HIV Counselling and Testing Services: what Determines the Participation of Young People in a Community, South West Nigeria?

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Authors : Olayinka Stephen Ilesanm

Abstract:

HIV Counselling and Testing (HCT) has been shown to have preventive effects on HIV/AIDS. Despite its importance, participation remains low in some places where the service is obtainable. This study was carried out to determine the utilization of HTC services among young persons in Yemetu, Ibadan and South West Nigeria.

METHODS

The study was a cross sectional survey of 221 residents aged 15 to 24 years. Semi-structured interviewer administered questionnaires were used to obtain information on socio-demographic characteristics and utilization of HCT services. Descriptive statistics were done. Associations were explored with the chi square test and predictors of knowing ones status was determined using logistic regression analysis at 5% level of significance.

RESULTS

The mean age of the respondents was 17.8+3.9 years, about half, 54.3% were female, 45.7% were male (m: f = 1: 1.2), 83.3% were single, only 6.8% had tertiary education. Only 24% know their HIV status, 33.6% of respondents > 18 years know their status compared to 15.8% of those who were ≥ 18 years (p=0.002). Among the respondents who were aware of a place to carry out HIV test, only 49.4% know their HIV status compared to 10.6% who do not (p<0.001). Those that were aware of a place to get tested were about 8 times likely to know their status [OR=8.18 (3.66-18.30)] P<0.001.

CONCLUSION AND RECOMMENDATION

The common belief that services will be utilized when they are available was not evident in this study. Sustainable HIV responses targeting young people should not be limited by assumed availability of services. Periodic awareness programmes should be undertaken in the community. 

References:

[1.] Amu, E., Ijadunola, K., Bamidele, J. & Odu, O.,(2013). “Barriers to and Determinants of HIV Counselling and Testing among Adults in Ayedaade Local Government Area, Osun State, Nigeria”. Journal of Medical Sciences, 13, 803-808.

[2.] Babalola, S.,(2007). Readiness for HIV Testing among young people in Northern Nigeria: The role of social norm and perceived stigma. AIDS and Behaviour, 11, 759-769.

[3.] Bateganya, M., Abdulwadud, O., & Kiene, S.,(2007). Home-based HIV voluntary counseling and testing in developing countries. Cochrane Database Syst Rev., p. CD006493. [PubMed]

[4.] Bunnell, R., Ekwaru, J., Solberg, P., Wamai, N., Bikaako-Kajura, W., Were, W., Coutinho, A., Liechty, C., Madraa, E. & Rutherford, G.,(2006). Changes in sexual behavior and risk of HIV transmission after antiretroviral therapy and prevention interventions in rural Uganda. AIDS, 20, 85-92.

[5.] Bwambale, F, M., Ssali, S, N., Byaruhanga, S., Kalyango, J, N., & Karamagi, C, A, S.,(2008). Voluntary HIV counselling and testing among men in rural western Uganda: Implications for HIV prevention. BMC Public Health, 8. 10.1186/1471-2458-8-263.

[6.] Centers for Disease Control 2005. HIV prevalence, unrecognized infection, and HIV testing among men who have sex with men-five U.S. cities, MMWR;54:97-601.

[7.] Chimzizi, R., Harries, A., Manda, E., Khonyongwa, A. & Salaniponi, F., (2004). Counselling, HIV testing and adjunctive cotrimoxazole for TB patients in Malawi: from research to routine implementation. International Journal Tuberculosis and Lung Disease, 8, 938-944.

[8.] deGraft-Johnson, J., Paz-Soldan, V., Kasote, A., & Tsui, A.,(2005). HIV voluntary counseling and testing service preferences in a rural Malawi population. AIDS Behav, 9, 475-484.

[9.] Demisse, A., Deribew, A. & Abera, M.,(2009). Determinants of acceptance of voluntary HIV testing among antenatal clinic attendees at Dil Chora Hospital, Dire Dawa, East Ethiopia. Ethiop. J. Health Dev., 23, 141-147.

[10.]   Denison, J., O’Reilly, K., Schmid, G., Kennedy, C. & Sweat, M.,(2008). HIV voluntary counseling and testing and behavioral risk reduction in developing countries: a meta-analysis, 1990-2005. AIDS Behav, 12, 363-373.

