A Qualitative Study Exploring Factors Associated with Retention in HIV Care among Women with HIV in a Large HIV Clinic in Lagos, Nigeria, after Implementing the Test and Treat Policy
Background. In Nigeria, various sociocultural and economic factors may prevent women from being retained in HIV care. This study explores the factors associated with retention in care among women with HIV in a large HIV clinic in Lagos, Nigeria, under the Test and Treat policy. Methods. Women living...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2022-01-01
|
| Series: | AIDS Research and Treatment |
| Online Access: | http://dx.doi.org/10.1155/2022/9074844 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832551089582374912 |
|---|---|
| author | Omoladun O. Odediran Oluwakemi O. Odukoya Mobolanle R. Balogun Jonathan A. Colasanti Alani S. Akanmu |
| author_facet | Omoladun O. Odediran Oluwakemi O. Odukoya Mobolanle R. Balogun Jonathan A. Colasanti Alani S. Akanmu |
| author_sort | Omoladun O. Odediran |
| collection | DOAJ |
| description | Background. In Nigeria, various sociocultural and economic factors may prevent women from being retained in HIV care. This study explores the factors associated with retention in care among women with HIV in a large HIV clinic in Lagos, Nigeria, under the Test and Treat policy. Methods. Women living with HIV/AIDS (n = 24) enrolled in an HIV study at the AIDS Prevention Initiative in Nigeria (APIN) clinic in Lagos, Nigeria, were interviewed from April 1 to October 31, 2021, using a semistructured interview guide. Interviews were audio-taped, transcribed verbatim, and the themes were analyzed using the framework of Andersen and Newman’s Behavioural Model for Healthcare Utilization. Results. The mean age of the respondents was 37.4 ± 9.27 years. The identified themes were as follows: being aware of the antiretroviral medications and their benefits, the household’s awareness of the respondents’ HIV status, and the presence of social support. Other themes were the presence of a dependable source of income and the ability to overcome the challenges encountered in obtaining income, ease of travel to and from the clinic (length of travel time and transportation costs), securing support from the clinic, challenges encountered in the process of accessing care at the clinic, and the ability to overcome these challenges. Also mentioned were self-perception of being HIV positive, motivation to remain in care, linkage to care, and intention to stay in care. Conclusion. Several deterring factors to retention in HIV care, such as nondisclosure of status, absence of social support, and clinic barriers, persist under the Test and Treat policy. Therefore, to achieve the “treatment as prevention” for HIV/AIDS, especially in sub-Saharan Africa, it is essential to employ strategies that address these barriers and leverage the facilitators for better health outcomes among women with HIV/AIDS. |
| format | Article |
| id | doaj-art-03aa11a8d393452d910c9fd498ea6694 |
| institution | Kabale University |
| issn | 2090-1259 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | AIDS Research and Treatment |
| spelling | doaj-art-03aa11a8d393452d910c9fd498ea66942025-02-03T06:04:54ZengWileyAIDS Research and Treatment2090-12592022-01-01202210.1155/2022/9074844A Qualitative Study Exploring Factors Associated with Retention in HIV Care among Women with HIV in a Large HIV Clinic in Lagos, Nigeria, after Implementing the Test and Treat PolicyOmoladun O. Odediran0Oluwakemi O. Odukoya1Mobolanle R. Balogun2Jonathan A. Colasanti3Alani S. Akanmu4Department of Community Health and Primary CareDepartment of Community Health and Primary CareDepartment of Community Health and Primary CareEmory University Division of Infectious DiseaseDepartment of Haematology and Blood TransfusionBackground. In Nigeria, various sociocultural and economic factors may prevent women from being retained in HIV care. This study explores the factors associated with retention in care among women with HIV in a large HIV clinic in Lagos, Nigeria, under the Test and Treat policy. Methods. Women living with HIV/AIDS (n = 24) enrolled in an HIV study at the AIDS Prevention Initiative in Nigeria (APIN) clinic in Lagos, Nigeria, were interviewed from April 1 to October 31, 2021, using a semistructured interview guide. Interviews were audio-taped, transcribed verbatim, and the themes were analyzed using the framework of Andersen and Newman’s Behavioural Model for Healthcare Utilization. Results. The mean age of the