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The Status and Challenges of HIV Services in Niger State: A Cross-Sectional Survey of Providers and Clients

Received: 12 February 2024     Accepted: 26 February 2024     Published: 7 March 2024
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Abstract

Introduction: The incidence of HIV/AIDS in Nigerian is on the decline, but with the trio of high inflation, high unemployment, and high terrorism in the country; lot of synergies are still needed to end the HIV scourge. Objective: The study was carried out to determine the status of HIV services in Niger state. Method: A cross-sectional survey, using a simple randomization sampling method, and the client’s viewpoint in health facilities across Niger state was undertaken to examine the challenges faced by HIV service providers. Data from 351 HIV providers, 361 clients were collected using questionnaires; IBM and Pearson correlation were used for descriptive and inferential statistics respectively. Results: The mean age of the providers was (M = 30.50, SD = 8.2). Challenges included poor salary (M = 2.44, SD = 1.16), staff shortage (M = 3.01, SD = 1.24), lack of recognition & incentives (M = 2.57, SD = 0.99; M = 2.63, SD = 1.08), others were infrastructural deficit, inadequate funding, training and materials; poor electricity and internet; lack of research and unionism among others. The non-enabling factors challenges were burnt out (M = 3.01, SD = 0.99), insecurity (M = 3.51, SD = 1.09), working extra hours (M = 3.02; SD = 0,98), migration desire (M = 3.87, SD = 1.06). Conclusion: It is highly overdue, that all HIV stakeholders in the country take complete custodian of all HIV service components; come up with a sustainable policy to steer toward HIV eradication program, by increasing the enabling factors, and reducing the non-enabling factors.

Published in World Journal of Public Health (Volume 9, Issue 1)
DOI 10.11648/j.wjph.20240901.19
Page(s) 64-73
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Challenges, Clients, HIV Providers, Niger State, Nigeria

