Human immunodeficiency virus screening in rural communities of Rivers State, Nigeria: Challenges and potential solutions

Tobin-West, Charles; Onyekwere, Victor N

doi:10.4103/1596-3519.142281

Cited by 2 publications

(5 citation statements)

References 31 publications

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“…Health facility target numbers for new PWH diagnoses and ART initiations were commensurate with planned testing and treatment linkage scale-up, higher than the total number of people seeking care in health facilities. Moreover, rural populations and populations at risk for HIV acquisition may not seek care in health facilities in Nigeria, whether because of distance, cost, or dissatisfaction with services [5][6][7]. In other sub-Saharan African settings, community-based testing increases testing coverage among youth [8], and when coupled with immediate ART for those testing positive, is associated with retention in care among men [9].…”

Section: Discussionmentioning

confidence: 99%

Scale-up of antiretroviral treatment access among people living with HIV in Rivers State, Nigeria, 2019--2020

Boyd

Ogbanufe

Onyenuobi

et al. 2021

Aids

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The aim of this study was to describe and evaluate the impact of the programme intervention of the Rivers State Antiretroviral Treatment (ART) Surge, a collaboration between the US President's Emergency Plan for AIDS Relief (PEPFAR) and the State Ministry of Health, to increase HIV case-finding and ART access in Rivers State, the state with the largest ART gap among people living with HIV (PWH) in Nigeria.Design: During April 2019ÀSeptember 2020, the intervention included six specific strategies: using local government area-level ART gap analysis to guide case-finding; expanding targeted community testing; tailoring comprehensive key population HIV services; engaging HIV treatment programme stakeholders; synchronizing team efforts; and using near real-time data for programme action.Methods: Weekly reported facility and community data on tests conducted, PWH diagnosed, and PWH initiated on ART were aggregated. The total number of PWH maintained on ART was reported quarterly.Results: During May 2019ÀSeptember 2020, the weekly number of newly diagnosed PWH initiated on ART supported by PEPFAR in Rivers State increased from 82 to 1723. During October 2019ÀSeptember 2020, the monthly number of people screened for HIV testing eligibility in the community increased from 44 000 to 360 000. During April 2019ÀSeptember 2020, the total number of PWH on ART supported by PEPFAR statewide increased by 3.8 times, from 26 041 to 99 733. Conclusion:The strategies applied by HIV program stakeholders contributed to scaleup of PWH identification and ART linkage within the Rivers State ART Surge. Continued

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Section: Discussionmentioning

confidence: 99%

Scale-up of antiretroviral treatment access among people living with HIV in Rivers State, Nigeria, 2019--2020

Boyd

Ogbanufe

Onyenuobi

et al. 2021

Aids

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“…4 Another study evaluated the challenges of HIV screening in Port-Harcourt, Rivers state found that the major barriers to HIV testing were poor HIV risk perception, fear of stigmatization and other negative consequences of being HIV positive. 6 In Enugu, Nigeria, unwillingness to the screen was associated with the feeling of not being at risk, fear of a test outcome (positive result) and the cost of the test. 17 The result of a study conducted in Burkina-Faso revealed that the poor of positive outcome was the major reasons why people were unwilling to screen.…”

Section: Discussionmentioning

confidence: 99%

“…All these reason makes the women more vulnerable to HIV than men. 6 Disproportionate HIV infection among women have been reported in Nigeria: 55.6% of the 1.8 million infected adults in 2018 were women. 20 Also, studies have shown that new infections among women have almost double that of men 20 , which has been attributed to certain factors such as violence, or rape against women and the violation of women's human rights.…”

Section: Discussionmentioning

confidence: 99%

“…23,25,26 The raised HIV vulnerability among younger Nigerians is attributed to the absence of the right sexual and reproductive health services. [4][5][6]12…”

Section: Discussionmentioning

confidence: 99%

“…5 A study conducted in Rivers State identifi ed low perception of HIV risk, fear of positive HIV test result, fear of stigmatization, fear of discrimination, lack of trust on confi dentiality by health workers. 6 Low perception of sexual risk was identifi ed as a major barrier for HIV testing in Uganda; 4 stigmatization and limited information were identifi ed as the major barriers in China; 7 fear of positive HIV result and the unfavorable consequences, and misconception of HIV were identifi ed as barriers to HIV testing in Zambia. 8 Allied workers in rural areas are vulnerable to HIV infection because of their separation from spouses and their exposure to sex workers.…”

Section: International Journal Of Occupational Safety and Health (Ijosh)mentioning

confidence: 99%

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Voluntary Counselling and Testing for HIV Among Allied Workers in Rural Area of Nigeria: Evaluation of Community-Based Interventions

Onoja¹,

Sanni²,

Abiodun³

et al. 2020

Int J Occup Safety & Health

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Background: Knowledge of human immunodeficiency virus status is a key tool in the fight against the spread of the human immunodeficiency virus epidemic. Objectives: This study sought to evaluate the impact of community-based intervention towards the prevention and control of human immunodeficiency virus on the voluntary testing for human immunodeficiency virus among allied workers in rural Bonny Kingdom of Rivers, State, Nigeria. Methods: The study comprised two quantitative surveys; the baseline survey conducted before a three years human immunodeficiency virus prevention intervention programs and the post-intervention survey conducted after the interventions. A structured questionnaire was employed to collect information from a representative sample of the allied workers aged 15–49 years. The questionnaire item for this survey is broadly divided into six categories comprising the basic socio-demographic information, the knowledge of HIV testing, desire for HIV testing, self and solution efficacy; access to products and services including voluntary counselling and testing. Data were analyzed using SPSS version 25.0. Results: The study comprised 419 participants in the baseline and 587 in the post-intervention survey. The overall knowledge of voluntary counselling and testing services was 76.8% of which 37.5% have been tested and 88.9% of which 68.0% have been tested at both surveys. Three of every 5(67.0%) had the desire to be tested at baseline while- 4 of every 5(81.1%) were willing to be tested at post-intervention. The major reasons for unwillingness to be screened include poor perception about voluntary counselling and testing and feeling of not being at risk. The prevalence of human immunodeficiency at baseline was 8.5% and 2.0% at the post-intervention survey with a prevalence ratio of 4.3 (p<0.0001]. HIV prevalence was 12.4% among women compared 4.8% in men at baseline. The prevalence among adolescents was12.0% and 10.1% among singles. Conclusions: This study has demonstrated that the struggle to prevent and control human immunodeficiency can be successful if intervention programs are put in place, particularly in rural communities where acquired immunodeficiency syndrome related information is limited.

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Human immunodeficiency virus screening in rural communities of Rivers State, Nigeria: Challenges and potential solutions

Cited by 2 publications

References 31 publications

Scale-up of antiretroviral treatment access among people living with HIV in Rivers State, Nigeria, 2019--2020

Scale-up of antiretroviral treatment access among people living with HIV in Rivers State, Nigeria, 2019--2020

Voluntary Counselling and Testing for HIV Among Allied Workers in Rural Area of Nigeria: Evaluation of Community-Based Interventions

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