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In Nigeria’s fight against HIV, extremely marginalized populations face unique health challenges that require a tailored human rights-based response. Men who have sex with men (MSM), female sex workers (FSW), and people who inject drugs (PWID) are at high-risk for HIV and HIV- positivity rates amongst these populations (22.9%, 14.4% and 3.4%, respectively) are significantly higher than that of
the general population (2.9%). Key populations account for around 32% of new HIV infections in the country (NACA 2015). Nonetheless, these “key populations” (KP) receive little attention from healthcare providers and social service agencies.

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