Knowledge, perception, access and utilisation of <scp>HIV</scp> counselling and testing among pregnant women in rural communities of Osogbo town, Nigeria

Olowokere, Adekemi Eunice; Adelakun, Oluyemi A.; Komolafe, Abiola Olubusola

doi:10.1111/ajr.12368

Cited by 10 publications

(10 citation statements)

References 11 publications

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“…It presents valuable opportunities to identify new infections, increase awareness of HIV status, and addresses the HIV related health disparities [17]. In addition, it alleviates anxiety, promotes behavioural change and facilitates early referral to care and support, including access to antiretroviral (ARV) drug therapy [18]. By implementing focused, high-impact prevention and accelerated HIV testing, it is expected that 95% of people living with HIV should know their HIV status by 2030 [19].…”

Section: Introductionmentioning

confidence: 99%

Correlates of uptake of HIV testing among children and young adolescents in Akwa-Ibom state, Nigeria: a secondary data analysis of the Akwa-Ibom aids indicator survey, 2017

Adetoro

Khamofu²,

Badru³

et al. 2021

BMC Pediatr

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Background In order to end the AIDS epidemic by 2030, there is a need to significantly reduce the rate of new infection among children and young adolescents. Identifying the correlates of testing behaviour is necessary to improve HIV testing campaigns by refining messages that target individuals in this age group. The objective of this study was to determine the correlates of HIV testing among children and young adolescents in Akwa-Ibom, Nigeria. Methods The outcome was a secondary data analysis of the 2017 Akwa-Ibom AIDS Indicator Survey. Data of 4037 children and young adolescents aged 0–14 years was assessed in this study. Analysis was done using STATA version 16. Chi-squared test and logistic regression models were used to measure association and its strength between uptake of HIV testing and some independent variables (child/caregiver’s age, sex, educational status, child’s location, caregiver’s knowledge of HIV and caregiver ever tested for HIV) at 5% significance level. Results Result showed that only 14.2% of the children and young adolescents have been tested for HIV. Previous history of blood transfusion (AOR = 5.33, 95%C.I = 2.60–10.92, P = < 0.001), caregiver’s level of education (AOR = 2.67, 95%C.I = 1.30–5.51, P = 0.008) and caregiver ever tested for HIV (AOR = 8.31, 95%C.I = 5.67–12.19, P = < 0.001) were significantly associated with uptake of HIV testing. Conclusion This study concludes that a large proportion of children and young adolescents in Akwa-Ibom state have never been tested for HIV. There is a need for HIV testing interventions to be targeted towards this age groups and their parents/guardian. Addressing the knowledge gap amongst caregivers especially in rural areas is crucial towards improving the effectiveness of HIV testing interventions.

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Section: Introductionmentioning

confidence: 99%

Correlates of uptake of HIV testing among children and young adolescents in Akwa-Ibom state, Nigeria: a secondary data analysis of the Akwa-Ibom aids indicator survey, 2017

Adetoro

Khamofu²,

Badru³

et al. 2021

BMC Pediatr

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“…[ 32 ] Nigeria has the second largest number of PLHIV; yet, the level of HIV test uptake is relatively low in Nigeria. [ 33 , 34 ] HIV testing is the basic in the HIV cascade. Individuals who had tested for HIV could perhaps have better knowledge about HIV prevention, including PrEP and PEP.…”

Section: Introductionmentioning

confidence: 99%

Awareness and use of pre-exposure and postexposure prophylaxes among Nigerian university students

et al. 2018

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Despite the recent advances in biomedical preventive strategies, young adults—especially adolescent girls— continue to be disproportionately at risk of acquiring HIV. To avert this trend, it is critical that access to HIV preventive strategies, such as pre-exposure prophylaxis (PrEP) and postexposure prophylaxis be expanded, especially in sub-Saharan Africa, where young adults are known to engage in risky sexual practices. This study examined awareness levels and use of pre-exposure prophylaxis (PrEP) and postexposure prophylaxis (PEP) among Nigerian university students.A cross-sectional survey was conducted among 800 students selected using stratified random sampling at 2 Nigerian universities. Descriptive and inferential statistics were used for data analysis on 784 complete responses.The levels of awareness of PrEP and PEP were 18.9% and 25.4%, respectively. Ever tested for human immunodeficiency virus [HIV] (AOR: 1.58; 95% CI: 1.04–2.42) and knowledge of partner's HIV status (AOR: 1.87; 95% CI: 1.25–2.79) were the significant determinants of awareness to PrEP. In contrast, only ever tested for HIV (AOR: 1.50; 95% CI: 1.02–2.19), knowledge of partner's HIV status (AOR: 1.55; 95% CI: 1.07–2.24), ever used condoms (AOR: 1.65; 95% CI: 1.04–2.62), and nude exchanges (AOR: 1.62; 95% CI: 1.13–2.31) were independent determinants of awareness of PEP. Only a few students had seen (5.6%) or used (1.5%) any prophylaxes.The study findings indicate a low level of awareness and use of PrEP and PEP. To ensure no one is left behind in the goal of elimination of new HIV infections, intervention to expand access to these preventive strategies is needed in the study settings.