References
[1] Coftadeh. (n.d.). United Nations Office on Drugs and Crime. HIV and AIDS. https://www.unodc.org/nigeria/en/hiv-and-aids.html
[2] Avert. (2021 April 24). HIV around the world. Retrieved February 6, 2022, from https://www.avert.org/professionals/hiv-around-world
[3] Ong, J. J., Nwaozuru, U., Obiezu-Umeh, C., Airhihenbuwa, C., Xian, H., Terris-Prestholt, F., Gbajabiamila, T., Musa, A. Z., Oladele, D., Idigbe, I., David, A., Okwuzu, J., Bamidele, T., Iwelunmor, J., Tucker, J. D., & Ezechi, O. (2021). Designing HIV Testing and Self-Testing Services for Young People in Nigeria: A Discrete Choice Experiment. Patient, 14(6), 815– 826. https://doi.org/10.1007/s40271-021-00522-2
[4] De Lay, P. R., Benzaken, A., Karim, Q. A., Aliyu, S., Amole, C., Ayala, G., Chalkidou, K., Chang, J., Clayton, M., Couto, A., Dieffenbach, C., Dybul, M., El Sadr, W., Gorgens, M., Low-Beer, D., Mesbah, S., Saveedra, J., Sirinirund, P., Stover, J., … Hader, S. (2021). Ending AIDS as a public health threat by 2030: Time to reset targets for 2025. PLoSMedicine, 18(6), 6–10. https://doi.org/10.1371/journal.pmed.1003649
[5] World Health Organization (December 1st, 2021). Who director-general's opening remarks for World AIDS Day 2021 - 1 December 2021. World Health Organization Retrieved January 15, 2022, from https://www.who.int/director-general/speeches/detail/who-director-general-s-opening-remarks-for-world-aids-day-2021---1-december-2021
[6] Giguère, K., Eaton, J. W., Marsh, K., Johnson, L. F., Johnson, C. C., Ehui, E., Jahn, A., Wanyeki, I., Mbofana, F., Bakiono, F., Mahy, M., & Maheu-Giroux, M. (2021). Trends in knowledge of HIV status and efficiency of HIV testing services in sub-Saharan Africa, 2000–20: A modelling study using survey and HIV testing programme data. The Lancet HIV, 8(5). https://doi.org/10.1016/s2352-3018(20)30315-5
[7] UNAIDS. (n.d.). Global HIV statistics - Retrieved February 6, 2022, from https://embargo.unaids.org/static/files/uploaded_files/UNAIDS_2021_FactSheet_en_em.pdf
[8] UNAIDS Ghana. (2022, February 4). Retrieved February 6, 2022, from https://www.unaids.org/en/regionscountries/countries/ghana
[9] U.S. Agency for International Development. (2021, May 13). Promoting high quality HIV testing and counseling for HIV-positive individuals and linking it to HIV care and treatment. Retrieved February 26, 2022, from https://www.usaid.gov/global-health/health-areas/hiv-and-aids/technical-areas/promoting-high-quality-hiv-testing-and
[10] WHO. (2015). Pre-test and Post-test services - Consolidated Guidelines on HIV Testing Services - NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK316035/
[11] Ngangue, P., Gagnon, M.-P., & Bedard, E. (2017). Challenges in the delivery of public HIV testing and counselling (HTC) in Douala, Cameroon: Providers Perspectives and implications on quality of HTC Services. BMC International Health and Human Rights, 17(1). https://doi.org/10.1186/s12914-017-0118-2
[12] Mutabazi, J. C., Gray, C., Muhwava, L., Trottier, H., Ware, L. J., Norris, S., Murphy, K., Levitt, N., & Zarowsky, C. (2020). Integrating the prevention of mother-to-child transmission of HIV into primary healthcare services after AIDS denialism in South Africa: Perspectives of experts and Health Care Workers - A qualitative study. BMC Health Services Research, 20(1). https://doi.org/10.1186/s12913-020-05381-5
[13] Meka, A. F., Billong, S. C., Diallo, I., Tiemtore, O. W., Bongwong, B., & Nguefack-Tsague, G. (2020). Challenges and barriers to HIV service uptake and delivery along the HIV Care Cascade in Cameroon. Pan African Medical Journal, 36. https://doi.org/10.11604/pamj.2020.36.37.19046
[14] Marwa, R., & Anaeli, A. (2020). Perceived barriers toward provider-initiated HIV testing and Counseling (PITC) in Pediatric Clinics: A qualitative study involving two regional hospitals in Dar-es-Salaam, Tanzania. HIV/AIDS - Research and Palliative Care, Volume 12, 141–150. https://doi.org/10.2147/hiv.s235818
[15] Hlongwa, M., Mashamba-Thompson, T., Makhunga, S., Muraraneza, C., & Hlongwana, K. (2020). Men’s perspectives on HIV self-testing in sub-Saharan Africa: A systematic review and meta-synthesis. BMC Public Health, 20(1). https://doi.org/10.1186/s12889-020-8184-0
[16] Maeri, I., El Ayadi, A., Getahun, M., Charlebois, E., Akatukwasa, C., Tumwebaze, D., Itiakorit, H., Owino, L., Kwarisiima, D., Ssemmondo, E., Sang, N., Kabami, J., Clark, T. D., Petersen, M., Cohen, C. R., Bukusi, E. A., Kamya, M., Havlir, D., & Camlin, C. S. (2016). “How can I tell?” Consequences of HIV status disclosure among couples in eastern African communities in the context of an ongoing HIV “test-and-treat” trial. AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV, 28(Suppl 3), 59–66. https://doi.org/10.1080/09540121.2016.1168917
[17] Bell, J., Sharma, S., Malone, S., Levy, M., Reast, J., Ciecieląg, J., Gogolina, S., Ansons, T., Fourie, S., Braz, R., Little, K., & Hasen, N. (2021). Targeting interventions for HIV testing and treatment uptake: An attitudinal and behavioral segmentation of men aged 20–34 in KwaZulu-Natal and Mpumalanga, South Africa. PLOS ONE, 16(3). https://doi.org/10.1371/journal.pone.0247483
