HIV/TB Integrated Services: Perception of HIV and TB Clients in a Tertiary Health Facility in Lagos State Nigeria

Stellamaris Moronkeji; Ebenezer Obi Daniel; Ogunnaike Adewale Adeyemi; Paul Olaiya Abiodun; Lily Ize-Iyamu; Abuworonye Fadeke; Atabo Unekwu John; Olayinka Victor Ojo; Israel Olukayode Popoola

doi:doi:10.11648/j.jfmhc.20190503.12

HIV/TB Integrated Services: Perception of HIV and TB Clients in a Tertiary Health Facility in Lagos State Nigeria

Stellamaris Moronkeji, Ebenezer Obi Daniel, Ogunnaike Adewale Adeyemi, Paul Olaiya Abiodun, Lily Ize-Iyamu, Abuworonye Fadeke, Atabo Unekwu John, Olayinka Victor Ojo, Israel Olukayode Popoola

Published in Journal of Family Medicine and Health Care (Volume 5, Issue 3)

Received: 27 August 2019 Accepted: 9 September 2019 Published: 18 September 2019

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Abstract

HIV/AIDS remains a global public health issue which has claimed an estimated of 35 million lives since the start of the epidemic and further 78 million people still living with the virus. Tuberculosis (TB) is a major disease with high incident cases and over 1.3 million deaths recorded in 2012 even with the availability of effective chemotherapy. This survey is a descriptive, cross-sectional quantitative study among 87 enrolled clients attending HIV/TB integrated service at Lagos State University Teaching Hospital, (LASUTH) Lagos in Nigeria. Data collected were analyzed with SPSS version 21 with Chi-square used to test for association. Eighty percent (80) of the HIV clients were female while the TB patients were 41% male. Most of the respondents had only secondary school education and were married as at the time of the survey. Generally, unprotected sexual intercourse with a HIV infected person is the most known mode of spreading HIV among respondents. Majority of the respondents receives treatment for both TB and HIV in the same facility and view antiretrovirals as drugs responsible for preventing death from HIV/AIDS. While over 70% of the respondents agreed to like being visited by healthcare workers, over 60% reported to have never being visited by healthcare workers. The most reported advantages of integrated services for HIV and TB were “save cost for transportation and save time”. The survey revealed good knowledge about HIV and TB among respondents while also showing that perception about integrated HIV and TB services is welcomed among the respondents. Increasing the number of healthcare workers and incentivizing the approach for healthcare workers were recommended.

Published in	Journal of Family Medicine and Health Care (Volume 5, Issue 3)
DOI	10.11648/j.jfmhc.20190503.12
Page(s)	32-37
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

Integrated Services, HIV, Tuberculosis (TB), Direct Observed Therapy (DOT), Antiretroviral (ARV), Community Health Workers