respondents was 37.4 ± 9.27 years. The identified themes were as follows: being aware of the antiretroviral medications and their benefits, the household’s awareness of the respondents’ HIV status, and the presence of social support. Other themes were the presence of a dependable source of income and the ability to overcome the challenges encountered in obtaining income, ease of travel to and from the clinic (length of travel time and transportation costs), securing support from the clinic, challenges encountered in the process of accessing care at the clinic, and the ability to overcome these challenges. Also mentioned were self-perception of being HIV positive, motivation to remain in care, linkage to care, and intention to stay in care. Conclusion. Several deterring factors to retention in HIV care, such as nondisclosure of status, absence of social support, and clinic barriers, persist under the Test and Treat policy. Therefore, to achieve the “treatment as prevention” for HIV/AIDS, especially in sub-Saharan Africa, it is essential to employ strategies that address these barriers and leverage the facilitators for better health outcomes among women with HIV/AIDS.http://dx.doi.org/10.1155/2022/9074844 |
| spellingShingle | Omoladun O. Odediran Oluwakemi O. Odukoya Mobolanle R. Balogun Jonathan A. Colasanti Alani S. Akanmu A Qualitative Study Exploring Factors Associated with Retention in HIV Care among Women with HIV in a Large HIV Clinic in Lagos, Nigeria, after Implementing the Test and Treat Policy AIDS Research and Treatment |
| title | A Qualitative Study Exploring Factors Associated with Retention in HIV Care among Women with HIV in a Large HIV Clinic in Lagos, Nigeria, after Implementing the Test and Treat Policy |
| title_full | A Qualitative Study Exploring Factors Associated with Retention in HIV Care among Women with HIV in a Large HIV Clinic in Lagos, Nigeria, after Implementing the Test and Treat Policy |
| title_fullStr | A Qualitative Study Exploring Factors Associated with Retention in HIV Care among Women with HIV in a Large HIV Clinic in Lagos, Nigeria, after Implementing the Test and Treat Policy |
| title_full_unstemmed | A Qualitative Study Exploring Factors Associated with Retention in HIV Care among Women with HIV in a Large HIV Clinic in Lagos, Nigeria, after Implementing the Test and Treat Policy |
| title_short | A Qualitative Study Exploring Factors Associated with Retention in HIV Care among Women with HIV in a Large HIV Clinic in Lagos, Nigeria, after Implementing the Test and Treat Policy |
| title_sort | qualitative study exploring factors associated with retention in hiv care among women with hiv in a large hiv clinic in lagos nigeria after implementing the test and treat policy |
| url | http://dx.doi.org/10.1155/2022/9074844 |
| work_keys_str_mv | AT omoladunoodediran aqualitativestudyexploringfactorsassociatedwithretentioninhivcareamongwomenwithhivinalargehivclinicinlagosnigeriaafterimplementingthetestandtreatpolicy AT oluwakemioodukoya aqualitativestudyexploringfactorsassociatedwithretentioninhivcareamongwomenwithhivinalargehivclinicinlagosnigeriaafterimplementingthetestandtreatpolicy AT mobolanlerbalogun aqualitativestudyexploringfactorsassociatedwithretentioninhivcareamongwomenwithhivinalargehivclinicinlagosnigeriaafterimplementingthetestandtreatpolicy AT jonathanacolasanti aqualitativestudyexploringfactorsassociatedwithretentioninhivcareamongwomenwithhivinalargehivclinicinlagosnigeriaafterimplementingthetestandtreatpolicy AT alanisakanmu aqualitativestudyexploringfactorsassociatedwithretentioninhivcareamongwomenwithhivinalargehivclinicinlagosnigeriaafterimplementingthetestandtreatpolicy AT omoladunoodediran qualitativestudyexploringfactorsassociatedwithretentioninhivcareamongwomenwithhivinalargehivclinicinlagosnigeriaafterimplementingthetestandtreatpolicy AT oluwakemioodukoya qualitativestudyexploringfactorsassociatedwithretentioninhivcareamongwomenwithhivinalargehivclinicinlagosnigeriaafterimplementingthetestandtreatpolicy AT mobolanlerbalogun qualitativestudyexploringfactorsassociatedwithretentioninhivcareamongwomenwithhivinalargehivclinicinlagosnigeriaafterimplementingthetestandtreatpolicy AT jonathanacolasanti qualitativestudyexploringfactorsassociatedwithretentioninhivcareamongwomenwithhivinalargehivclinicinlagosnigeriaafterimplementingthetestandtreatpolicy AT alanisakanmu qualitativestudyexploringfactorsassociatedwithretentioninhivcareamongwomenwithhivinalargehivclinicinlagosnigeriaafterimplementingthetestandtreatpolicy |