, including premature mortality. However, the vast majority of studies On FSW health focus on morbidity, particularly on HIV, especially in low- and middle-income countries (LMIC). Although understanding the causes of morbidity Among FSWs is important, mortality in this population is relatively understudied. While some documented morbidities among FSWs also contribute to mortality, such as HIV, there are other sources of mortality among FSWs that are not well-described or captured by research on morbidity. Access barriers include distance to health care services, limited financial means, fear of being exposed, lack of confidentiality, and discriminatory treatment by health care providers. During the reporting year, the Royal Women Health and Rights Initiative conducted research on food insecurity and maternal health and provided information and follow-up for FSW within the age range of 18-35 years which was funded by Global Health Promise in Lagos State. The vast majority of studies on female sex workers (FSW) focus on causes of morbidity while data on causes of mortality are scarce. In low- and middle-income countries, where civil registry and vital statistics data are often incomplete and FSWs may not be identified as such in official registries, identifying causes of mortality among FSWs has proven challenging. As part of a larger investigation on the maternal health of FSWs, the current study used the Community Knowledge Approach (CKA) to identify causes of mortality among FSWs in LMIC across three global regions in 2019. The CKA, validated to identify maternal, neonatal, and jaundice-associated deaths among women living in a community, was employed to identify deaths of any cause among communities of FSW. Study participants, recruited by in-country partner non-governmental organizations (NGOs) working with local FSW, provided detailed information about FSW deaths in their communities.

HTS

RWHARI is a community-led organization with a focus on the health and rights of women. She leads the effort of HIV prevention, treatment, care and support in Nigeria by identifying new positives among the FSWs community, ensuring FSWs in hard-to-reach areas get tested and receive results. Ensure that client's drug refills and Viral loads are carried out for eligible clients. Also, RWHARI made sure that FSWs who received negative test results were offered PrEP, Urinalysis tests carried out and eligible clients were placed on PrEP. Again we ensure that partners of index clients get tested by offering PNS to our positive clients.

FIMH

In January 2024, the Royal Women Health and Rights Initiative implemented the food insecurity and maternal health project in Lagos for 27 FSWs within the age range of 18-35 years which was funded by Global Health Promise America. In a bid to ensure there is a decrease in FSW mortality rate RWHARI providedfoodstufff that can last a month for 29 FSW who are mothers and are hungry, she also provides Maternal Health Care Support for 12 Pregnant mothers who are FSW in Agege, Ijora, and Ọjọ Local government Area Lagos state. Where 6 pregnant moms had a successful delivery with no complications and 1 pregnant mom who had complications had a successful cesarian section. The food insecurity and maternal health project not only provides foodstuffs for the moms this time around but also caters to some of their needs through the provision of accommodation for our homeless mother and their kids and taking care of every eligible sick child we come across.