[18] Akpuh, N., Ajayi, I. O., Adebowale, A., Idris Suleiman, H., Nguku, P., Dalhat, M., & Adedire, E. (2020, April 6). Occupational exposure to HIV among healthcare workers in PMTCT sites in Port Harcourt, Nigeria. BMC public health. Retrieved February 15, 2022, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7132882/
[19] Ehiri, J. E., Alaofè, H. S., Yesufu, V., Balogun, M., Iwelunmor, J., Kram, N. A.-Z., Lott, B. E., & Abosede, O. (2019). AIDS-related stigmatization in the healthcare setting: A study of primary healthcare centers that provide services for prevention of mother-to-child transmission of HIV in Lagos, Nigeria. BMJ Open, 9(5). https://doi.org/10.1136/bmjopen-2018-026322
[20] Djiadeu, P., Yusuf, A., Ongolo-Zogo, C., Nguemo, J., Odhiambo, A. J., Mukandoli, C., Lightfoot, D., Mbuagbaw, L., & Nelson, L. R. E. (2020). Barriers in accessing HIV care for Francophone African, Caribbean and black people living with HIV in Canada: A scoping review. BMJ Open, 10(8). https://doi.org/10.1136/bmjopen-2020-036885
[21] ReliefWeb. (2022, December 31). Nigeria: Violence against health care in conflict 2022 - nigeria. https://reliefweb.int/report/nigeria/nigeria-violence-against-health-care-conflict-2022
[22] Kram, N. A.-Z., Yesufu, V., Lott, B., Palmer, K. N., Balogun, M., & Ehiri, J. (2021). ‘Making the most of our situation’: A qualitative study reporting health providers’ perspectives on the challenges of implementing the prevention of mother-to-child transmission of HIV services in Lagos, Nigeria. BMJ Open, 11(10). https://doi.org/10.1136/bmjopen-2020-046263
[23] Olakunde, B. O., Adeyinka, D. A., Olawepo, J. O., Pharr, J. R., Ozigbu, C. E., Wakdok, S., Oladele, T., & Ezeanolue, E. E. (2019). Towards the elimination of mother-to-child transmission of HIV in Nigeria: A Health System perspective of the achievements and challenges. International Health, 11(4), 240–249. https://doi.org/10.1093/inthealth/ihz018
[24] NACA Nigeria (n.d.) home Retrieved February 5, 2022, from https://www.naca.gov.ng/history-of-naca/
[25] Cohen, J. (2018, June 12). Nigeria has more HIV-infected babies than anywhere in the world. it's a distinction no country wants. Home -. Retrieved April 3, 2022, from https://joncohen.org/2018/06/12/nigeria-has-more-hiv-infected-babies-than-anywhere-in-the-world-its-a-distinction-no-country-wants/
[26] Adeoye, R. A., Garba, S. A., Galadima, M., Ossamulu, I. F., & Ariyeloye, S. D. (2019). Prevalence of HIV among women attending selected hospitals in Minna, Niger State, Nigeria. GSC Biological and Pharmaceutical Sciences, 9(1), 070–076. https://doi.org/10.30574/gscbps.2019.9.1.0160
[27] IAPAC (n.d.) Home - International Association of Providers of AIDS Care Retrieved January 16, 2022, from https://www.iapac.org/
[28] Africa. (State, Nigeria) - Population Statistics, Charts, Map and Location. (2023). Assessed September 23, 2023 https://citypopulation.de/en/nigeria/admin/NGA027__niger/
[29] Niger State official website. (n.d.). About Niger - Retrieved April 6, 2022, from https://nigerstate.gov.ng/about-niger/
[30] Mensah, Ishmael. (2014). Re: How can we determine the sample size from an unknown population? Retrieved from: https://www.researchgate.net/post/How-can-we-determine-the-sample-size-from-an-unknown-population/54012a91d3df3ed4388b4567/citation/download
[31] Louise Fox, P. M., Caitlin Allen, Z. A., Haroon Bhorat, C. A., Opok, S., Louise Fox, D. K., & Morisset, J. (2022, March 9). Youth employment in sub-Saharan africa: Progress and prospects. Brookings. https://www.brookings.edu/articles/youth-employment-in-sub-saharan-africa-progress-and-prospects/
[32] Larki, M., Bahri, N., & Latifnejad Roudsari, R. (2021). Life loaded with threat and vulnerability: A qualitative inquiry into the experiences of HIV negative married women in serodiscordant heterosexual relationships. BMC Women's Health, 21(1). https://doi.org/10.1186/s12905-021-01546-4
[33] Noronha, F. S., George, M. V., & Sreedevi. (n.d.). Mandatory HIV testing: An Indian perspective. HIV Nursing. Retrieved March 6, 2022, from https://hivnursing.net/index.php/hiv/article/view/183
[34] Dapaah, J. M. (2016). Attitudes and behaviors of health workers and the use of HIV/AIDS health care services. Nursing Research and Practice, 2016, 1–9. https://doi.org/10.1155/2016/5172497
[35] Agrawal, A., & Agrawal, A. (2021). Knowledge, attitude and practices among nurses towards HIV/ AIDS patients in Tertiary Care Hospital, Amroha. International Journal of Medical Science and Diagnosis Research, 5(2). https://doi.org/10.32553/ijmsdr.v5i2.755
[36] Gbadamosi, S. O., Itanyi, I. U., Menson, W. N., Olawepo, J. O., Bruno, T., Ogidi, A. G., Patel, D. V., Oko, J. O., Onoka, C. A., & Ezeanolue, E. E. (2019). Targeted HIV testing for male partners of HIV-positive pregnant women in a high prevalence setting in Nigeria. PLOS ONE, 14(1). https://doi.org/10.1371/journal.pone.0211022
[37] Galiwango, R. M., Ssuuna, C., Kaleebu, P., Kigozi, G., Kagaayi, J., Nakigozi, G., Reynolds, S. J., Lutalo, T., Kankaka, E. N., Wasswa, J. B., Kalibbala, S. N., Kigozi, A. N., Watera, C., Ejang, J., Ndyanabo, A., Anok, A. J., Ssemwanga, D., Kibengo, F. M., Quinn, T. C., … Serwadda, D. (2021). Short communication: Validation of the Asante HIV-1 rapid recency assay for detection of recent HIV-1 infections in Uganda. AIDS Research and Human Retroviruses, 37(12), 893–896. https://doi.org/10.1089/aid.2020.0279
Cite This Article
  • APA Style

