Assessment of Quality of Life from HIV Counselling and Social Support among PLWHA Clinic Attendees in Specialist Hospital Yola, Adamawa State, Nigeria
purpose of the study was to assess the quality of life from HIV counselling and
social support among PLWHIV clinic attendees in specialist hospital Yola. A descriptive
research was conducted. Data was collected using a structured questionnaire, where
a total of 370 randomly selected PLWHA adult from the age of 18 years and above
attending clinic at Specialist Hospital Yola participated in this study. Data was
analysed using SPSS version 21.0. Descriptive statistics was used to analyse the
demographic variables while tables and charts were used for the presentation of
results. Pearson’s correlation was used between relevant variables while linear
regression was used to predict outcomes. Statistical significance of this study
was set at P≤ 0.05. The results indicate that most of the respondents were well
informed (78.2%) about basic issues in HIV. This was like their levels of counselling
and social support received (71.7%), perceived self-efficacy (63.8%), self-reported
treatment adherence (80%) and self-reported quality of life (64.3%). This revealed
that correct information, knowledge and awareness about basic issues in HIV and
social support are very crucial to improving the behavioural skills and increase
the level of confidence among PLWHA to perform adherent behaviours thereby significantly
improve the quality of life of PLWHA clinic attendees.
living with HIV/AIDs, Quality of life, treatment adherence, information and social
A. A., Alawode, O. O., and Odutolu, O. (2010). Care support and quality of life outcomes among persons living with HIV
in the HAART era. Journal of Harvard school of public Health, 10(5).
A. A, Alawode, O. O, Odutolu, O. (2010). Impact
of care and social support on wellbeing among people living with HIV/AIDS in Nigeria.
Iranian Journal of Public Health, 39(2), 30-38.
T.O., and Dibua V.A. (2010). The Impact of
stigmatization on the acceptance and care for people living with HIV/AIDS in the
Society: A case study of civil servants in Auchi. Journal of Social Science,
K. R., Toro-Alfonso, J., & Fisher, J. D. (2005). Evaluation of the information, motivation, behavioral skills model of ART
adherence: A replication and extension study. AIDS Care, 17, 661—673.
R.M., Ansari, S.Y., Al-Safarini, S., and Ayub, M. (2013). Socio-Ecological approach to self-management of HIV/AIDS: A case study of
women patients with HIV virus. Occupational Medicine & Health Affairs, 1(136).
O. K (2011). Social support and the psychological
wellbeing of people living with 1-IIV/AIDS in Ghana. African Journal of Psychiatry,
. Aranda-Naranjo B. Quality
of life in HIV-positive patient. J Assoc Nurses AIDS Care. 2004; 15:20–7.
. Aro AR, Jallinoja PT, Henrikson MM, Lönnqvist JK. Fear of acquired immunodeficiency syndrome and
fear of other illness in suicide. Acta Psychiatr Scand. 1994; 90:65–9.
A. (1994). Self-efficacy and human behavior
New York: Academic Press. 1, 71-81.
A., Fekrazad, H., Sajadi, H., Rahgozar, M., Abdolbaghi, M.H., and Maddahi, S. (2014).
Relationship between Health-Related Quality
of Life and Social Support in HIV-Infected People in Tehran, Iran. Iranian Journal
of Public Health, 43(1), 100-106.
D.H., Schmiegeb, S.J., Bryanb, A., Benzigerc, T.J., and Fisher, J.D. (2007). An
information-motivation-behavioral skills (1MB) model-based HIV prevention for truck
drivers in India. Social Science & Medicine. 64, 1572—1584.
C.S., and Leggett, E.L. (1998). A Social-Cognitive Approach to Motivation and Personality.
Psychological Review, 95(2), 256-273.
J. K, Paul, M & Sibley, L. M (2005). Type, content, and source of social support
perceived by women during pregnancy: Evidence from Matlab, Bangladesh. Journal of
Health, Population and Nutrition, 29(2), 163-173.
O.F., Irabor, A.E., Folasire, A.M. (2012). Quality of life of People living with
HIV and AIDS attending the antiretroviral clinic, University College Hospital, Nigeria.
African Journal of Primary Health Care and Family Medicine, 4(1).
A.S., Shushtari, Z.J., Sajjadi, H., Salimi, Y., and Dejman, M. (2012). Social support
network among people living with HIV/AIDS in Iran. AiDS Research and Treatment,
W.A., Fisher, J.D., and Harman, J.J. (2003). The information-motivation- behavioral
skills model as a general model of health behavior change: Theoretical approaches
to individual-level change. In J. Suls & K. Waliston (Eds.), Social psychological
foundations of health (pp. 127—153). London: Blackwell.
R., Ponde, M, Lima M., Souza, A. R., Stoize, S. M & Badaro, R (2005). Lack of
effect of motivation on the adherence of HIV-Positive/AIDS patients to antiretroviral
treatment. Brazilian Journal of Infectious Diseases, 9(6), 494-499.
A. S., Mabuza, L. H., Couper, I. D, & Ogunbanjo, G. A. (2010). Understanding
participation in a hospital-based HIV support group in Limpopo Province, South Africa.
South African Family Practice Journal, 10(8).
HIV/AIDS Alliance (2003). The involvement of people living with HIV/AIDS in community-based
prevention, care and support services in developing countries. A multi-country diagnostic
study. International HI V/A IDS Alliance, 10(5).
