Background: Knowledge and competence of community pharmacists in HIV care, are essential for translating the goals of differentiated care into improved outcomes. Aims: To assess the knowledge and competence of community pharmacists in Jos, for differentiated HIV care and services. Study Design: Cross-sectional questionnaire survey. Place and Duration of Study: Community pharmacies in Jos North and Jos South local government areas of Plateau state, North-Central Nigeria, between September to November, 2018. Methodology: We included community pharmacists who responded to six items on knowledge of HIV therapeutics with each correct answer recording a score of 1 and zero for wrong answers. Respondents with a correct score of 5 or 6 represent good knowledge. We examined competence on a 36 item scale graded 1 for weak competence and 5 for strong competence. Factor analysis; reduce the 36 scale items down to competency domains. Frequencies and percentages for reported competencies were presented. In addition, aggregated scores for each of the competency domains were used to compare respondents based on years of experience, educational level and employment status in community pharmacy. All levels of significance were set at p≤ 0.05. Results: 73 out of 110 community pharmacists responded to the questionnaire. Of these, only 25% reported good level of knowledge in HIV therapeutics. 69% reported strong competency in identifying drug therapy problems, 31% inter-professional and patient communication. There was statistically significant difference in competency domains based on years of practice experience and employment status p<0.05. Respondents with 10 years or less of practice experience recorded higher mean ranked scores compared to those with 11 or more years. Similarly, employed pharmacists recorded higher mean ranked scores than those who owned their business. Conclusion: Overall, respondents reported low knowledge and weak competency in HIV care emphasizing the need for specialized training before implementation of differentiated care model.

Background: Differentiated care is an innovative multi-dimensional strategy for improving access to HIV care and treatment outcomes. However, its successful implementation depends on attitudes and perceptions of practitioners. Objectives: This study assessed the attitudes and perception of community pharmacists on HIV differentiated care and services. Methods: This was a cross-sectional survey of community pharmacists in Jos, Plateau state, Nigeria. The portion of the study reported in this paper consisted of a 10 items Likert questions to assess attitudes and perceptions of community pharmacists on differentiated HIV care and Dapar et al.; ISRR, 8(2): 1-10, 2019; Article no.ISRR.51502 2 services. The Statistical Package for Social Sciences version 20 was used to manage data. The reliability of the instrument was calculated using Cronbach's alpha. Descriptive statistics were presented as tables and figures. Results: Seventy-three 73 community pharmacists completed our questionnaire out of 110 distributed, giving a response rate of 66.4%. Mean age of respondents was 37.7+7.8 years. Cronbach's alpha for internal consistency of the perception scale was 0.9 indicating good reliability of the instrument. Overall, respondents had a positive perception regarding suitability and benefits of differentiated HIV care and services in community pharmacies. Highest agreement was to the perception that differentiated care would encourage collaboration between community pharmacies and the rest of the health system. Conclusion: Willingness and positive perceptions of community pharmacists about the suitability and benefits of providing HIV differentiated care and services were identified. Original Research Article

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Diet is a crucial aspect of diabetes management and healthy eating is one of the main focus in preventing type 2 diabetes mellitus. Despite mounting evidence of the role of the dietary approach in the management of diabetes mellitus, studies still show low adherence to dietary recommendations. This study aimed at assessing the dietary knowledge, attitudes, and practices of type 2 diabetes mellitus patients in two tertiary hospitals in Jos, Nigeria. This was a descriptive cross-sectional study among 448 type 2 diabetic patients using systematic random sampling. Quantitative data was collected using a self- administered questionnaire and analyzed using Statistical Package for Social Sciences (SPSS) version 20. A 95% confidence interval was used and a probability value of P≤0.05 was considered statistically significant. The study revealed that dietary knowledge of type 2 diabetic patients attending tertiary health care facilities in Jos, Nigeria was poor, their attitudes were positive, but they had poor dietary practices. A significant association was observed between marital status (P=0.022), religion (P=0.003), education level (P=0.000), employment status (P=0.000), family history (P=0.012), and dietary knowledge. This study highlights the importance of proper health education as this could possibly improve dietary knowledge, dietary practices that potentially change patient outcomes.

Malaria infection is a major public health problem in Nigeria. The present study explored patients’ thoughts and feelings on uncomplicated malaria and its management practices in some primary healthcare (PHC) facilities of Plateau state, Nigeria. An in-depth interview was conducted on patients receiving treatment in some of the facilities in the state, who were recruited through purposive sampling method up to saturation point. All the information was audio-recorded and transcribed verbatim before analysis using the principles of thematic content analysis of inductive method. Generally, their views on malaria-related issues were categorised into four main themes based on their relevancies as: patients’ perceptions on malaria infection and anti-malarial drugs, the role of healthcare workers and family during treatment, medications taken and socio-economic-related factors, as well as their general views on healthcare facilities-related factors. The study showed patients’ perceptions of the aforementioned factors as influencing their treatment and management practices of the disease in the study area. Necessary interventions that would improve patients’ quality of management of the disease toward achieving the desired outcome of therapy are recommended.