    Gbadeyan, O., Daniel, E. O., Gbadeyan, A. J., Abidoye, O., Clark, J., et al. (2024). The Status and Challenges of HIV Services in Niger State: A Cross-Sectional Survey of Providers and Clients. World Journal of Public Health, 9(1), 64-73. https://doi.org/10.11648/j.wjph.20240901.19

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    ACS Style

    Gbadeyan, O.; Daniel, E. O.; Gbadeyan, A. J.; Abidoye, O.; Clark, J., et al. The Status and Challenges of HIV Services in Niger State: A Cross-Sectional Survey of Providers and Clients. World J. Public Health 2024, 9(1), 64-73. doi: 10.11648/j.wjph.20240901.19

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    AMA Style

    Gbadeyan O, Daniel EO, Gbadeyan AJ, Abidoye O, Clark J, et al. The Status and Challenges of HIV Services in Niger State: A Cross-Sectional Survey of Providers and Clients. World J Public Health. 2024;9(1):64-73. doi: 10.11648/j.wjph.20240901.19

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  • @article{10.11648/j.wjph.20240901.19,
      author = {Olabimpe Gbadeyan and Ebenezer Obi Daniel and Adeola John Gbadeyan and Oladele Abidoye and Joseph Clark and Shadrack Onoja and Ahmed Mamuda Bello and Michael Avwerhota and Christiana Asibi-Ogben Inegbeboh and Israel Olukayode Popoola and Michael Olabode Tomori and Adebanke Adetutu Ogun and Oladapo Michael Olagbegi},
      title = {The Status and Challenges of HIV Services in Niger State: A Cross-Sectional Survey of Providers and Clients},
      journal = {World Journal of Public Health},
      volume = {9},
      number = {1},
      pages = {64-73},
      doi = {10.11648/j.wjph.20240901.19},
      url = {https://doi.org/10.11648/j.wjph.20240901.19},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.wjph.20240901.19},
      abstract = {Introduction: The incidence of HIV/AIDS in Nigerian is on the decline, but with the trio of high inflation, high unemployment, and high terrorism in the country; lot of synergies are still needed to end the HIV scourge. Objective: The study was carried out to determine the status of HIV services in Niger state. Method: A cross-sectional survey, using a simple randomization sampling method, and the client’s viewpoint in health facilities across Niger state was undertaken to examine the challenges faced by HIV service providers. Data from 351 HIV providers, 361 clients were collected using questionnaires; IBM and Pearson correlation were used for descriptive and inferential statistics respectively. Results: The mean age of the providers was (M = 30.50, SD = 8.2). Challenges included poor salary (M = 2.44, SD = 1.16), staff shortage (M = 3.01, SD = 1.24), lack of recognition & incentives (M = 2.57, SD = 0.99; M = 2.63, SD = 1.08), others were infrastructural deficit, inadequate funding, training and materials; poor electricity and internet; lack of research and unionism among others. The non-enabling factors challenges were burnt out (M = 3.01, SD = 0.99), insecurity (M = 3.51, SD = 1.09), working extra hours (M = 3.02; SD = 0,98), migration desire (M = 3.87, SD = 1.06). Conclusion: It is highly overdue, that all HIV stakeholders in the country take complete custodian of all HIV service components; come up with a sustainable policy to steer toward HIV eradication program, by increasing the enabling factors, and reducing the non-enabling factors.
    },
     year = {2024}
    }
    