References

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[3]	WHO (2017) ‘Global Action Plan on HIV Drug Resistance 2017-2021’[pdf].
[4]	Corbett E, Watt C, Walker N et al. (2003) The growing burden oftuberculosis: global trends and interactions with the HIVepidemic. Archives of Internal Medicine, 163, 1009–1021.
[5]	WHO (2008) Integrated health services- what and why? Technical Brief No. 1.
[6]	Sanou, A., Dembele, M., Theobald, S., Macq, J. (2004) Access and adhering to tuberculosis treatment: Barriers faced by patients and communities in Burkina Faso. Int J Tuberc Lung Dis 8: 1479–1483.
[7]	Briggs CJ, Garner P. (2006) Strategies for integrating primary health services in middle- and low-income countries at the point of delivery. Cochrane Database of Systematic Reviews, Issue 2. Art. No.: CD003318. DOI: 10.1002/14651858.CD003318.pub2.
[8]	UNAIDS (2010). Report on the Global AIDS Epidemic. Geneva: UNAIDS.
[9]	WHO (2016) ‘WHO HIV Drug Resistance Report 2012’ [pdf].
[10]	Folajinmi O. Adebimpe O, Bodunde O, Daniel Ebenezer O and Mobolaji K (2018) Determinant of optimal adherence to antiretroviral drugs among HIV positive clients in Federal Capital Territory of Nigeria. International Journal for research in health sciences and nursing. Vol 5 issue 7.
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[12]	Wildschut A, Mqolozana T (2008) Shortage of Nurses in South Africa: Relative or Absolute? Part of study: A multiple source identification and verification of scarce and critical skills in the South African labour market: Human Sciences Research Council.
[13]	Nansera D, Bajunirwe F, Kabakyenga J, Asiimwe PK, Mayanja-Kizza H (2010) Opportunities and barriers for implementation of integrated TB and HIV care in lower level health units: experiences from a rural western Ugandan district. Afr Health Sci 10: 312–319. [PMC free article] [PubMed] [Google Scholar].
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[15]	Tripathi A, Kabra SK, Sachdev HPS, Lodha R. (2016) Home visits by community health workers to improveidentification of serious illness and care seeking in newborns and young infants from low- and middle-income countries. Journal of Perinatology. 36, S73–S81. doi: 10.1038/jp.2016.34.
[16]	Fairall L, Zwarenstein M, Bateman E et al. (2005) Effect of educational outreach to nurses on tuberculosis case detection and primary care of respiratory illness: pragmatic cluster randomized controlled trial. BMJ, 331, 750–754.
[17]	Doherty T, Chopra M, Nsibande D & Mngoma D (2009) Improving the coverage of the PMTCT programme through a participatory quality improvement intervention in South Africa. BMC Public Health, 9, 406.
[18]	Legido-Quigley Helena, Catherine M. Montgomery, Palwasha Khan, Rifat Atun, Ade Fakoya, Haileyesus Getahun and Alison D. Grant (2013) Integrating tuberculosis and HIV services in low- and middle-income countries: a systematic review Tropical Medicine and International Health. Vol 18 No 2 pp 199-211.
[19]	Marian L, Virginia Z. (2011) TB and HIV integration: obstacles and possible solutions to implementation in South Africa. Tropical Medicine and International Health. Vol 16 No 4 pp 431-438.

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Stellamaris Moronkeji, Ebenezer Obi Daniel, Ogunnaike Adewale Adeyemi, Paul Olaiya Abiodun, Lily Ize-Iyamu, et al. (2019). HIV/TB Integrated Services: Perception of HIV and TB Clients in a Tertiary Health Facility in Lagos State Nigeria. Journal of Family Medicine and Health Care, 5(3), 32-37. https://doi.org/10.11648/j.jfmhc.20190503.12

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Stellamaris Moronkeji; Ebenezer Obi Daniel; Ogunnaike Adewale Adeyemi; Paul Olaiya Abiodun; Lily Ize-Iyamu, et al. HIV/TB Integrated Services: Perception of HIV and TB Clients in a Tertiary Health Facility in Lagos State Nigeria. J. Fam. Med. Health Care 2019, 5(3), 32-37. doi: 10.11648/j.jfmhc.20190503.12

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AMA Style

Stellamaris Moronkeji, Ebenezer Obi Daniel, Ogunnaike Adewale Adeyemi, Paul Olaiya Abiodun, Lily Ize-Iyamu, et al. HIV/TB Integrated Services: Perception of HIV and TB Clients in a Tertiary Health Facility in Lagos State Nigeria. J Fam Med Health Care. 2019;5(3):32-37. doi: 10.11648/j.jfmhc.20190503.12

