An AIDS-free world through the full decentralisation of HIV services: a proof-of-concept study

Oleribe, O E O; Nwachukwu, Chukwuemeka E; Akande, S F; Osita-Oleribe, Princess; Nkwopara, F; Ekom, Ekei; Ojetunde, B; Akagwu, O; Nsubuga, Peter

doi:10.1016/s0140-6736(13)62249-7

Cited by 1 publication

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“…The HIV-infected clients expressed delight that the stigma and discrimination previously experienced by them as a result of having special clinic days and separate rooms for consultation had been eliminated. They were free to walk into any part of the facilities without being tagged [ 13 ].…”

Section: Resultsmentioning

confidence: 99%

“…Despite the current decentralization, there is little evidence for improving access and adherence among vulnerable groups such as women, children and adolescents, and other high-risk populations and for addressing major barriers [ 12 ]. To address this, reduce cost of management and ensure sustainability of care – even post-funding era, Excellence and Friends Management Consult (EFMC) conceptualized commonization as a key necessity to a world free of HIV and AIDS [ 13 ]. The commonization of HIV services comprises, but is not limited to, decentralization and availability of services where people live and work, training of all healthcare workers to conduct daily clinics for HIV-infected patients as well as patients with other morbidities, thus, fully integrating HIV services into the fabrics of the hospital system.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Commonization of HIV/AIDS services in Nigeria: the need, the processes and the prospects

Oleribe¹,

Oladipo²,

Osita-Oleribe³

et al. 2014

Pan Afr Med J

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IntroductionWith the first case of Human Immunodeficiency Virus infection/Acquired Immunodeficiency Syndrome (HIV/AIDS) identified in 1986, the management of HIV/AIDS in Nigeria has evolved through the years. The emergency phase of the HIV/AIDS program, aimed at containing the HIV/AIDS epidemic within a short time frame, was carried out by international agencies that built structures separate from hospitals’ programs. It is imperative that Nigeria shifts from the previous paradigm to the concept of Commonization of HIV to achieve sustainability. Commonization ensures that HIV/AIDS is seen as a health condition like others. It involves making HIV services available at all levels of healthcare.MethodsExcellence & Friends Management Consult (EFMC) undertook this process by conducting HIV tests in people's homes and work places, referring infected persons for treatment and follow up, establishing multiple HIV testing points and HIV services in private and public primary healthcare facilities. EFMC integrated HIV services within existing hospital care structures and trained all healthcare workers at all supported sites on HIV/AIDS prevention, care and treatment modalities.ResultsCommonization has improved the uptake of HIV testing and counseling and enrolment into HIV care as more people are aware that HIV services are available. It has integrated HIV services into general hospital services and minimized the cost of HIV programming as the existing structures and personnel in healthcare facilities are utilized for HIV services.ConclusionCommonization of HIV services i.e. integrating HIV care into the existing fabric of the healthcare system, is highly recommended for a sustainable and efficient healthcare system as it makes HIV services acceptable by all.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%