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“…Specifically, the prevalence of HIV is 3.2% in Nigeria, but due to its huge population the country has the second largest number of people living with HIV (PLHIV) worldwidean estimated 3.2 million (Awofala & Ogundele, 2018). Yet the uptake of HIV testing is relatively low in Nigeria, especially among adolescents and youths (Ogaji et al, 2013;Amu et al, 2014;Olowokere, et al, 2018). Only 34% of people living with HIV in Nigeria know their status compared with 75% globally (UNAIDS, 2014).…”

Section: Introductionmentioning

confidence: 99%

“…However, empirical evidence on the association between HIV risk perceptions and the uptake of HIV testing is mixed (Khawcharoenporn et al, 2016). While there are studies that show that low HIV risk perception is associated with not testing for HIV (Marcus et al, 2016;Olowokere et al, 2018), another study did not find this association (Sisay et al, 2014). Thus, there is a gap in our understanding of the association between HIV risk perceptions and the uptake of HIV testing.…”

Section: Introductionmentioning

confidence: 99%

“…Thus, there is a gap in our understanding of the association between HIV risk perceptions and the uptake of HIV testing. Many studies have defined HIV risk perception as an individual's perception of his/her likelihood of contracting HIV (Marcus et al, 2016;Olowokere et al, 2018). The shortcoming of this definition is that an individual may have concerns about contracting HIV, despite rating himself/herself as unlikely to contract HIV.…”

Section: Introductionmentioning

confidence: 99%

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Concerns about contracting HIV, knowing partners’ HIV sero-status and discussion of HIV/STI with sexual partners as determinants of uptake of HIV testing

et al. 2018

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Worldwide, adolescents and young adults (aged 15–25 years) account for the highest proportion of new HIV infections, yet the uptake of HIV testing among this cohort is sub-optimal. Understanding factors that predict the uptake of HIV testing among adolescents and young adults is critical for designing effective and relevant interventions to increase testing. Drawing from the psychosocial constructs of the Health Belief Model, the study examined the effects of HIV risk perception, discussion of HIV with partners and knowing partners’ HIV status on HIV testing uptake among adolescents and young adults in two Nigerian universities. The study was conducted in 2018 and was cross-sectional in design, with a final sample of 784 male and female students selected using stratified random sampling. Adjusted and unadjusted logistic regression models were used to examine the effect of HIV risk perception, discussion of HIV with partners and knowing partners’ HIV status on HIV testing uptake. Only 50.6% of participants had ever tested for HIV with 30.7% being tested in the last year, with no significant differences by sex. After controlling for other covariates (age, sex and being sexually active), knowing partners’ HIV status, having discussed HIV with partners and being very concerned about contracting HIV were found to be significantly associated with ever being tested for HIV and recent HIV testing uptake. Uptake of HIV testing was found to be low in the study setting and fell short of the first ‘90%’ UNAIDS target. Age-appropriate strategies, targeting open communication on HIV/STIs and disclosure of sero-status between sexual partners are required to promote uptake of HIV testing among young adults and adolescents in Nigeria.

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Knowledge, perception, access and utilisation of HIV counselling and testing among pregnant women in rural communities of Osogbo town, Nigeria

Abstract: Many women selected from rural communities demonstrated good knowledge and perception of HIV counselling and testing. The majority of them also had access to HIV counselling and testing and used it. However, some still have misconception about mother-to-child transmission of HIV.

Cited by 10 publications

References 11 publications

Correlates of uptake of HIV testing among children and young adolescents in Akwa-Ibom state, Nigeria: a secondary data analysis of the Akwa-Ibom aids indicator survey, 2017

Correlates of uptake of HIV testing among children and young adolescents in Akwa-Ibom state, Nigeria: a secondary data analysis of the Akwa-Ibom aids indicator survey, 2017

Awareness and use of pre-exposure and postexposure prophylaxes among Nigerian university students

Concerns about contracting HIV, knowing partners’ HIV sero-status and discussion of HIV/STI with sexual partners as determinants of uptake of HIV testing

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