NIGERIA 2018 HIV/AIDS INDICATOR AND TECHNICAL IMPACT SURVEY REPORT PARTNERS NIGERIA HIV/AIDS INDICATOR AND IMPACT SURVEY (NAIIS) 2018 TECHNICAL REPORT NAIIS 2018 Collaborating Institutions Federal Ministry of Health, Nigeria (FMoH) National Agency for the Control of AIDS, Nigeria (NACA) National Population Commission, Nigeria (NPopC) National Bureau of Statistics, Nigeria (NBS) The United States Centers for Disease Control and Prevention (CDC) The Global Fund to Fight AIDS, Tuberculosis and Malaria (GF) Center for International Health, Education and Biosecurity (CIHEB) at the University of Maryland, Baltimore (UMB) ICF International African Field Epidemiology Network (AFENET) University of Washington (UW) The Joint United Nations Programme on HIV and AIDS (UNAIDS) World Health Organization (WHO) United Nations Children’s Fund (UNICEF) Donor Support and Disclaimer This project is supported by the President’s Emergency Plan for AIDS Relief (PEPFAR) through the Centers for Disease Control and Prevention (CDC) under the Cooperative Agreement #U2GGH002108 to the University Of Maryland, Baltimore and by the Global Fund to Fight AIDS, Tuberculosis and Malaria through the National Agency for the Control of AIDS, Nigeria, under the contract #NGA-H-NACA to the University of Maryland, Baltimore. The findings and conclusions of this report are those of the authors and do not necessarily represent the official position of the funding agencies. Suggested Citation Federal Ministry of Health, Nigeria. Nigeria HIV/AIDS Indicator and Impact Survey (NAIIS) 2018: Technical Report. Abuja, Nigeria. October 2019. Access This Report Online www.ciheb.org/PHIA Contact Information Federal Ministry of Health National Agency for the Control of AIDS New Federal Secretariat Complex No.3 Ziguinchor Street Phase 3 Wuse Zone 4, Abuja Ahmadu Bello Way Phone: +234 9 4613726 PMB 083 Garki, Abuja Email: [email protected] Phone: +234 9 5238362 Website: www.naca.gov.ng Email: [email protected] Website: www.health.gov.ng 1 CONTENTS Contents ............................................................................................................................................2 Glossary of Terms ..............................................................................................................................4 List of Abbreviations ..........................................................................................................................6 List of Tables and Figures ..................................................................................................................8 Foreword ..........................................................................................................................................11 Executive Summary ..........................................................................................................................12 1. Introduction ............................................................................................................15 1.1 Background ............................................................................................................................... 15 1.2 Overview of NAIIS 2018 ............................................................................................................ 15 1.3 Specific Objectives .................................................................................................................... 16 1.4 References ................................................................................................................................. 16 2. Survey Design and Methodology ............................................................................17 2.1 Study Area ................................................................................................................................. 17 2.2 Sampling Methods .................................................................................................................... 18 2.3 Eligibility Criteria, Recruitment and Consent Procedures .........................................................21 2.4 Survey Implementation ............................................................................................................. 21 2.5 Laboratory ................................................................................................................................. 24 2.6 Data Processing and Analysis .................................................................................................... 25 2.7 Ethical Considerations ............................................................................................................... 25 3. Response Rate ...........................................................................................................26 3.1 Background ............................................................................................................................... 26 3.2 Results ...................................................................................................................................... 26 3.2.1 Key Findings .............................................................................................................................. 26 3.3 References ................................................................................................................................. 26 4. Survey Household Characteristics ..........................................................................29 4.1 Background ............................................................................................................................... 29 4.2 Household Composition ............................................................................................................ 29 4.3 Results ....................................................................................................................................... 29 4.3.1 Key Findings .............................................................................................................................. 29 5. Survey Respondent Characteristics ........................................................................41 5.1 Background ............................................................................................................................... 41 5.2 Demographic Characteristics of the Adult Population ..............................................................41 5.3 Results ....................................................................................................................................... 41 5.3.1 Key Findings .............................................................................................................................. 41 6. HIV Incidence ............................................................................................................45 6.1 Background ............................................................................................................................... 45 6.2 Results ....................................................................................................................................... 45 6.2.1 Key Findings .............................................................................................................................. 45 7. HIV Prevalence .........................................................................................................47 7.1 Background ............................................................................................................................... 47 7.2 Results ....................................................................................................................................... 47 7.2.1 Key Findings .............................................................................................................................. 47 2 NAIIS 2018 Technical Report 8. Self-Reported HIV Testing ........................................................................................59 8.1 Background ............................................................................................................................... 59 8.2 Results ....................................................................................................................................... 59 8.2.1 Key Findings .............................................................................................................................. 59 9. HIV Diagnosis and Treatment ..................................................................................67 9.1 Background ............................................................................................................................... 67 9.2 Results ....................................................................................................................................... 67 9.2.1 Key Findings .............................................................................................................................. 67 9.3 References ................................................................................................................................. 67 10. Viral Load Suppression ............................................................................................77 10.1 Background ............................................................................................................................... 77 10.2 Results ......................................................................................................................................