Correlates of HIV prevalence among key population in Nigeria

Adeoye, Oluwatosin Adediran; Alau, Kenneth; Chika-Igbokwe, Salome; Nwaogu, P.O.; Adu, Rosemary A.; Odeh, Roselyn; Wudiri, Kucheli; Momodu, Halima; Onota, Aishatu; Nnamdi, Obed; Igbene, Patricia; Idogho, Omokhudu; Anyanti, Jennifer

doi:10.5897/jahr2021.0536

Cited by 3 publications

(7 citation statements)

References 16 publications

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“…Thus, their counseling session should not be a routine education/counseling session but an individual customized process that evaluates their preparedness, knowledge, perception, and potential barriers to taking ART regularly. In furtherance, some other studies in Nigeria among KP [ 1 , 6 , 10 ] stated that though EAC is effective on viral suppression, the EAC sessions are done monthly for 3 months through the physical visit of patients to the facility thus, the constant visit is not tailored to suite the routine of an average person who has other non-medical and non-emergency matters to focus on which is more so among KPs who are peculiar with mobility [ 6 , 11 ]. With our finding showing better completion of EAC among phone EAC group as against physical EAC, the former approach could be explored to encourage completion of these important counseling sessions that have been shown to improve viral suppression over time.…”

Section: Discussionmentioning

confidence: 80%

“…Nigeria has the fourth largest human immunodeficiency virus (HIV) epidemic in the world, with approximately 1.8 million people living with HIV and national viral suppression at 72% in 2020 [ 1 - 3 ]. In the past decades, there has been improvement in HIV epidemic score cards in Nigeria but despite the reduction in HIV disease burden, decline in HIV incidence and expanded coverage of antiretroviral therapy (ART) in Nigeria and on global scale, HIV is not equally distributed across populations [ 4 - 6 ]. Given the biology of HIV and individual, network-level and structural risk determinants for infection, key populations (KPs) have been found to be disproportionately at risk for HIV infection [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

“…KPs who are disproportionately at risk for HIV infection include men who have sex with men (MSM), transgender women, sex workers especially female sex workers (FSW), people who inject drugs (PWID), and incarcerated populations [ 8 ]. Despite control measures being put in place for the control of the virus in the country, a huge gap still exists in the national response to KPs [ 6 , 9 - 11 ], thus the gains in HIV epidemic control have not been uniform. For effective and efficient control, therefore, the KP gaps must be bridged.…”

Section: Introductionmentioning

confidence: 99%

“…For effective and efficient control, therefore, the KP gaps must be bridged. Lack of proper planning with innovative approaches to reach and cater for KP can, therefore, make achieving HIV epidemic control an uphill task as they will continue to be a reservoir of new HIV infections [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

“…This constant visit is not tailored to suit the routine of an average person who have other non-medical and non-emergency matters to focus on. This is more so among KPs who are peculiar with mobility [ 3 , 6 ].…”

Section: Introductionmentioning

confidence: 99%

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Effect of Phone-Based Enhanced Adherence Counseling (EAC) Among Virally Unsuppressed Key Population (KP)

