HIV status disclosure in an anti retroviral therapy clinic in the Niger Delta region of Nigeria

Ebuenyi, Ikenna D.; Ogoina, Dimie; Ikuabe, Peter Ogie; Harry, Tubonye C; Inatimi, Otonyo; Chukwueke, Ugonma

doi:10.1016/j.ijid.2014.03.681

Cited by 2 publications

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“…The rate of disclosure of HIV status among non-discordant couples is low in Nigeria. [30] This is expected to reflect on the serostatus disclosure of children in these circumstances. As observed in the present study, independent determinants of serostatus disclosure included the age of the child and the marital status of the caregiver.…”

Section: Discussionmentioning

confidence: 99%

Determinants of HIV serostatus disclosure and assessment of the competence of health care personnel in HIV serostatus disclosure

Adekunle¹,

Olutekunbi²,

Animasahun³

et al. 2019

Ann Health Res

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Background: Disclosure of HIV serostatus is essential for the care and eradication of HIV infection. The World Health Organization recommends disclosure to school-age children and younger children but this practice is commonly hindered by stigmatization and other presumed psychosocial effects of the disease. Objective: To identify limitations to the disclosure of serostatus in HIV-infected children, outcomes of disclosure as well as compare the outcomes of disclosure by either parents/caregiver only with the involvement of health care personnel. Methods: A questionnaire-based study of primary caregivers of children aged 6 years to 18 years with HIV infection who were enrolled at two government-owned tertiary institutions in Lagos State, Nigeria. The healthcare personnel directly involved in the care of these children also participated in the study. Results: A total of 190 primary caregivers participated in the study. In all, 29 health care personnel completely filled the questionnaires. Disclosure (partial and full) was recorded among 31.0%. Older children and children with single parents were more likely to know their HIV status. Similar positive and negative impacts of disclosure were observed irrespective of the individuals involved in the processes. In all, 62.1% of healthcare personnel have had training on disclosure. Conclusion: Disclosure rate in HIV-infected children was low. There is a need for more training of health personnel and education of caregivers on the benefits of disclosure as well as the introduction of effective measures to tackle the barriers to disclosure.

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Section: Discussionmentioning

confidence: 99%

Determinants of HIV serostatus disclosure and assessment of the competence of health care personnel in HIV serostatus disclosure

Adekunle¹,

Olutekunbi²,

Animasahun³

et al. 2019

Ann Health Res

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“…For example, one study in Ethiopia found that HIV status disclosure to sexual partners was 57.4% [ 26 ] and another estimated it at 82.5% [ 27 ]. This was 84% in Kenya [ 28 ], 85.4% in Uganda [ 29 ], 62.0% in Nigeria [ 30 , 31 ], and 72.4% in Mozambique [ 32 ]. Similarly, disclosure estimates among partners in the general population in Tanzania are also variable, e.g.…”

Section: Introductionmentioning

confidence: 99%

Determinants of undisclosed HIV status to a community-based HIV program: findings from caregivers of orphans and vulnerable children in Tanzania

Charles¹,

Exavery²,

Barankena³

et al. 2020

AIDS Res Ther

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Background: HIV status disclosure facilitates receipt of HIV prevention and treatment services. Although disclosure to sexual partners, family members or friends has been extensively studied, disclosure to community-based HIV programs is missing. This study assesses the magnitude of, and factors associated with undisclosed HIV status to a community-based HIV prevention program among caregivers of orphans and vulnerable children (OVC) in Tanzania. Methods: Data are from the USAID-funded Kizazi Kipya project that seeks to increase uptake of HIV, health, and social services by OVC and their caregivers in Tanzania. Data on OVC caregivers who were enrolled in the project during January-March 2017 in 18 regions of Tanzania were analyzed. Caregivers included were those who had complete information on their HIV status disclosure, household socioeconomic status, and sociodemographic characteristics. HIV status was self-reported, with undisclosed status representing all those who knew their HIV status but did not disclose it. Multilevel mixed-effects logistic regression, with caregivers' HIV status disclosure being the outcome variable was conducted. Results: The analysis was based on 59,683 OVC caregivers (mean age = 50.4 years), 71.2% of whom were female. Of these, 37.2% did not disclose their HIV status to the USAID Kizazi Kipya program at the time of enrollment. Multivariate analysis showed that the likelihood of HIV status non-disclosure was significantly higher among: male caregivers (odds ratio (OR) = 1.22, 95% confidence interval (CI) 1.16-1.28); unmarried (OR = 1.12, 95% CI 1.03-1.23); widowed (OR = 1.12, 95% CI 1.07-1.18); those without health insurance (OR = 1.36, 95% CI 1.28-1.45); age 61 + years (OR = 1.72, 95% CI 1.59-1.88); those with physical or mental disability (OR = 1.14, 95% CI 1.04-1.25); and rural residents (OR = 1.58, 95% CI 1.34-1.86). HIV status non-disclosure was less likely with higher education (p < 0.001); and with better economic status (p < 0.001). Conclusion: While improved education, economic strengthening support and expanding health insurance coverage appear to improve HIV status disclosure, greater attention may be required for men, unmarried, widowed, rural residents, and the elderly populations for their higher likelihood to conceal HIV status. This is a clear missed opportunity for timely care and treatment services for those that may be HIV positive. Further support is needed to support disclosure in this population.

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HIV status disclosure in an anti retroviral therapy clinic in the Niger Delta region of Nigeria

Cited by 2 publications

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Determinants of HIV serostatus disclosure and assessment of the competence of health care personnel in HIV serostatus disclosure

Determinants of HIV serostatus disclosure and assessment of the competence of health care personnel in HIV serostatus disclosure

Determinants of undisclosed HIV status to a community-based HIV program: findings from caregivers of orphans and vulnerable children in Tanzania

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