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Prevalence of AHD Among PLHIVs in Six Health Facilities in Nasarawa State, Nigeria

Received: 4 August 2023    Accepted: 23 August 2023    Published: 6 September 2023
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Abstract

Globally, HIV remains a paramount health concern, and despite concerted interventions, it persists as a severe challenge in many communities. In regions like Nasarawa State, Nigeria, where prevalence is high, there's an undeniable need for regular monitoring. This study, aimed at gauging the current status of Advanced HIV Disease (AHD) among People Living with HIV (PLHIV), employed a cross-sectional survey design to analyze the medical records of 336 PLHIVs from six key health facilities within the state. Analytical tools, including descriptive statistics and t-tests, revealed a disturbingly high prevalence of AHD, especially among adults, with rates at 51.29%. Adolescents also showed a significant prevalence at 32%. A deeper comparative analysis between the two age demographics elucidated a marked statistical difference in AHD prevalence. These findings accentuate the pressing need for enhanced, age-specific interventions. Immediate action is warranted, especially for adults aged 20-49 and adolescents in Nasarawa State, to bolster HIV prevention, promote early testing, and optimize treatment methodologies. The insights from this study serve as a clarion call for policymakers and health practitioners to renew and refocus their efforts in these high-risk groups, aiming for a more effective containment and reduction of HIV's impact in the region.

Published in International Journal of HIV/AIDS Prevention, Education and Behavioural Science (Volume 9, Issue 2)
DOI 10.11648/j.ijhpebs.20230902.12
Page(s) 46-52
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Advanced HIV Disease, Gender, PLHIV, Prevalence of AHD, Adults, Adolescents

References
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[2] Auld, A. F., Shiraishi, R. W., Oboho, I., Ross, C., Bateganya, M., Pelletier, V.,... & Ellerbrock, T. V. (2017). Trends in prevalence of advanced HIV disease at antiretroviral therapy enrollment—10 countries, 2004–2015. Morbidity and Mortality Weekly Report, 66 (21), 558.
[3] Bai RJ, Dai LL, Wu H. (2020) Advances and challenges in antiretroviral therapy for acquired immunodeficiency syndrome. Chinese medical journal, 133 (23), 2775-2777.
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[5] Benzekri, N. A., Sambou, J. F., Ndong, S., Tamba, I. T., Faye, D., Diallo, M. B.,... & Gottlieb, G. S. (2019). Prevalence, predictors, and management of advanced HIV disease among individuals initiating ART in Senegal, West Africa. BMC Infectious Diseases, 19 (1), 1-8.
[6] Carmona, S., Bor, J., Nattey, C., Maughan-Brown, B., Maskew, M., Fox, M. P.,... & MacLeod, W. B. (2018). Persistent high burden of advanced HIV disease among patients seeking care in South Africa’s national HIV program: data from a nationwide laboratory cohort. Clinical Infectious Diseases, 66 (suppl_2), S111-S117.
[7] Chihana, M. L., Huerga, H., Van Cutsem, G., Ellman, T., Goemaere, E., Wanjala, S.,... & Davies, M. A. (2019). Distribution of advanced HIV disease from three high HIV prevalence settings in Sub-Saharan Africa: a secondary analysis data from three population-based cross-sectional surveys in Eshowe (South Africa), Ndhiwa (Kenya) and Chiradzulu (Malawi). Global Health Action, 12 (1), 1679472.
[8] Elizabeth Glaser Pediatric AIDS Foundation. Advanced HIV Disease. 2023. Retrieved from: https://www.pedaids.org/wp-content/uploads/2022/07/2022_AdvancedDiseaseBrief.pdf (Accessed 4 May 2023).
[9] Hu, X., Liang, B., Zhou, C., Jiang, J., Huang, J., Ning, C.,... & Liang, H. (2019). HIV late presentation and advanced HIV disease among patients with newly diagnosed HIV/AIDS in Southwestern China: a large-scale cross-sectional study. AIDS research and therapy, 16 (1), 1-10.
[10] Ndlovu, Z., Massaquoi, L., Bangwen, N. E., Batumba, J. N., Bora, R. U., Mbuaya, J.,... & Ellman, T. (2020). Diagnostic performance and usability of the VISITECT CD4 semi-quantitative test for advanced HIV disease screening. Plos one, 15 (4), e0230453.
[11] Frescura, L. Godfrey-Faussett, P., Feizzadeh, A., A., El-Sadr, W., Syarif, O., & Ghys, P., D. (2022) Achieving the 95 95 95 targets for all: A pathway to ending AIDS. PLoS One. 2022; 17 (8): e0272405. doi: 10.1371/journal.pone.0272405.
[12] Portilla-Tamarit, J., Reus, S., Portilla, I., Fuster Ruiz-de-Apodaca, M. J., & Portilla, J. (2021). Impact of advanced HIV disease on quality of life and mortality in the era of combined antiretroviral treatment. Journal of Clinical Medicine, 10 (4), 716.
[13] Sepúlveda C, Marlin A, Yoshida T, Ullrich A. (2002) Palliative care: the World Health Organization's global perspective. Journal of pain and symptom management, 24 (2), 91-96.
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Cite This Article
  • APA Style

    Chinwe Umeozulu, Esther Loyin, Olusola Oni, Folake Isona, Kayode Joseph, et al. (2023). Prevalence of AHD Among PLHIVs in Six Health Facilities in Nasarawa State, Nigeria. International Journal of HIV/AIDS Prevention, Education and Behavioural Science, 9(2), 46-52. https://doi.org/10.11648/j.ijhpebs.20230902.12

