BARRIERS AND FACILITATORS TO HUMAN IMMUNODEFICIENCY VIRUS SERO-STATUS DISCLOSURE IN A TERTIARY HEALTH FACILITY IN KANO, NIGERIA
Background: Disclosure of Human Immunodeficiency Virus (HIV) sero-status to sexual partners, family and friends is essential in preventing HIV transmission. An array of benefits has been associated with disclosure; such as early referral to care and treatment, reduced stigma and increased social sup...
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| Format: | Article |
| Language: | English |
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Ntec Specialist
2020-01-01
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| Series: | Kanem Journal of Medical Sciences |
| Subjects: | |
| Online Access: | https://kjmsmedicaljournal.com/wp-content/uploads/2020/07/5.Ibrahim-RJ-et-al-vol14no1.pdf |
| _version_ | 1819009897679814656 |
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| author | Ibrahim RJ Kwaku AA Suleiman H Tsiga-Ahmed FI Amole TG Ibrahim UM Yahaya KI Abdulkarim AM |
| author_facet | Ibrahim RJ Kwaku AA Suleiman H Tsiga-Ahmed FI Amole TG Ibrahim UM Yahaya KI Abdulkarim AM |
| author_sort | Ibrahim RJ |
| collection | DOAJ |
| description | Background: Disclosure of Human Immunodeficiency Virus (HIV) sero-status to sexual
partners, family and friends is essential in preventing HIV transmission. An array of benefits has
been associated with disclosure; such as early referral to care and treatment, reduced stigma and
increased social support. Objectives: We determined the prevalence, barriers and facilitators to
HIV sero-status disclosure among clients attending the Antiretroviral (ARV) clinic in Aminu
Kano Teaching Hospital, Kano. Method: A descriptive cross-sectional study was conducted
among 231 HIV positive patients attending ARV clinic at AKTH using a systematic sampling
technique. Interviewer-administered semi-structured questionnaire was used to obtain
respondent's socio-demographic characteristics, disclosure status, barriers and facilitators of HIV
sero-status disclosure. We conducted univariate, bivariate and multivariate analysis using SPSS
version 22, and a p- value ≤ 0.05 was considered as the level of significance. Results: The mean age
of the respondents was 35 ± 8.64 years with a male to female sex distribution of 53% to 47 %
respectively. Majority were not married (74.0%) and two thirds (67%) were Muslims. This study
found that 60% of the respondents had disclosed their HIV sero-status and 97% of them had done
so voluntarily. The fear of divorce/neglect (p less than 0.01, aOR=0.017, 95% CI=0.02-0.15) and fear of
stigma (p less than 0.01, aOR=0.03, 95% CI= 0.00-0.03) were found as barriers to HIV sero-status
disclosure. Financial difficulties (p less than 0.01, aOR=3.03, 95% CI=1.16-5.61) and the need for improved
access to necessary medical care (p=0.04, aOR=6.52, 95% CI=1.85-23.15) were found to facilitate
HIV sero status disclosure. Conclusion: The study found a low HIV sero-status disclosure in
Kano. Disclosure being major recommendation by World Health Organisation and the Centres
for Disease Control and Prevention requires strengthening during patients counselling and
education sessions. |
| first_indexed | 2024-12-21T01:03:40Z |
| format | Article |
| id | doaj.art-5ed7a80a68664482b7728886ee217a7e |
| institution | Directory Open Access Journal |
| issn | 2006-4772 2714-2426 |
| language | English |
| last_indexed | 2024-12-21T01:03:40Z |
| publishDate | 2020-01-01 |
| publisher | Ntec Specialist |
| record_format | Article |
| series | Kanem Journal of Medical Sciences |
