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Abstract
Determinants of antiretroviral drugs uptake in an urban and rural HIV/AIDS treatment centres in Nigeria
A.K. Adeneye1, T.A. Adewole2, P.S. Ogunro3, E.O. Idigbe4, A.Z. Musa2, N.N. Odunukwe2, D. Onwujekwe2, T.O. Ogungbamigbe5
Background: This study examined factors determining antiretroviral drugs (ARV) uptake among HIV-positive persons (HPPs) accessing treatment in urban-rural Nigeria consequent to evolving access to ARV from public and private-initiated pilot programmes.
Methods: 279 HPPs comprising 125 from an urban-public ARV centre in Lagos and 154 from a rural-private ARV centre, Iwaro-Oka South-West Nigeria were interviewed using questionnaires.
Results: None had full-blown AIDS; 36.0% in urban and 25.3% in rural had opportunistic infections (OIs). Most urban respondents knew ARV through health workers (16.0%) compared to electronic media (36.4%) in rural. Majority (urban 88.0%; rural 64.7%) believed ARV would prolong their lives. 9.0% urban compared to 40.3% rural wanted ARV free, 85.6% urban and 12.3% rural wanted to pay maximum of N500.00K ($3.88) and N2,000.00K (US$15.50) compared to N1,000.00K (US$7.75) and N13,000.00K (US$1000.78) being charged them respectively per month. Average affordable price was N905.00K (US$7.02) in urban and N1,034.00K (US$8.02) in rural. Respondents’ knowledge and perception of ARV and its benefits were positively associated with education in rural (p<0.05). Similarly, education and income were directly related to seeking treatment prior to ARV uptake among rural respondents (p<0.05) contrast to urban (p>0.05). Income significantly determined rural respondents’ ability to pay for ARV unlike urban where it was age (p<0.05). Chi-square tests showed that knowledge of ARV benefits and previous therapeutic experience determined ARV uptake among respondents in rural more than urban. Women were more unwilling to access treatment at centres nearer their homes in both localities if fully operationalised due to concern for stigmatisation. Religion and occupation were not significantly associated with ARV uptake by respondents.
Conclusions: Pervasive knowledge of ARV and its benefits exist. Nonetheless, there is need to reduce stigmatization and make ARV more accessible and affordable particularly in resource-constrained rural communities through public channels. Overall, results provide insights for ARV programme planning and operationalisation.
AIDS 2006 - XVI International AIDS Conference
Abstract no.
CDB0594
Suggested Citation
"A.K.Adeneye, et al.
Determinants of antiretroviral drugs uptake in an urban and rural HIV/AIDS treatment centres in Nigeria.
:
AIDS 2006 - XVI International AIDS Conference:
Abstract no.
CDB0594"
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