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    ACS Style

    Chinwe Umeozulu; Esther Loyin; Olusola Oni; Folake Isona; Kayode Joseph, et al. Prevalence of AHD Among PLHIVs in Six Health Facilities in Nasarawa State, Nigeria. Int. J. HIV/AIDS Prev. Educ. Behav. Sci. 2023, 9(2), 46-52. doi: 10.11648/j.ijhpebs.20230902.12

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    AMA Style

    Chinwe Umeozulu, Esther Loyin, Olusola Oni, Folake Isona, Kayode Joseph, et al. Prevalence of AHD Among PLHIVs in Six Health Facilities in Nasarawa State, Nigeria. Int J HIV/AIDS Prev Educ Behav Sci. 2023;9(2):46-52. doi: 10.11648/j.ijhpebs.20230902.12

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  • @article{10.11648/j.ijhpebs.20230902.12,
      author = {Chinwe Umeozulu and Esther Loyin and Olusola Oni and Folake Isona and Kayode Joseph and Adeniyi Ojuope and Blessing Eloh and Ann Mark and Olufunmilola Abodunde},
      title = {Prevalence of AHD Among PLHIVs in Six Health Facilities in Nasarawa State, Nigeria},
      journal = {International Journal of HIV/AIDS Prevention, Education and Behavioural Science},
      volume = {9},
      number = {2},
      pages = {46-52},
      doi = {10.11648/j.ijhpebs.20230902.12},
      url = {https://doi.org/10.11648/j.ijhpebs.20230902.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijhpebs.20230902.12},
      abstract = {Globally, HIV remains a paramount health concern, and despite concerted interventions, it persists as a severe challenge in many communities. In regions like Nasarawa State, Nigeria, where prevalence is high, there's an undeniable need for regular monitoring. This study, aimed at gauging the current status of Advanced HIV Disease (AHD) among People Living with HIV (PLHIV), employed a cross-sectional survey design to analyze the medical records of 336 PLHIVs from six key health facilities within the state. Analytical tools, including descriptive statistics and t-tests, revealed a disturbingly high prevalence of AHD, especially among adults, with rates at 51.29%. Adolescents also showed a significant prevalence at 32%. A deeper comparative analysis between the two age demographics elucidated a marked statistical difference in AHD prevalence. These findings accentuate the pressing need for enhanced, age-specific interventions. Immediate action is warranted, especially for adults aged 20-49 and adolescents in Nasarawa State, to bolster HIV prevention, promote early testing, and optimize treatment methodologies. The insights from this study serve as a clarion call for policymakers and health practitioners to renew and refocus their efforts in these high-risk groups, aiming for a more effective containment and reduction of HIV's impact in the region.},
     year = {2023}
    }
    

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    T1  - Prevalence of AHD Among PLHIVs in Six Health Facilities in Nasarawa State, Nigeria
    AU  - Chinwe Umeozulu
    AU  - Esther Loyin
    AU  - Olusola Oni
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    AU  - Blessing Eloh
    AU  - Ann Mark
    AU  - Olufunmilola Abodunde
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    JF  - International Journal of HIV/AIDS Prevention, Education and Behavioural Science
    JO  - International Journal of HIV/AIDS Prevention, Education and Behavioural Science
    SP  - 46
    EP  - 52
    PB  - Science Publishing Group
    SN  - 2575-5765
    UR  - https://doi.org/10.11648/j.ijhpebs.20230902.12
    AB  - Globally, HIV remains a paramount health concern, and despite concerted interventions, it persists as a severe challenge in many communities. In regions like Nasarawa State, Nigeria, where prevalence is high, there's an undeniable need for regular monitoring. This study, aimed at gauging the current status of Advanced HIV Disease (AHD) among People Living with HIV (PLHIV), employed a cross-sectional survey design to analyze the medical records of 336 PLHIVs from six key health facilities within the state. Analytical tools, including descriptive statistics and t-tests, revealed a disturbingly high prevalence of AHD, especially among adults, with rates at 51.29%. Adolescents also showed a significant prevalence at 32%. A deeper comparative analysis between the two age demographics elucidated a marked statistical difference in AHD prevalence. These findings accentuate the pressing need for enhanced, age-specific interventions. Immediate action is warranted, especially for adults aged 20-49 and adolescents in Nasarawa State, to bolster HIV prevention, promote early testing, and optimize treatment methodologies. The insights from this study serve as a clarion call for policymakers and health practitioners to renew and refocus their efforts in these high-risk groups, aiming for a more effective containment and reduction of HIV's impact in the region.
    VL  - 9
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Author Information
  • Department of Clinical Laboratory Services, Equitable Health Access Initiative, Federal Capital Territory, Nigeria

  • Department of Prevention, Care and Quality Improvement, Equitable Health Access Initiative, Federal Capital Territory, Nigeria

  • Department of Prevention, Care and Quality Improvement, Equitable Health Access Initiative, Federal Capital Territory, Nigeria

  • Department of Strategic Knowledge Management, Equitable Health Access Initiative, Federal Capital Territory, Nigeria

  • Department of Strategic Knowledge Management, Equitable Health Access Initiative, Federal Capital Territory, Nigeria

  • Department of Training and Research, Elite Life Consulting, Federal Capital Territory, Nigeria

  • Department of Strategic Knowledge Management, Equitable Health Access Initiative, Akwanga, Nigeria

  • Department of Strategic Knowledge Management, Equitable Health Access Initiative, Akwanga, Nigeria

  • Department of Prevention, Care and Quality Improvement, Equitable Health Access Initiative, Federal Capital Territory, Nigeria

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