Ekejiuba¹,

Timbri²,

Chizoba³

et al. 2023

Cureus

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Background: Despite the reduced human immunodeficiency virus (HIV) disease burden in Nigeria and globally, the key populations (KPs) can be disproportionately burdened with HIV infection and lower treatment coverage and outcome. A viral load (VL) test is needed to monitor the treatment outcome of KP with VL suppression of < 1000 copies/mL, demonstrating a positive treatment outcome. For unsuppressed VL, enhanced adherence counseling (EAC) may improve viral suppression in people living with HIV/KPs living with HIV (PLHIV/KPLHIV). Conventionally, EAC sessions are done for 3 months through physical visits. Due to the challenges of monthly visits (including transportation, socioeconomic status, and high mobility among KPs), other EAC delivery models need to be explored. We aimed to assess the effect of phone EAC sessions among virally unsuppressed KPs compared to physical EAC.Method: Using a prospective intervention study design with a sample size of 484, unsuppressed KPLHIV in Delta State Nigeria were selectively stratified (non-randomized) using a simple stratification (ability vs. inability to physically attend EAC sessions in-person) into an intervention group and a control group, receiving phone-based EAC sessions and physical EAC sessions respectively. Repeated VL tests were done 3 months after the intervention, and viral suppression was pegged at the WHO recommendation of <1000 copies/mL. The SPSS version 24.0 (SPSS Inc., Chicago, USA) was used for data analysis of variables within and between study groups. Significance was interpreted at p < 0.05.Result: Participants were 87.4% males {out of which 75.0% (363/484) identified as men who have sex with men (MSM)} with a mean age of 26 ± 2 years. The intervention group had a slightly higher EAC completion rate at 99.6% than the control group (97.9%). Both groups showed significant differences in viral suppression from 0% to a mean suppression of 88.7% with p < 0.01. The intervention group achieved better suppression (90.5%) than the control group (86.7%).Conclusion: EAC effectively achieves viral suppression by up to 90% among KPLHIV. Phone-based EAC has also proven effective and, in our findings, slightly more effective than the conventional physical EAC and is recommended among KPLHIV with the known challenge of transportation or poor mobility.

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Section: Discussionmentioning

confidence: 80%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Effect of Phone-Based Enhanced Adherence Counseling (EAC) Among Virally Unsuppressed Key Population (KP)

Ekejiuba¹,

Timbri²,

Chizoba³

et al. 2023

Cureus

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HIV Regimen Knowledge and Practice among Female Sex Workers: A Cross-Sectional Study

Haiwa,

Hedima,

Kalu

2024

Preprint

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Female sex workers (FSWs) living with HIV are prone to other health problems that may result from the disease, sex work or antiretroviral medicines. These individuals experience other psychosocial aspects of the illness, which may negatively affect their quality of life and overall treatment outcomes. This study assessed the HIV regimen knowledge and practices among female sex workers living with HIV. This cross-sectional study included 244 Female sex workers who had been on combined antiretroviral therapy for at least a year at the Society for Family Health (SFH) clinic, Mubi, Nigeria. The study instruments employed in this study were pretested for reliability while HIV regimen knowledge was categorised in to good (80–100), fair (60–79) or poor (< 60) according to the Blooms cut-off points, finally HIV regimen practice was grouped in to; good or poor (Scores below the median were classified as good practice while those above the median were termed to have poor regimen practice. Chi square test was applied to identify factors, if any, and that may explain association of HIV regimen knowledge and practice with sociodemographic data while binary logistic regression analysis was carried out to determine predictors of HIV regimen knowledge. A p-value < 0.05 was considered statistically significant (95% Confidence Interval). In this study, majority of the patients 140 (57.4) were between the ages of 25–35 and were less than 3 years on ART 98 (40.2), and were involved in the use of other substances 103 (42.2). Nearly all of the population (96.7%) were on tenofovir/lamivudine/dolutegravir regimen. Additionally, more than two-third of the population had suppressed viral load 214 (87.7%) and had disclosed their HIV status 126 (51.6%). More than half of the FSWs 142 (58.1%) had good HIV regimen knowledge and was was influenced by patient age (p < 0.001), age at commencement of sex work (p < 0.001), educational status (p < 0.001), marital status (p = 0.002), use of substance (p = 0.018), HIV regimen (p = 0.03), history of tuberculosis (p = 0.004), virological status (p = 0.02) and HIV disclosure status (p = 0.046). This study also revealed years on ART (p = 0.04; AOR 0.29; 95% CI 0.13–0.67), age at HIV diagnosis of 21 - < 30 (p = 0.02; AOR 0.33; 95% CI; 0.12–0.86) formal education (p = 0.04; AOR 0.35; 95% CI 0.13– 0.99), married FSWs (p < 0.005; AOR 0.17; 95% CI 0.06–0.44), cigarette use (p = 0.009; AOR 0.28; 95% CI; 0.1–0.73) and FSWs without tuberculosis infection at ART initiation (p < 0.005; AOR 7.3; 95% CI 2.82–19.25) were independent predictors of good HIV regimen knowledge. Additionally, patient age (p = 0.02), years on ART (p = 0.04), age at diagnosis (p = 0.015), educational status (p = 0.01), marital status (p = 0.006), ART regimen (p = 0.009) and virologic status (p < 0.001) were significantly associated with good HIV regimen practice. Findings from this study revealed that majority of the study population were having a good knowledge of their HIV regimen which was influenced by age, years on antiretroviral medicine, age at diagnosis and commencement of sex work and educational status. While the HIV regimen practice is influenced by patient regimen, marital and virological statuses.

