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https://www.readbyqxmd.com/read/27911921/what-is-the-economic-burden-of-subsidized-hiv-aids-treatment-services-on-patients-in-nigeria-and-is-this-burden-catastrophic-to-households
#1
Enyi Etiaba, Obinna Onwujekwe, Kwasi Torpey, Benjamin Uzochukwu, Robert Chiegil
BACKGROUND: A gap in knowledge exists regarding the economic burden on households of subsidized anti-retroviral treatment (ART) programs in Nigeria. This is because patients also incur non-ART drug costs, which may constrain the delivery and utilisation of subsidized services. METHODS: An exit survey of adults (18+years) attending health facilities for HIV/AIDS treatment was conducted in three states in Nigeria (Adamawa, Akwa Ibom and Anambra). In the states, ART was fully subsidized but there were different payment modalities for other costs of treatment...
2016: PloS One
https://www.readbyqxmd.com/read/27847006/determinants-of-health-system-delay-at-public-and-private-directly-observed-treatment-short-course-facilities-in-lagos-state-nigeria-a-cross-sectional-study
#2
Olusola Adedeji Adejumo, Olusoji James Daniel, Andrew Folarin Otesanya, Esther Ngozi Adejumo
OBJECTIVE/BACKGROUND: Despite several studies on health system delay (HSD) among tuberculosis (TB) patients in Nigeria, no study has compared HSD in private and public health facilities. This study assessed the determinants of HSD in public and private health facilities offering the directly observed treatment, short course (DOTS). METHODS: A descriptive cross-sectional study was conducted. A total of 470 new smear-positive TB patients aged 14years and older were consecutively recruited between October 1, 2012, and December 31, 2012, from 34 (23 public and 11 private) DOTS facilities that offered treatment and microscopy services...
September 2016: International Journal of Mycobacteriology
https://www.readbyqxmd.com/read/27844297/a-decade-of-monitoring-hiv-epidemics-in-nigeria-positioning-for-post-2015-agenda
#3
Oluyemisi Akinwande, Adebobola Bashorun, Aderemi Azeez, Francis Agbo, Patrick Dakum, Alashle Abimiku, Camara Bilali, John Idoko, Kayode Ogungbemi
BACKGROUND: Nigeria accounts for 9% of the global HIV burden and is a signatory to Millennium Development Goals as well as the post-2015 Sustainable Development Goals. This paper reviews maturation of her HIV M&E system and preparedness for monitoring of the post-2015 agenda. METHODS: Using the UNAIDS criteria for assessing a functional M&E system, a mixed-methods approach of desk review and expert consultations, was employed. RESULTS: Following adoption of a multi-sectoral M&E system, Nigeria experienced improved HIV coordination at the National and State levels, capacity building for epidemic appraisals, spectrum estimation and routine data quality assessments...
November 14, 2016: AIDS and Behavior
https://www.readbyqxmd.com/read/27836020/high-levels-of-pre-treatment-hiv-drug-resistance-and-treatment-failure-in-nigerian-children
#4
Ragna S Boerma, T Sonia Boender, Kim C E Sigaloff, Tobias F Rinke de Wit, Michael Boele van Hensbroek, Nicaise Ndembi, Titilope Adeyemo, Edamisan O Temiye, Akin Osibogun, Pascale Ondoa, Job C Calis, Alani Sulaimon Akanmu
INTRODUCTION: Pre-treatment HIV drug resistance (PDR) is an increasing problem in sub-Saharan Africa. Children are an especially vulnerable population to develop PDR given that paediatric second-line treatment options are limited. Although monitoring of PDR is important, data on the paediatric prevalence in sub-Saharan Africa and its consequences for treatment outcomes are scarce. We designed a prospective paediatric cohort study to document the prevalence of PDR and its effect on subsequent treatment failure in Nigeria, the country with the second highest number of HIV-infected children in the world...
2016: Journal of the International AIDS Society
https://www.readbyqxmd.com/read/27829033/outcomes-of-nigeria-s-hiv-aids-treatment-program-for-patients-initiated-on-antiretroviral-treatment-between-2004-2012
#5
Ibrahim Dalhatu, Dennis Onotu, Solomon Odafe, Oseni Abiri, Henry Debem, Simon Agolory, Ray W Shiraishi, Andrew F Auld, Mahesh Swaminathan, Kainne Dokubo, Evelyn Ngige, Chukwuemeka Asadu, Emmanuel Abatta, Tedd V Ellerbrock
BACKGROUND: The Nigerian Antiretroviral therapy (ART) program started in 2004 and now ranks among the largest in Africa. However, nationally representative data on outcomes have not been reported. METHODS: We evaluated retrospective cohort data from a nationally representative sample of adults aged ≥15 years who initiated ART during 2004 to 2012. Data were abstracted from 3,496 patient records at 35 sites selected using probability-proportional-to-size (PPS) sampling...
