Authors: Usman ZN, Dahiru HM, Sadiq A, Oyaromade A, Ufene M.

CITATION: Usman ZN, Dahiru HM, Sadiq A, Oyaromade A, Ufene M. (2025). Review of Community-Based Distribution’s Impact on 95-95-95 Goals among Key Populations in Zamfara State, Northwestern Nigeria. Frontline Professionals Journal 2(9), 143-148

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 the observational method over a period of forty months between November 2021 and February 2025, which were then analyzed using simple statistical methods. Between November 2021 and February 2025, a total number of 64,455 key populations were tested, out of which 5,965 (9.3%) tested positive. Among those who 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%); and people who inject drugs, 4,298 (41.9%). Numbers tested at community levels were 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 the retention rate stood at 99.9% as of Feb 2025. The cervical cancer screening rate in the period under review was 29.3%. Community-based distribution under the 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 a low rate of cervical cancer screening in the state.