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HIV Treatment Satisfaction and Preferences for HIV regimen among Female Sex Workers

Haiwa,

Hedima,

Kalu

2024

Preprint

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Improving patient satisfaction is a vital patient-reported outcome that can enhance healthcare services. There is considerable interest among patients, healthcare professionals, and policymakers in including patients in decision-making processes that affect their overall health. Female sex workers views about their HIV treatment may reflect their priorities that shape their overall quality of life. This study assessed the satisfaction with HIV treatment and preference for HIV regimen. This cross-sectional study comprised of 244 female sex workers who had been on combined antiretroviral therapy for a minimum of one year at the Society for Family Health (SFH) clinic in Mubi, Adamawa State Nigeria. HIV treatment satisfaction scores were also categorised in high (80–100), moderate (60–79) or low (< 60) according to Blooms cut-off points. Chi square test was applied to identify factors, if any, and that may explain association of HIV treatment satisfaction with sociodemographic data while binary logistic regression analysis was carried out to determine predictors of HIV treatment satisfaction. A p-value < 0.05 was considered statistically significant (95% Confidence Interval). The findings from this study showed that the majority of the patients, 140 (57.4%), were between the ages of 25 and 35 and had been on antiretroviral therapy (ART) for less than 3 years, 98 (40.2%), were diagnosed at the age of 18 to 25, 107 (43.9%), and started sex work at the same age, 146 (59.8%). Additionally, nearly half of the FSWs were involved in the use of other substances, 103 (42.2%). Two-thirds of the patients were not diagnosed with AIDS-related tuberculosis, 185 (75.8%), and nearly all were on the tenofovir/lamivudine/dolutegravir regimen, 214 (96.7%). Furthermore, more than two-thirds of the population had a suppressed viral load, 214 (87.7%), and had disclosed their HIV status, 126 (51.6%). While HIV treatment satisfaction is significantly associated with age at HIV diagnosis (p < 0.001), age at commencement of sex work (p = 0.01), highest level of education (p < 0.001), marital status (p < 0.001), use of substance (p < 0.001), HIV regimen at viral load (p < 0.001), virologic status p < 0.001) and HIV disclosure status (p < 0.001). This study also found age at HIV diagnosis (p = 0.005; AOR 0.24; 95% CI 0.09–0.66), lack of formal education (p = 0.02; AOR 0.43; 95%CI 0.20–0.92), married sex workers (p = 0.005; AOR 0.17; 95% CI 0.07–0.39), use of cigarette (p = 0.12–0.79; AOR 0.13; 95% CI 0.12–0.79) and other psychoactive substances (p = 0.005; AOR 0.19; 95% CI 0.09–0.39), unsuppressed virologic status (p = 0.001; AOR 0.07; 95% CI 0.01–0.31) and undisclosed HIV status (p = 0.007; AOR 0.37; 95% CI; 0.18–0.76) to predict satisfaction with HIV treatments. Nearly all of the FSWs 222 (91%) preferred the injectable ART over the conventional oral regimen at a duration of every 4 weeks. Finding from this study revealed that HIV treatment satisfaction was influenced by age at HIV diagnosis and commencement of sex work, education, marital status, HIV regimen and disclosure of HIV status. While the patients preferred the injectable ART over the conventional oral regimen. In view of these, targeted interventions should be focused on these factors

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Correlates of HIV prevalence among key population in Nigeria

Cited by 3 publications

References 16 publications

Effect of Phone-Based Enhanced Adherence Counseling (EAC) Among Virally Unsuppressed Key Population (KP)

Effect of Phone-Based Enhanced Adherence Counseling (EAC) Among Virally Unsuppressed Key Population (KP)

HIV Regimen Knowledge and Practice among Female Sex Workers: A Cross-Sectional Study

HIV Treatment Satisfaction and Preferences for HIV regimen among Female Sex Workers

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