2016: PloS One
https://www.readbyqxmd.com/read/27822455/burden-of-cancers-attributable-to-infectious-agents-in-nigeria-2012-2014
#6
Michael Odutola, Elima E Jedy-Agba, Eileen O Dareng, Emmanuel Aja Oga, Festus Igbinoba, Theresa Otu, Emmanuel Ezeome, Ramatu Hassan, Clement A Adebamowo
INTRODUCTION: Infections by certain viruses, bacteria, and parasites have been identified as risk factors for some cancers. In Nigeria, like many other developing countries, infections remain a leading cause of morbidity and mortality. While there are data on the incidence of different cancers in Nigeria, there has been no study of cancers attributable to infections. This study was carried out to determine the burden of cancers attributable to infections using data from two population-based cancer registries (PBCRs) in Nigeria...
2016: Frontiers in Oncology
https://www.readbyqxmd.com/read/27800100/acceptance-of-provider-initiated-testing-and-counseling-for-hiv-infection-by-caregivers-in-a-tertiary-health-institution-in-abuja-nigeria-a-cross-sectional-study
#7
Adaora Adeline Okechukwu, Eno Ekop, Chinwendu Daniel Ndukwe, Kudirat Eyinade Olateju
INTRODUCTION: Less than 10% of HIV positive children are enrolled into antiretroviral treatment program in the country. Provider-initiated testing and counseling was introduced to increasing uptake of HIV testing. The aim of this study is to determine the acceptability and factors undermining the acceptance of this laudable initiative by parents/caregivers of children attending paediatric out patient clinical services in our health institution. METHODS: A cross sectional study of children aged 18 months to 18 years and their parents/caregivers attending paediatric outpatient clinic of the hospital was undertaken for the above objectives...
2016: Pan African Medical Journal
https://www.readbyqxmd.com/read/27764094/long-term-outcomes-on-antiretroviral-therapy-in-a-large-scale-up-program-in-nigeria
#8
Seema T Meloni, Charlotte A Chang, Geoffrey Eisen, Toyin Jolayemi, Bolanle Banigbe, Prosper I Okonkwo, Phyllis J Kanki
BACKGROUND: While there has been a rapid global scale-up of antiretroviral therapy programs over the past decade, there are limited data on long-term outcomes from large cohorts in resource-constrained settings. Our objective in this evaluation was to measure multiple outcomes during first-line antiretroviral therapy in a large treatment program in Nigeria. METHODS: We conducted a retrospective multi-site program evaluation of adult patients (age ≥15 years) initiating antiretroviral therapy between June 2004 and February 2012 in Nigeria...
2016: PloS One
https://www.readbyqxmd.com/read/27754259/os-37-02-hypertension-in-hiv-infected-adults-in-north-central-nigeria-prevalence-associated-risk-factors-and-assessment-of-risk-using-the-framingham-risk-score
#9
Ganiyu Amusa, Babatunde Awokola, Godsent Isiguzo, James Onuh, Samuel Uguru, David Oke, Solomon Danbauchi, Basil Okeahialam
OBJECTIVE: To evaluate the prevalence of Hypertension and associated risk factors in HIV+ adults and assessment of these risks using the Framingham risk score 'FRS'. DESIGN AND METHOD: A cross-sectional analytical study. One hundred and fifty consecutive HIV+ adults presenting at the HIV clinic of Jos University Teaching Hospital (90 on HAART) with 50 HIV- as controls were recruited. Relevant history, physical examination (including blood pressure measured according to standard guidelines), laboratory specimen (fasting plasma sugar and lipids, CD4 count and viral load) and electrocardiogram were obtained from the participants...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27743225/establishing-a-cancer-research-consortium-in-low-and-middle-income-countries-challenges-faced-and-lessons-learned
#10
Sara E Fischer, Olusegun I Alatise, Akinwunmi O Komolafe, Aba I Katung, Adedeji A Egberongbe, Samuel A Olatoke, Olayide S Agodirin, Oladapo A Kolawole, Olaejerinde O Olaofe, Omobolaji O Ayandipo, Olorunda Rotimi, Murray F Brennan, T Peter Kingham
PURPOSE: There is an increasing effort in the global public health community to strengthen research capacity in low- and middle-income countries, but there is no consensus on how best to approach such endeavors. Successful consortia that perform research on HIV/AIDS and other infectious diseases exist, but few papers have been published detailing the challenges faced and lessons learned in setting up and running a successful research consortium. METHODS: Members of the African Research Group for Oncology (ARGO) participated in generating lessons learned regarding the foundation and maintenance of a cancer research consortium in Nigeria...