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@article{10.11648/j.jfmhc.20190503.12,
  author = {Stellamaris Moronkeji and Ebenezer Obi Daniel and Ogunnaike Adewale Adeyemi and Paul Olaiya Abiodun and Lily Ize-Iyamu and Abuworonye Fadeke and Atabo Unekwu John and Olayinka Victor Ojo and Israel Olukayode Popoola},
  title = {HIV/TB Integrated Services: Perception of HIV and TB Clients in a Tertiary Health Facility in Lagos State Nigeria},
  journal = {Journal of Family Medicine and Health Care},
  volume = {5},
  number = {3},
  pages = {32-37},
  doi = {10.11648/j.jfmhc.20190503.12},
  url = {https://doi.org/10.11648/j.jfmhc.20190503.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jfmhc.20190503.12},
  abstract = {HIV/AIDS remains a global public health issue which has claimed an estimated of 35 million lives since the start of the epidemic and further 78 million people still living with the virus. Tuberculosis (TB) is a major disease with high incident cases and over 1.3 million deaths recorded in 2012 even with the availability of effective chemotherapy. This survey is a descriptive, cross-sectional quantitative study among 87 enrolled clients attending HIV/TB integrated service at Lagos State University Teaching Hospital, (LASUTH) Lagos in Nigeria. Data collected were analyzed with SPSS version 21 with Chi-square used to test for association. Eighty percent (80) of the HIV clients were female while the TB patients were 41% male. Most of the respondents had only secondary school education and were married as at the time of the survey. Generally, unprotected sexual intercourse with a HIV infected person is the most known mode of spreading HIV among respondents. Majority of the respondents receives treatment for both TB and HIV in the same facility and view antiretrovirals as drugs responsible for preventing death from HIV/AIDS. While over 70% of the respondents agreed to like being visited by healthcare workers, over 60% reported to have never being visited by healthcare workers. The most reported advantages of integrated services for HIV and TB were “save cost for transportation and save time”. The survey revealed good knowledge about HIV and TB among respondents while also showing that perception about integrated HIV and TB services is welcomed among the respondents. Increasing the number of healthcare workers and incentivizing the approach for healthcare workers were recommended.},
 year = {2019}
}

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TY  - JOUR
T1  - HIV/TB Integrated Services: Perception of HIV and TB Clients in a Tertiary Health Facility in Lagos State Nigeria
AU  - Stellamaris Moronkeji
AU  - Ebenezer Obi Daniel
AU  - Ogunnaike Adewale Adeyemi
AU  - Paul Olaiya Abiodun
AU  - Lily Ize-Iyamu
AU  - Abuworonye Fadeke
AU  - Atabo Unekwu John
AU  - Olayinka Victor Ojo
AU  - Israel Olukayode Popoola
Y1  - 2019/09/18
PY  - 2019
N1  - https://doi.org/10.11648/j.jfmhc.20190503.12
DO  - 10.11648/j.jfmhc.20190503.12
T2  - Journal of Family Medicine and Health Care
JF  - Journal of Family Medicine and Health Care
JO  - Journal of Family Medicine and Health Care
SP  - 32
EP  - 37
PB  - Science Publishing Group
SN  - 2469-8342
UR  - https://doi.org/10.11648/j.jfmhc.20190503.12
AB  - HIV/AIDS remains a global public health issue which has claimed an estimated of 35 million lives since the start of the epidemic and further 78 million people still living with the virus. Tuberculosis (TB) is a major disease with high incident cases and over 1.3 million deaths recorded in 2012 even with the availability of effective chemotherapy. This survey is a descriptive, cross-sectional quantitative study among 87 enrolled clients attending HIV/TB integrated service at Lagos State University Teaching Hospital, (LASUTH) Lagos in Nigeria. Data collected were analyzed with SPSS version 21 with Chi-square used to test for association. Eighty percent (80) of the HIV clients were female while the TB patients were 41% male. Most of the respondents had only secondary school education and were married as at the time of the survey. Generally, unprotected sexual intercourse with a HIV infected person is the most known mode of spreading HIV among respondents. Majority of the respondents receives treatment for both TB and HIV in the same facility and view antiretrovirals as drugs responsible for preventing death from HIV/AIDS. While over 70% of the respondents agreed to like being visited by healthcare workers, over 60% reported to have never being visited by healthcare workers. The most reported advantages of integrated services for HIV and TB were “save cost for transportation and save time”. The survey revealed good knowledge about HIV and TB among respondents while also showing that perception about integrated HIV and TB services is welcomed among the respondents. Increasing the number of healthcare workers and incentivizing the approach for healthcare workers were recommended.
VL  - 5
IS  - 3
ER  -