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  • TY  - JOUR
    T1  - The Status and Challenges of HIV Services in Niger State: A Cross-Sectional Survey of Providers and Clients
    AU  - Olabimpe Gbadeyan
    AU  - Ebenezer Obi Daniel
    AU  - Adeola John Gbadeyan
    AU  - Oladele Abidoye
    AU  - Joseph Clark
    AU  - Shadrack Onoja
    AU  - Ahmed Mamuda Bello
    AU  - Michael Avwerhota
    AU  - Christiana Asibi-Ogben Inegbeboh
    AU  - Israel Olukayode Popoola
    AU  - Michael Olabode Tomori
    AU  - Adebanke Adetutu Ogun
    AU  - Oladapo Michael Olagbegi
    Y1  - 2024/03/07
    PY  - 2024
    N1  - https://doi.org/10.11648/j.wjph.20240901.19
    DO  - 10.11648/j.wjph.20240901.19
    T2  - World Journal of Public Health
    JF  - World Journal of Public Health
    JO  - World Journal of Public Health
    SP  - 64
    EP  - 73
    PB  - Science Publishing Group
    SN  - 2637-6059
    UR  - https://doi.org/10.11648/j.wjph.20240901.19
    AB  - Introduction: The incidence of HIV/AIDS in Nigerian is on the decline, but with the trio of high inflation, high unemployment, and high terrorism in the country; lot of synergies are still needed to end the HIV scourge. Objective: The study was carried out to determine the status of HIV services in Niger state. Method: A cross-sectional survey, using a simple randomization sampling method, and the client’s viewpoint in health facilities across Niger state was undertaken to examine the challenges faced by HIV service providers. Data from 351 HIV providers, 361 clients were collected using questionnaires; IBM and Pearson correlation were used for descriptive and inferential statistics respectively. Results: The mean age of the providers was (M = 30.50, SD = 8.2). Challenges included poor salary (M = 2.44, SD = 1.16), staff shortage (M = 3.01, SD = 1.24), lack of recognition & incentives (M = 2.57, SD = 0.99; M = 2.63, SD = 1.08), others were infrastructural deficit, inadequate funding, training and materials; poor electricity and internet; lack of research and unionism among others. The non-enabling factors challenges were burnt out (M = 3.01, SD = 0.99), insecurity (M = 3.51, SD = 1.09), working extra hours (M = 3.02; SD = 0,98), migration desire (M = 3.87, SD = 1.06). Conclusion: It is highly overdue, that all HIV stakeholders in the country take complete custodian of all HIV service components; come up with a sustainable policy to steer toward HIV eradication program, by increasing the enabling factors, and reducing the non-enabling factors.
    
    VL  - 9
    IS  - 1
    ER  - 

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Author Information
  • Department of Public Health, Texila American University, Georgetown, Guyana

  • World Health Organization, Regional Office for Africa, Emergency Preparedness and Response Cluster, Brazzaville, Congo

  • Department of Public Healthcare, Citizen Hospital, Suleja, Nigeria

  • Department of Public Healthcare, Citizen Hospital, Suleja, Nigeria

  • Department of Public Healthcare, Citizen Hospital, Suleja, Nigeria

  • Department of Public Healthcare, Citizen Hospital, Suleja, Nigeria

  • Department of Public Health, Texila American University, Georgetown, Guyana

  • Department of Public Health, Atlantic International University, Hawaii, United States of American

  • Department of Public Health, Texila American University, Georgetown, Guyana

  • Department of Epidemiology and Community Health, University of Ilorin, Ilorin, Nigeria

  • Department of Public Health, Texila American University, Georgetown, Guyana

  • International Organization for Migration, Abuja, Nigeria

  • South African National Bioinformatics Institute, University of the Western Cape, Western Cape, South Africa

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