| spelling | doaj.art-5ed7a80a68664482b7728886ee217a7e2022-12-21T19:21:06ZengNtec SpecialistKanem Journal of Medical Sciences2006-47722714-24262020-01-01141313810.36020/kjms.2020.1401.00520201BARRIERS AND FACILITATORS TO HUMAN IMMUNODEFICIENCY VIRUS SERO-STATUS DISCLOSURE IN A TERTIARY HEALTH FACILITY IN KANO, NIGERIAIbrahim RJ0Kwaku AA1Suleiman H2Tsiga-Ahmed FI3Amole TG4Ibrahim UM5Yahaya KI6Abdulkarim AM7Department of Community Medicine, Bayero University/Aminu Kano Teaching Hospital, KanoDepartment of Community Medicine, Aminu Kano Teaching Hospital, KanoDepartment of Community Medicine, Bayero University, KanoDepartment of Community Medicine, Bayero University/Aminu Kano Teaching Hospital, KanoDepartment of Community Medicine, Bayero University/Aminu Kano Teaching Hospital, KanoDepartment of Community Medicine, Aminu Kano Teaching Hospital, KanoDepartment of Community Medicine, Aminu Kano Teaching Hospital, KanoNigeria Field Epidemiology and Laboratory Training Program, AbujaBackground: Disclosure of Human Immunodeficiency Virus (HIV) sero-status to sexual partners, family and friends is essential in preventing HIV transmission. An array of benefits has been associated with disclosure; such as early referral to care and treatment, reduced stigma and increased social support. Objectives: We determined the prevalence, barriers and facilitators to HIV sero-status disclosure among clients attending the Antiretroviral (ARV) clinic in Aminu Kano Teaching Hospital, Kano. Method: A descriptive cross-sectional study was conducted among 231 HIV positive patients attending ARV clinic at AKTH using a systematic sampling technique. Interviewer-administered semi-structured questionnaire was used to obtain respondent's socio-demographic characteristics, disclosure status, barriers and facilitators of HIV sero-status disclosure. We conducted univariate, bivariate and multivariate analysis using SPSS version 22, and a p- value ≤ 0.05 was considered as the level of significance. Results: The mean age of the respondents was 35 ± 8.64 years with a male to female sex distribution of 53% to 47 % respectively. Majority were not married (74.0%) and two thirds (67%) were Muslims. This study found that 60% of the respondents had disclosed their HIV sero-status and 97% of them had done so voluntarily. The fear of divorce/neglect (p less than 0.01, aOR=0.017, 95% CI=0.02-0.15) and fear of stigma (p less than 0.01, aOR=0.03, 95% CI= 0.00-0.03) were found as barriers to HIV sero-status disclosure. Financial difficulties (p less than 0.01, aOR=3.03, 95% CI=1.16-5.61) and the need for improved access to necessary medical care (p=0.04, aOR=6.52, 95% CI=1.85-23.15) were found to facilitate HIV sero status disclosure. Conclusion: The study found a low HIV sero-status disclosure in Kano. Disclosure being major recommendation by World Health Organisation and the Centres for Disease Control and Prevention requires strengthening during patients counselling and education sessions.https://kjmsmedicaljournal.com/wp-content/uploads/2020/07/5.Ibrahim-RJ-et-al-vol14no1.pdfdisclosurehiv/aidsbarriersfacilitators |
| spellingShingle | Ibrahim RJ Kwaku AA Suleiman H Tsiga-Ahmed FI Amole TG Ibrahim UM Yahaya KI Abdulkarim AM BARRIERS AND FACILITATORS TO HUMAN IMMUNODEFICIENCY VIRUS SERO-STATUS DISCLOSURE IN A TERTIARY HEALTH FACILITY IN KANO, NIGERIA Kanem Journal of Medical Sciences disclosure hiv/aids barriers facilitators |
| title | BARRIERS AND FACILITATORS TO HUMAN IMMUNODEFICIENCY VIRUS SERO-STATUS DISCLOSURE IN A TERTIARY HEALTH FACILITY IN KANO, NIGERIA |
| title_full | BARRIERS AND FACILITATORS TO HUMAN IMMUNODEFICIENCY VIRUS SERO-STATUS DISCLOSURE IN A TERTIARY HEALTH FACILITY IN KANO, NIGERIA |
| title_fullStr | BARRIERS AND FACILITATORS TO HUMAN IMMUNODEFICIENCY VIRUS SERO-STATUS DISCLOSURE IN A TERTIARY HEALTH FACILITY IN KANO, NIGERIA |
| title_full_unstemmed | BARRIERS AND FACILITATORS TO HUMAN IMMUNODEFICIENCY VIRUS SERO-STATUS DISCLOSURE IN A TERTIARY HEALTH FACILITY IN KANO, NIGERIA |
| title_short | BARRIERS AND FACILITATORS TO HUMAN IMMUNODEFICIENCY VIRUS SERO-STATUS DISCLOSURE IN A TERTIARY HEALTH FACILITY IN KANO, NIGERIA |
| title_sort | barriers and facilitators to human immunodeficiency virus sero status disclosure in a tertiary health facility in kano nigeria |
| topic | disclosure hiv/aids barriers facilitators |
| url | https://kjmsmedicaljournal.com/wp-content/uploads/2020/07/5.Ibrahim-RJ-et-al-vol14no1.pdf |
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