S., Yip, B., O’Shaughnessy, M., Hogg, R., & Montaner, J. (2000). Adherence to
triple therapy and viral load response. Journal of Acquired Immune Deficiency Syndrome,
. Liu, L.,
Pang, R., Sun, W., Wu, M., Qu, P., Lu, C., and Wang, L. (2013). Functional social
support, psychological capital, and depressive and anxiety symptoms among people
living with HI V/AIDS employed full-time. BMC Psychiatry, 13(324).
S., and Canti-Sigaqa, V. (2012). Barriers to participate in support groups for people
living with HIV: A qualitative study with men receiving antiretroviral treatment
in a HIV clinic in Mthatha, South Africa. Global Journal of Health Science, 4(6).
S.B., Matts, I.J., Teizak, F., Chesney, M., Child, C., Wu, A.W., and Friedland,
G. (2005). Quality of life in HIV-infected individuals receiving antiretroviral
therapy is related to adherence. AIDS Care, 17(1), 10-22.
F., Caramlau, I. O., Sutcliffe, P., Martin, S., Bayley, J., Choudhry, K. (2010).
Self- management interventions for people living with HIV/AIDS (Protocol). The Cochrane
SB, Matts J, Telzak E, Chesney M, Child C, Wu AW, et al. Quality of life in HIV-infected
individuals receiving antiretroviral therapy is related to adherence. AIDS Care.
T.L., and Serovich, J.M. (2007). The effect of perceived and actual social support
on the mental health of HIV-positive persons. AIDS Care, 19(10), 1223—1229.
M.Y., Lukas, N., and Taylor, A. (2012). The Effects of Motivation and Knowledge
on HIV Prevention Behavior among Historically Black College Students: An Application
of the Information-Motivation-Behavioral Skills Model. Greener Journal of Medical
Sciences, 2(2), 03 8-044.
P., Makukula, M.K., and Makoleka, M.M. (2010). Quality of Life and Adherence to
Antiretroviral Drugs. Medical Journal of Zambia, 3 7(1).
Aids Trust (2010). Psychological support for people living with HIV. National AIDS
Trust, http: 1/ nat.org.uklmedialFiles/Publications/July-2010- Psychological-support-for-PLHIV.pdf,
L., Gullberg, B., Hanson, B. S., Moestrup, T., and Ostergren, P.O. (1994). HIV infection:
social network, social support, and CD4 lymphocyte values in infected homosexual
men in Malmo, Sweden. Journal of Epidemiology and Community Health, 10(48), 580-585.
R.K., Haas, V.J., Santos, C.B., Teles, S.A., Galvao, M.T.G., and Gir, E. (2011).
Symptoms of depression and quality of life of people living with HIV/AIDS. Revista
Latino Americana de Enfermagem, 19(4), 874-81. Roger, K., Migliardi, P., and Mignone,
J. (2012). HIV, social support, and care among vulnerable women. Journal of community
psychology, 40(5), 487—500.
R.M., and Deci, E.L. (2000). Intrinsic and Extrinsic Motivations: Classic Definitions
and New Directions. Contemporary Educational Psychology, 25, 54—67.
A., Pujari, S., Sengar, A. K., Garg, R., Gupta, I., and Van Dam, J. (2008). Adherence
to antiretroviral therapy & its determinants amongst HIV patients in India.
Indian Journal of Medical Research, 127, 28-36.
R. Smith, J. C. R, Marcus, C., Brock, T. P., and Chesney, M. (2003). A medication
self- management program to improve adherence to HIV therapy regimens. Patient Education
and Counseling, 50, 187—199.
B., Halvarsson, M., Lindback, S., Sonnerborg, A., Tully, M. P., and Lindbald, A.K.
(2012). Differences in adherence and motivation to HIV therapy-two independent assessments
in 1998 and 2002. Pharmacy World and Science, 28, 248—256.
V. (2013). Coping Mechanism among People Living with HIV in Open Karnataka. Journal
of Social Science Research, 1(5), 104-114.
D., Ingram, B. L, Borus, M. R (2009). Common elements in self-management of HIV
and other chronic illnesses: an integrative framework. AIDS Care, 21(10), 1321-
D. C., Moland, K.M., and Fylkesnes, K. (2012). Persisting stigma reduces the utilization
of HIV-related care and support services in Viet Nam. BMC Health Services Research.
. U.S Agency
for International Development (2010). Global report on the AIDS epidemic.
. U.S. President’s
Emergency Plan for AIDS Relief (2012). A Firm Foundation: The PEPFAR consultation
on the role of faith-based organizations in sustaining community aid country leadership
in the response to HIV/AIDS. Washington: U.S.A.
. Van Tam,
V., Larsson, M. Pharris A. Diedrichs. B. Nguyen. H. P. Nguyen C. T. Ho. P D. Marrone
G., and Thorson A. (2012). Peer support and improved quality of life of persons
living with HIV on antiretroviral treatment: A randomized controlled trial from
North-Eastern Vietnam. Health and quality of life outcomes, 10(53).
A.R., and Higgins P.A. (2012). The Relationship between Social Roles and Self- Management
Behaviour in Women Living with HI V/AIDS. Women‘s health issws. 22(1), 27-33.
K., Reif, S., Lowe, K. and Eldred, L. (2004). Gender Differences in Knowledge and
Perceptions of HIV Resources among Individuals Living with HIV in the Southeast.
Southern Medical Journal, 97, 342-349.
Health Organization (2013). The Influence of Social Support on the Lives of HIV
Infected Individuals in Low and Middle-Income Countries (LMIC). WHO/HI V/20 13.51.