IJCRR - Vol 09 issue 03, February, 2017
Achievements and Implications of Positive Health Dignity and Prevention Model among People Living with HIV: A Systematic Evaluation of HAF II Project in Plateau State, Nigeria
Author: Ademola L. Adelekan1, 9*, Garos M. Bature2, Hadiza Maina3, Tagurum Yetunde4, Nanmak Bali5, Ezekiel Jamaka6, Sunday M. Koka2, Beben W. Wukatda2, Michael A. Owojuyigbe7, Olusegun Adeoye8, Michael Olugbil
Background: Nigeria accounts for almost half of all new HIV infections in sub-Saharan Africa every year. The positive health dignity and prevention (PHDP) intervention was designed by Plateau State Agency for the control of AIDS by engaging civil society organizations (CSOs) to reduced incidence of new infections, improved community-based care and support for people living with HIV (PLHIV) and reduce discrimination and stigmatization against PLHIV in plateau state, Nigeria. This article therefore presents the results of the intervention including the achievements and implications for programming.
Methods: This was an intervention project carried out in 3 out of 17 LGAs in plateau state with an estimated sample size of 17,177. The intervention was carried out by four CSOs who were engaged and provided with financial support under the HIV/AIDS Fund (HAF) II project. The CSOs worked among the PLHIV in the state using the PHDP model which is the minimum package for PLHIV interventions under the continuum of care. Data were collected using various data collection and reporting tools and entered into DHIS2 platform. Data were subsequently exported into Microsoft excel where it was analyzed and results presented in charts and tables.
Results: The overall target population reached during this intervention was 38211 PLHIV given a target reached of 222.5%. Among these, 74 persons died while 21 persons voluntarily withdrawn from this project. A total of 87 community dialogues were held and 912 influencers participated. A total of 12 income generating activities were also held and 89 persons benefitted. A total of 29312 (76.7%) persons were reached with at least one care representing a 76.7%. Out of the total of 51143 condoms required for this intervention, only 51.1% condoms were distributed while 1271 pregnant women were referred for antenatal care services.
Conclusion: This intervention had beneficial effects on people living with HIV and their families. Social and economic support for people living with HIV within the context of positive health, dignity and prevention is perhaps the most difficult to address, as it depends in large measure on the broader national economic, social and social protection systems, which are underfinanced in this intervention.
Keywords: HAF II project, Positive health dignity and prevention, People living with HIV
Ademola L. Adelekan1, 9*, Garos M. Bature2, Hadiza Maina3, Tagurum Yetunde4, Nanmak Bali5, Ezekiel Jamaka6, Sunday M. Koka2, Beben W. Wukatda2, Michael A. Owojuyigbe7, Olusegun Adeoye8, Michael Olugbil. Achievements and Implications of Positive Health Dignity and Prevention Model among People Living with HIV: A Systematic Evaluation of HAF II Project in Plateau State, Nigeria International Journal of Current Research and Review. Vol 09 issue 03, February, 08-13
- United Nations Programme on HIV/AIDS (UNAIDS) (2010). Global report: UNAIDS report on the global AIDS epidemic 2010. Geneva: UNAIDS
- World Health Organization (WHO) (2008). Primary health care: now more than ever. Geneva, WHO. Available at: http://www.who.int/whr/2008/whr08_en.pdf
- Tillekeratne LG, Thielman NM, Kiwera RA, Chu HY, Kaale L, Morpeth SC, Ostermann J, Mtweve SP, Shao JF, Bartlett JA, Crump JA (2009). Morbidity and mortality among a cohort of HIV-infected adults in a programme for community home-based care, in the Kilimanjaro Region of Tanzania (2003–2005). Ann. Trop. Med. Parasitol. 103(3):263-273.
