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RECOMMENDATIONS

The following recommendations are made based on findings from this study:

 The health educators in the Local Government Areas should organize periodic health education sessions for traders in markets under the supervision of the Medical Officers of Health. Mother to child transmission of HIV should be emphasized during these sessions.

There is also the need to address the misconceptions about HIV transmission, prevention and cure.

 The market leaders should be involved in the organization of the health education in order to ensure the effective mobilization of the traders

 The participation of a PLWHA as a facilitator during the health education programme in this study gave a human face to HIV. Therefore the Medical Officers of Health should identify individuals in their communities who are HIV positive and have disclosed their status publicly and in addition are knowledgeable about HIV to act as facilitators during the health education sessions. This can be done through support groups for PLWHA.

This will give the traders the opportunity to know someone who is HIV positive and healthy which in turn could erase the fear of death associated with HIV thereby reducing stigmatizing attitude among the traders.

 The health educators should also create awareness about HIV counseling and testing centres during the health education sessions as this would increase the uptake of HCT among the traders.

 Further research is recommended to asses sustained changes in stigma related attitude over time.

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107 APPENDIX

Appendix I Dissertation Title Approval Appendix II Ethical Committee Approval

Appendix III Letter of Introduction to Medical Officers of Health Appendix IV Questionnaire

Appendix V Focus Group Discussion Guide Appendix VI PRECEEDE Model Chart

Appendix VII List of Model Markets in Lagos State

Appendix VII Pictures taken during Focus Group Discussions and Health Education

108