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Author Information

Stellamaris Moronkeji

Department of Public Health, School of Public Health, Texila American University, Georgetown Guyana, South America
Ebenezer Obi Daniel

Department of Public Health, School of Public Health, Texila American University, Georgetown Guyana, South America
Ogunnaike Adewale Adeyemi

Department of Health Policy and Management, Faculty of Public Health, University of Ibadan, Ibadan, Nigeria
Paul Olaiya Abiodun

Department of Public Health, School of Public Health, Texila American University, Georgetown Guyana, South America
Lily Ize-Iyamu

Department of Medical Laboratory Sciences, Faculty of Basic Medical Sciences, University of Benin, Benin, Nigeria
Abuworonye Fadeke

Department of Health Studies, Faculty of Social Sciences, London Metropolitan University, London, United Kingdom
Atabo Unekwu John

Department of History and International Studies, Faculty of Social Sciences, Nigerian Defence Academy, Kaduna, Nigeria
Olayinka Victor Ojo

Department of Public Health, School of Public Health, Texila American University, Georgetown Guyana, South America
Israel Olukayode Popoola

Department of Epidemiology and Community Health, Faculty of Medicine, University of Ilorin, Ilorin, Nigeria

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Plain Text BibTeX RIS

APA Style

Stellamaris Moronkeji, Ebenezer Obi Daniel, Ogunnaike Adewale Adeyemi, Paul Olaiya Abiodun, Lily Ize-Iyamu, et al. (2019). HIV/TB Integrated Services: Perception of HIV and TB Clients in a Tertiary Health Facility in Lagos State Nigeria. Journal of Family Medicine and Health Care, 5(3), 32-37. https://doi.org/10.11648/j.jfmhc.20190503.12

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ACS Style

Stellamaris Moronkeji; Ebenezer Obi Daniel; Ogunnaike Adewale Adeyemi; Paul Olaiya Abiodun; Lily Ize-Iyamu, et al. HIV/TB Integrated Services: Perception of HIV and TB Clients in a Tertiary Health Facility in Lagos State Nigeria. J. Fam. Med. Health Care 2019, 5(3), 32-37. doi: 10.11648/j.jfmhc.20190503.12

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AMA Style

Stellamaris Moronkeji, Ebenezer Obi Daniel, Ogunnaike Adewale Adeyemi, Paul Olaiya Abiodun, Lily Ize-Iyamu, et al. HIV/TB Integrated Services: Perception of HIV and TB Clients in a Tertiary Health Facility in Lagos State Nigeria. J Fam Med Health Care. 2019;5(3):32-37. doi: 10.11648/j.jfmhc.20190503.12