October 14, 2016: Annals of Surgical Oncology
https://www.readbyqxmd.com/read/27734167/understanding-the-adolescent-gap-in-hiv-testing-among-clients-of-antenatal-care-services-in-west-and-central-african-countries
#11
Stephane Helleringer
New HIV infections among children have declined significantly more slowly in West and central African countries (WCA) than in eastern and southern African countries between 2009 and 2015. Since adolescent fertility is particularly high in WCA countries, frequent mother-to-child transmission (MTCT) of HIV may in part be due to low coverage of HIV testing among adolescents during antenatal care (ANC). We investigated this adolescent gap in HIV testing using survey data from the demographic and health surveys and multiple indicators cluster surveys collected in 21 WCA countries since 2009...
October 12, 2016: AIDS and Behavior
https://www.readbyqxmd.com/read/27719508/public-knowledge-of-hiv-aids-in-three-rural-communities-of-nigeria
#12
Bankole Henry Oladeinde, Richard Omoregie, Ikpomwonsa Odia, Eguagie Osareniro Osakue
This study aimed at assessing knowledge of HIV/AIDS among residents of three rural communities in Nigeria. A total of 371 persons residing in selected rural communities were recruited for this study. A structured questionnaire was used to collect data from all participants. Results of the study showed a generally high level of awareness of HIV/AIDS in all communities surveyed. However, among study participants, knowledge of mode of prevention and management of HIV infection was poor as was knowledge of HIV status and readiness to utilize free voluntary counseling and testing for HIV/AIDS services...
October 8, 2016: Social Work in Public Health
https://www.readbyqxmd.com/read/27706252/predictors-of-hiv-testing-among-youth-in-sub-saharan-africa-a-cross-sectional-study
#13
Ibitola O Asaolu, Jayleen K Gunn, Katherine E Center, Mary P Koss, Juliet I Iwelunmor, John E Ehiri
INTRODUCTION: In spite of a high prevalence of HIV infection among adolescents and young adults in sub-Saharan Africa, uptake of HIV testing and counseling among youth in the region remains sub-optimal. The objective of this study was to assess factors that influence uptake of HIV testing and counseling among youth aged 15-24 years in sub-Saharan Africa. METHODS: This study used the Demographic and Health Survey (DHS) data from countries that represent four geographic regions of sub-Saharan Africa: Congo (Brazzaville), representing central Africa (DHS 2011-2012); Mozambique, representing southern Africa (DHS 2011); Nigeria, representing western Africa (DHS 2013); and Uganda, representing eastern Africa (DHS 2011)...
2016: PloS One
https://www.readbyqxmd.com/read/27703970/comment-on-effect-of-health-education-on-willingness-to-undergo-hiv-screening-among-antenatal-attendees-in-a-teaching-hospital-in-north-central-nigeria
#14
COMMENT
Siddharudha Shivalli, Soujanya Kaup
No abstract text is available yet for this article.
2016: BioMed Research International
https://www.readbyqxmd.com/read/27693973/financing-the-hiv-response-in-sub-saharan-africa-from-domestic-sources-moving-beyond-a-normative-approach
#15
Michelle Remme, Mariana Siapka, Olivier Sterck, Mthuli Ncube, Charlotte Watts, Anna Vassall
Despite optimism about the end of AIDS, the HIV response requires sustained financing into the future. Given flat-lining international aid, countries' willingness and ability to shoulder this responsibility will be central to access to HIV care. This paper examines the potential to expand public HIV financing, and the extent to which governments have been utilising these options. We develop and compare a normative and empirical approach. First, with data from the 14 most HIV-affected countries in sub-Saharan Africa, we estimate the potential increase in public HIV financing from economic growth, increased general revenue generation, greater health and HIV prioritisation, as well as from more unconventional and innovative sources, including borrowing, health-earmarked resources, efficiency gains, and complementary non-HIV investments...