- United Nations Programme on HIV/AIDS UNAIDS (2014). HIV and AIDS in sub-saharan Africa regional overview. UNAIDS GAP Report 2014
- United Nations Programme on HIV/AIDS (UNAIDS). 2016 Prevention Gap Report
- United Nations Programme on HIV/AIDS (UNAIDS). The Gap Report. 2014
- National Agency for the Control of AIDS (NACA). Global AIDS Report Progress Report for Nigeria. 2015
- United Nations Programme on HIV/AIDS (UNAIDS). 2015 HIV and AIDS Estimates
- National Agency for the Control of AIDS (NACA). End of Term Desk Review Report of the 2010-2015 National HIV/AIDS Strategic Plan. 2015
- Plateau AIDS Control Agency (PLACA). 2015. HIV/AIDS Fund (HAF) Closing Report
- UNAIDS, GNP+. 2013. Positive Health, Dignity and Prevention: Operational Guidelines. Geneva and Amsterdam
- World Health Organisation (WHO)/ United Nations Programme on HIV/AIDS (UNAIDS) (2000). Key elements in HIV/AIDs care and support: Draft Working Document. UNAIDS.
- Pindani M, Maluwa A, Nkondo M, Nyasulu BM, Chilemba W (2013). Perception of People Living with HIV and AIDS Regarding Home Based Care in Malawi. J. AIDS Clin. Res. 4:201.
- Ibrahim K, Haroen H, Pinxten L (2011). Home-based Care: A need assessment of people living with HIV infection in Bandung, Indonesia. J. Assoc. Nurses AIDS Care 22(3):229-37.
- Makoae MG, Jubber K (2008). Confidentiality or continuity? Family caregivers’ experiences with care for HIV/AIDS patients in homebased care in Lesotho. SAHARA J. 5:36-46.
- Ogden J, Esim S, Grown C (2006). Expanding the care continuum: Bringing cares into focus. Health Policy Plann. 21(5):333-342.
- Aantjes C, Quinlan T, Bunders J (2014). Integration of community home based care programmes within national primary health care revitalisation strategies in Ethiopia, Malawi, South-Africa and Zambia: a comparative assessment. Glob. Health 10:85.
- Mupfurima IM (2013). Home based care for HIV and AIDS patients: A case of Rujeko C suburbs Masvingo urban Zimbabwe. Int. J. Acad. Res. Prog. Educ. Dev 2(2):99-112.
- Chesney MA. The elusive gold standard. Future perspectives for HIV adherence assessment and intervention. J Acquir Immune Defic Syndr. 2006;43 Suppl 1:S149-155. Available at http://www.ncbi.nlm.nih.gov/pubmed/17133199.
- World Heath Organization (WHO). Adherence to long term therapies—evidence for action. 2003. Available at http://www.who.int/chp/knowledge/publications/adherence_full_report.pdf.
- McPherson-Baker S, Malow RM, Penedo F, Jones DL, Schneiderman N, Klimas NG. Enhancing adherence to combination antiretroviral therapy in non-adherent HIV-positive men. AIDS Care. 2000;12(4):399-404. Available at http://www.ncbi.nlm.nih.gov/pubmed/11091772.
- UNFPA, WHO and UNAIDS: Position statement on condoms and the prevention of HIV, other sexually transmitted infections and unintended pregnancy. July 2015
- Carey RF et al. Effectiveness of latex condoms as a barrier to human immunodeficiency virus-sized particles under conditions of simulated use. Sex Transm Dis 1992;19:230-4.
- WHO/UNAIDS. 2001. Information note on Effectiveness of Condoms in Preventing Sexually Transmitted Infections including HIV.
- Holmes K et al. Effectiveness of condoms in preventing sexually transmitted infections. Bulletin of the World Health Organization, 2004, 82 (6).
- Weller S et al. Condom effectiveness in reducing heterosexual HIV transmission. Cochrane Database Syst Rev. 2002;(1):CD003255.
- Smith DK et al. Condom effectiveness for HIV prevention by consistency of use among men who have sex with men in the United States. J Acquir Immune Defic Syndr. 2015 Mar 1;68(3):337-44.
- Trussell J. Contraceptive efficacy, in: Hatcher RA et al., eds., Contraceptive Technology: Twentieth Revised Edition, New York: Ardent Media, 2011, pp. 779–863.
- Kost K et al. Estimates of contraceptive failure from the 2002 National Survey of Family Growth. Contraception, 2008; 77:10-21.