hepVoice Vol 33 February 2019 | Page 12

Examples from around the world Through the Find the Missing Millions campaign, we are highlighting best practice and innovations in screening and testing so that other organisations can learn and develop their national activities. Each month we profile a successful diagnosis initiative in hepVoice. This month, we are highlighting the efforts of WHA member Beacon Youth Initiative (BYI) in Nigeria. Engaging with the community in Nigeria Over the past six years, BYI has conducted a number of hepatitis programmes, engaging with policy makers, private companies and other civil society organisations to raise awareness of viral hepatitis, scale up screening and vaccinations, and to offer training to healthcare workers. In recent months they’ve turned their attention to finding the missing millions, seeking to increase diagnosis through community engagement. Nigeria has one of the highest hepatitis B burdens in the world. An estimated 25 million people live with the disease, equalling 11% of the country’s population. Sadly a large proportion of those living with this silent killer are unaware, due to low awareness and the high costs of diagnosis and treatment. In early February, BYI partnered with Doctors on the Move Africa, ZK Medical Konsults LTD and Federal Medical Centre Abuja to host a hepatitis programme in Zuba, on the outskirts of Abuja. A previous needs assessment conducted in the community found that over 96% of Zuba residents lacked basic knowledge on viral hepatitis. As a result, many of those living with the disease in the area remain undiagnosed and turn to ineffective alternative treatments to help alleviate symptoms. According to BYI, the region’s vaccination programme is also ineffective because of low availability and the poor storage of vaccines. BYI and their partners started organising the programme by contacting community leaders in Zuba through an advocacy and sensitization visit, mobilising the local community ahead of the programme to ensure high attendance. On the day of the programme itself, BYI and their partners offered hepatitis B vaccines, hepatitis B and C screening and testing, and distributed condoms to encourage safe sexual practices. Throughout the day they also educated the local population on viral hepatitis. Overall, they engaged with over 300 beneficiaries mostly between the ages of 7 and 87. One of the more interesting outcomes of the day was increased willingness from community leaders to take action for increased diagnoses in their community. At the same time, BYI also identified an increased demand for services on viral hepatitis from the local population pushing for action from the other side. True to BYI’s goal to find the missing millions, the day resulted in 98% of beneficiaries knowing their hepatitis B and C status for the first time ever. “96% of Zuba residents lacked basic knowledge on viral hepatitis. As a result, many of those living with the disease in the area remain undiagnosed” www.facebook.com/BeaconYouthInitiative 12 hep Voice FEBRUARY 2019 hep Voice FEBRUARY 2019 13