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@article{10.11648/j.jfmhc.20190503.12,
  author = {Stellamaris Moronkeji and Ebenezer Obi Daniel and Ogunnaike Adewale Adeyemi and Paul Olaiya Abiodun and Lily Ize-Iyamu and Abuworonye Fadeke and Atabo Unekwu John and Olayinka Victor Ojo and Israel Olukayode Popoola},
  title = {HIV/TB Integrated Services: Perception of HIV and TB Clients in a Tertiary Health Facility in Lagos State Nigeria},
  journal = {Journal of Family Medicine and Health Care},
  volume = {5},
  number = {3},
  pages = {32-37},
  doi = {10.11648/j.jfmhc.20190503.12},
  url = {https://doi.org/10.11648/j.jfmhc.20190503.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jfmhc.20190503.12},
  abstract = {HIV/AIDS remains a global public health issue which has claimed an estimated of 35 million lives since the start of the epidemic and further 78 million people still living with the virus. Tuberculosis (TB) is a major disease with high incident cases and over 1.3 million deaths recorded in 2012 even with the availability of effective chemotherapy. This survey is a descriptive, cross-sectional quantitative study among 87 enrolled clients attending HIV/TB integrated service at Lagos State University Teaching Hospital, (LASUTH) Lagos in Nigeria. Data collected were analyzed with SPSS version 21 with Chi-square used to test for association. Eighty percent (80) of the HIV clients were female while the TB patients were 41% male. Most of the respondents had only secondary school education and were married as at the time of the survey. Generally, unprotected sexual intercourse with a HIV infected person is the most known mode of spreading HIV among respondents. Majority of the respondents receives treatment for both TB and HIV in the same facility and view antiretrovirals as drugs responsible for preventing death from HIV/AIDS. While over 70% of the respondents agreed to like being visited by healthcare workers, over 60% reported to have never being visited by healthcare workers. The most reported advantages of integrated services for HIV and TB were “save cost for transportation and save time”. The survey revealed good knowledge about HIV and TB among respondents while also showing that perception about integrated HIV and TB services is welcomed among the respondents. Increasing the number of healthcare workers and incentivizing the approach for healthcare workers were recommended.},
 year = {2019}
}

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TY  - JOUR
T1  - HIV/TB Integrated Services: Perception of HIV and TB Clients in a Tertiary Health Facility in Lagos State Nigeria
AU  - Stellamaris Moronkeji
AU  - Ebenezer Obi Daniel
AU  - Ogunnaike Adewale Adeyemi
AU  - Paul Olaiya Abiodun
AU  - Lily Ize-Iyamu
AU  - Abuworonye Fadeke
AU  - Atabo Unekwu John
AU  - Olayinka Victor Ojo
AU  - Israel Olukayode Popoola
Y1  - 2019/09/18
PY  - 2019
N1  - https://doi.org/10.11648/j.jfmhc.20190503.12
DO  - 10.11648/j.jfmhc.20190503.12
T2  - Journal of Family Medicine and Health Care
JF  - Journal of Family Medicine and Health Care
JO  - Journal of Family Medicine and Health Care
SP  - 32
EP  - 37
PB  - Science Publishing Group
SN  - 2469-8342
UR  - https://doi.org/10.11648/j.jfmhc.20190503.12
AB  - HIV/AIDS remains a global public health issue which has claimed an estimated of 35 million lives since the start of the epidemic and further 78 million people still living with the virus. Tuberculosis (TB) is a major disease with high incident cases and over 1.3 million deaths recorded in 2012 even with the availability of effective chemotherapy. This survey is a descriptive, cross-sectional quantitative study among 87 enrolled clients attending HIV/TB integrated service at Lagos State University Teaching Hospital, (LASUTH) Lagos in Nigeria. Data collected were analyzed with SPSS version 21 with Chi-square used to test for association. Eighty percent (80) of the HIV clients were female while the TB patients were 41% male. Most of the respondents had only secondary school education and were married as at the time of the survey. Generally, unprotected sexual intercourse with a HIV infected person is the most known mode of spreading HIV among respondents. Majority of the respondents receives treatment for both TB and HIV in the same facility and view antiretrovirals as drugs responsible for preventing death from HIV/AIDS. While over 70% of the respondents agreed to like being visited by healthcare workers, over 60% reported to have never being visited by healthcare workers. The most reported advantages of integrated services for HIV and TB were “save cost for transportation and save time”. The survey revealed good knowledge about HIV and TB among respondents while also showing that perception about integrated HIV and TB services is welcomed among the respondents. Increasing the number of healthcare workers and incentivizing the approach for healthcare workers were recommended.
VL  - 5
IS  - 3
ER  -

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