#009: Helping the most marginalised to access key services in Nigeria | Ochonye Bartholomew Boniface

One Step Forward

“OBB” is a Nigerian public health professional and advocate who works with the LGBT population, drug users, sex workers, and the HIV-positive. Over the last 10 years he has been managing a large program for these key population groups, for Heartland Alliance International. The work can only be described as a calling, in an often very difficult context. The Same Sex Marriage (Prohibition) Act of 2013 was a step in the wrong direction, and alongside this there is a great deal of pushback from cultural and religious institutions. Show notes: [02:05] Working to address stigma and discrimination for the LGBTQ population in Nigeria, including access to health and social care. [12:15] Working with often-unsympathetic government stakeholders. Facilitating cultural change alongside engaging with technical challenges. [19:45] First steps for starting up programmes in new contexts and new communities. Variations between different parts of Nigeria. [25:15] OBB’s own story, and how he came to be an advocate for people marginalised by mainstream health and social care. [30:20] Staying motivated in the transition from social work to managing an organisation, and losing most of his direct client contact. Major takeaways over 18 years working on these issues. [38:30] Common mistakes in engaging with marginalised groups. Experiences in north-east Nigeria amidst an ongoing armed conflict. [44:45] How to work effectively in a hostile policy environment. Dealing with a major setback in the form of the Same Sex Marriage (Prohibition) Act. [57:00] OBB’s book recommendation, and a final word for organisations looking to support marginalised communities in contexts like Nigeria.