[11.]   FMOH(2006). National HIV and AIDS and Reproductive Health Survey, 2005, Federal Ministry of Health, Abuja, Nigeria.

[12.]   FMOH(2010). National HIV Sero-prevalence Sentinel Survey Among Pregnant Women Attending Antenatal Clinics in Nigeria. In: FEDERAL MINISTRY OF  HEALTH (ed.). Abuja Nigeria.

[13.]   Helleringer, S., Kohler, H. P., Frimpong, J, A., & Mkandawire, J.,(2009). Increasing uptake of HIV testing and counseling among the poorest in sub-Saharan countries through home-based service provision. J Acquir Immune Defic Syndr 51, 185-193.

[14.]   Hutchinson, P., & Mahlalela, X.,(2006). Utilization of voluntary counseling and testing services in the Eastern Cape, South Africa. AIDS Care 18, 446-455.

[15.]   Liechty, C., (2004). The evolving role of HIV counseling and testing in resource-limited settings: HIV prevention and linkage to expanding HIV care access. Current HIV/AIDS Report, 1, 181-185.

[16.]   Matovu, J., & Makumbi, F.,(2007). Expanding access to voluntary HIV counselling and testing in sub-Saharan Africa: alternative approaches for improving uptake, 2001-2007. Trop Med Int Health 12, 1315-1322.

[17.]   Menzies, N., Abang, B., Wanyenze, R., Nuwaha, F., Mugisha, B., Coutinho, A., Bunnell, R., Mermin, J. & Blandford, J, M.,(2009). The costs and effectiveness of four HIV counseling and testing strategies in Uganda. AIDS, 23, 395-401.

[18.]   NACA(2011). Fact sheet 2011: Prevention of new infections in Nigeria. National Agency for the Control of AIDS (NACA), Abuja, Nigeria, pp: 1-9.

[19.]   Pronyk, P., Kim, J., Makhubele, M., Hargreaves, J., Mohlala, R. & Hausler, H.,(2002). Introduction of voluntary counseling and rapid testing for HIV in rural South Africa: from theory to practice. AIDS Care, 14, 859-865.

[20.]   Ross, D, A., Dick, B., & Ferguson, J., (2006). Young people and HIV: the evidence is clear ­act now! UNAIDS Inter-agency Task Team on Young People.

[21.]   Shisana, O., Rehle, T., Simbayi, L., Zuma, K., Jooste, S., Pillay-van-Wyk, V., Mbelle, N., Van Zyl, J., Parker, W., Zungu, N., Pezi, S., & the  SABSSM III Implementation team 2009. South African National HIV Prevalence, Incidence, Behaviour and Communication Survey 2008: A turning tide among teenagers? Cape Town: HSRC Press.

[22.]   Solomon, A, E., Amos, M, A., Laraba, M, H., Alaska, I, A., Ashuku, Y, A., Oluwadare, O, O.. & Ara, B, I.,(2012). HIV counseling and testing in a tertiary health facility in Lafia, Nigeria. Niger J Basic Clin Sci 9, 6-10.

[23.]   Sukari, O.,(2008). Barriers and attitudes towards HIV Voluntary Counselling and Testing (VCT) among Secondary School Pupils of Sengerema in Mwanza; Official Publication of the Tanzania Medical Students’ Association.

[24.]   UNAIDS(2002). HIV voluntary counselling and testing: A gateway to prevention and care. UNAIDS/02.41E, UNAIDS Best Practice Collection, UNAIDS, Geneva, Switzerland.

[25.]   UNAIDS(2013).The Joint United Nations Programme on HIV/AIDS :UNAIDS report on the global AIDS epidemic 2013 [Online]. Available: www.unaids.org [Accessed 14th January 2014 2014].

[26.]   WHO(2002). The Health Sector Response to HIV/AIDS: Coverage of Selected Services in 2001. Preliminary Assessment. Geneva: World Health Organization; 2002.

[27.]   Yahaya, L, A., Jimoh, A, A, G., & Balogun, O, R., (2010). Factors hindering acceptance of HIV and AIDS Voluntary Counselling and Testing (VCT) among youths in Kwara State, Nigeria. Journal of AIDS and HIV Research, 2, 138-143.