November 2016: Social Science & Medicine
https://www.readbyqxmd.com/read/27692002/survey-of-sexual-activity-and-contraceptive-use-among-unmarried-young-school-and-college-drop-outs-in-a-defined-nigerian-population
#16
Abiodun Idowu Adanikin, Pipeloluwa Oluwayemisi Adanikin, Ernest Okechukwu Orji, Benedict Tolulope Adeyanju
This study sought to characterize sexual behaviour, contraceptive use and contributory upbringing factors among young people who had dropped out of school or college in a Nigerian setting. A community-based, cross-sectional sexual survey of 161 young people aged between 15 and 35 who had dropped out of school or college was performed in Ado-Ekiti, south-west Nigeria, in April 2015. One hundred and nineteen of the respondents (73.9%) had had sexual intercourse. Mean age at sexual debut was 19.08±3.5 years. Of those with sexual experience, 79 (66...
October 3, 2016: Journal of Biosocial Science
https://www.readbyqxmd.com/read/27662547/initiation-of-antiretroviral-therapy-based-on-the-2015-who-guidelines-a-cost-effectiveness-analysis-in-nigeria-south-africa-uganda-and-india
#17
Andreas Kuznik, Garba Iliyasu, Abdulrazaq G Habib, Baba M Musa, Andrew Kambugu, Mohammed Lamorde
OBJECTIVE: In 2015, the World Health Organization (WHO) recommended initiation of antiretroviral therapy (ART) in all HIV-positive patients regardless of CD4 cell count. We evaluated the cost-effectiveness of immediate versus deferred ART initiation among patients with CD4 counts exceeding 500 cells/mm in four resource-limited countries (South Africa, Nigeria, Uganda, and India). DESIGN: A 5-year Markov model with annual cycles including patients at CD4>500 cells/mm initiating ART or deferring therapy until historic ART initiation criteria of CD < 350 cells/mm were met...
September 20, 2016: AIDS
https://www.readbyqxmd.com/read/27651176/community-vulnerability-and-symptoms-of-acute-respiratory-infection-among-preschool-age-children-in-the-democratic-republic-of-congo-malawi-and-nigeria-evidence-from-demographic-and-health-surveys
#18
Chi Chiao
BACKGROUND: As a consequence of the global spread of HIV infection in sub-Saharan Africa, the impact of the AIDS pandemic has contributed to more than 40 million orphaned and vulnerable children (OVC) in sub-Saharan Africa. The children's vulnerability is hypothesised to increase the risk of acute respiratory infection (ARI), which remains one of the major infectious causes of child mortality and morbidity in this region. This study examines the linkages between children's vulnerability and ARI symptoms, with a focus on the individual as well as community levels...
September 20, 2016: Journal of Epidemiology and Community Health
https://www.readbyqxmd.com/read/27648418/socio-cultural-factors-in-the-access-of-women-to-hiv-aids-prevention-and-treatment-services-in-south-southern-nigeria
#19
Edlyne Anugwom, Kenechukwu Anugwom
BACKGROUND: The South-southern zone of Nigeria is one of the zones in the country that has reported consistent high prevalent rates of HIV/AIDS pandemic in the last decade. In spite of bio-medical reasons adduced for the spread of the pandemic, socio-cultural factors may be major issues in the access to both prevention and treatment services especially for women. Hence, this study investigated the socio-cultural factors, which influence the access of women to HIV/AIDS prevention and treatment services in Nigeria...
June 2016: Iranian Journal of Public Health
https://www.readbyqxmd.com/read/27643224/os-37-02-hypertension-in-hiv-infected-adults-in-north-central-nigeria-prevalence-associated-risk-factors-and-assessment-of-risk-using-the-framingham-risk-score
#20
Ganiyu Amusa, Babatunde Awokola, Godsent Isiguzo, James Onuh, Samuel Uguru, David Oke, Solomon Danbauchi, Basil Okeahialam
OBJECTIVE: To evaluate the prevalence of Hypertension and associated risk factors in HIV+ adults and assessment of these risks using the Framingham risk score 'FRS'. DESIGN AND METHOD: A cross-sectional analytical study. One hundred and fifty consecutive HIV+ adults presenting at the HIV clinic of Jos University Teaching Hospital (90 on HAART) with 50 HIV- as controls were recruited. Relevant history, physical examination (including blood pressure measured according to standard guidelines), laboratory specimen (fasting plasma sugar and lipids, CD4 count and viral load) and electrocardiogram were obtained from the participants...
September 2016: Journal of Hypertension
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