ABSTRACT
This descriptive survey
study investigated psychosocial Needs of People Living With HIV and AIDS
(PLWHA) in Northern Senatorial District of Cross River State, Nigeria. The
study population comprised all the PLWHA and the Health Counsellors in
comprehensive Antiretroviral Therapy Centres in Northern Senatorial District of
Cross River State. The sample comprised 300 patients and 26 Health Counsellors
randomly selected from a total population of 3,301 patients and 26 Health
Counsellors. The instruments used for data collection were two researcher’s
designed questionnaires titled “Needs of HIV & AIDS Patients Questionnaire
(NHAPQ) and “Counselling Strategies for HIV & AIDS Patients Questionnaire”
(CSHAPNQ). These instruments were face validated by three experts in the
Faculty of Education of University of Nigeria, Nsukka. The reliability of the
instrument was determined using Cronbach Alpha statistics which analysis gave
an overall Alpha Co-efficient Value of 0.82 for NHAPQ and 0.63 for CSHAPNQ
instruments respectively. Data collected were analyzed using percentage, mean
and standard deviation statistical tools in answering the six research
questions while z-test and ANOVA statistical tools were used to analyze the
null hypotheses tested at 0.05 probability level. The findings show that the
prevalence of HIV & AIDS was highest among age range of 26-35 years. HIV
and AIDS patients have psychological and sociological needs that need to be met
by their health care givers and this will be achieved using some counselling
strategies. The study also showed that the psychosocial needs of PLWHA were reduced
to a great extent. However, the null hypotheses testing showed that there is no
significant difference among psychosocial needs of PLWHA based on age range.
Also, that there is no significant difference between male and female
psychosocial needs of PLWHA. Based on these findings some counseling
implications were highlighted and recommendations made. Among which are that
government and health professional should be more committed in attending to
psychosocial needs of PLWHA and organise workshops and seminars for health
counsellors on effective counseling strategies for caring of PLWHA.
CHAPTER ONE
INTRODUCTION
Background of the Study
One of the most complex and complicated health problems confronting the
world today, is the Human Immune Deficiency Virus (HIV) infection and the
Acquired Immune Deficiency Syndrome (AIDS) disease. Within the past two
decades, it has attracted to itself greater world attention than any other
health problem or any other cause of death before and after it. Billions of
dollars have been sunk into research to find a cure for it but there has been
no breakthrough yet. The rate of its transmission has become so alarming;
exceeding by far the birth rate in some countries. AIDS is now a household word
and has become one of the greatest world challenges of the 21st
millennium (Otti, 2005).
According to the epidemiological report on HIV and AIDS of the Joint
United Nations Programme on HIV and AIDS (UNAIDS), an estimated 38.6 million
(33.4 million – 46.0 million) people World-Wide were living with HIV at the end
of 2005, 4.1 million (3.4 million - 6.2 million) people become newly infected
with HIV and 2.8 million (2.4 million – 3.3 million) people lost their lives to
AIDS.(UNAIDS, 2006).
One of the regions of the World most heavily affected by the disease is
the sub- Saharan Africa. According to UNAIDS (2006),an estimated 24.5 million
people were living with HIV at the end of 2005 and approximately 2-7 million
infections occurred during the year.
HIV and AIDS is still a threatening pandemic that has claimed many lives
and affected the growth and development of many countries, especially in
sub-Saharan Africa where the pandemic is increasing and the quality of life of
People Living With HIV and AIDS (PLWHA) has been under minded.
HIV and AIDS has become a threat to public health in Nigeria as a result
of its devastating consequences, which are manifested in forms of prolonged
sickness, deaths and increase in number of orphans and widows/widowers. Nigeria
has an estimated population of about 150 million, of which about 3.5 million
are infected with HIV and AIDS (Federal Ministry of Information and National
Orientation (FMINO, 2007).
HIV and AIDS was first identified in Nigeria in 1985 and reported at an International
Conference in 1986 (Adeyi and Ademo, 2006). The HIV and AIDS pandemic led to
the death of 170,000 Nigerians in 2007 (UNAIDS, 2008). According to Edward
(2010) Nigeria has already surpassed the 5 percent explosive prevalence phase
and the disease has killed more than 1.3 million people and orphaned more than
1 million children (FMIN0 2007).
According to Edewor (2010), the mode of HIV transmission in Nigeria is
mainly through unprotected sex, and other factors which contribute to the
spread of the virus include poverty; Sexually Transmitted Infection (STI),
social and religious norms and political and social changes (National AIDS/STD
Control Programme, 1999).
The prevalence of HIV and AIDS in Nigeria, based on the United States
Embassy in Nigeria HIV and Fact Shoot Report 2010, shows that the most
populous black nation in the world with a population of 160 million, Nigeria
has the second largest number of people Living With HIV (PLWH) (3.1 million)
after South Africa (5.6 million) Nigeria account for 10% of the global HIV
burden. Approximately 215,000 people died from HIV in 2010. Nigeria has a
national HIV prevalence of 4.1% in 2010. State prevalence ranged from 12.7% in
Benue State down to 1% in Kebbi State in 2010. The state with the highest
prevalence are concentrated in the North Central, South-east and South-South
parts of the country.
The prevalence is highest among young women aged 15-24 years and is
estimated to be three times higher than among men of the same age. It was
further stated that HIV and AIDS prevalence was highest in urban areas in
twenty-six out of the thirty-six states of the federation. Nigeria just like
many developing nations, suffers the formidable task of tackling a wide spread
epidemic, which has already claimed an estimated two million lives and left
behind approximately, two million orphans. (Federal Ministry of Health (FMOH),
2011).
Cross River State had HIV prevalence of 4.1% in 2011 local Government
Area prevalence range from 4.1% to 1% in 2011. The prevalence is highest among
young women aged 14 – 20 years and is estimated to be three times higher than
among men of the same age. The prevalence was highest in urban areas in 13
Local Government Areas (Cross River Ministry of Health, 2010).....
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