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3rd International AIDS Society Conference on HIV Pathogenesis and TreatmentRio de Janeiro - July 24 - 27, 2005 |
FACTORS INFLUENCING ACCESS OF PEOPLE WITH HIV/AIDS IN IBADAN, NIGERIA TO ANTI-RETROVIRAL DRUGS
IAS Conf HIV Pathog Treat 2005 Jul 24-27;3rd: Abstract No. MoPe11.1C38
Sangowawa A.1, Owoaje E.1, Faseru B.2, Uchendu O.1, Ekanem S.1, Ebong I.1
1Department of Community Medicine, University College Hospital, Ibadan, Oyo State, Nigeria, 2Department of Public Health and General Practice, University of Kuopio, Kuopio, Finland
INTRODUCTION: Anti-Retroviral drugs (ARVs) have given hope to millions of people with HIV/AIDS; however they are not yet readily available in developing countries. The Federal Government of Nigeria has commenced a three-drug pilot programme under which 10,000 adults are being treated in 25 selected sites in the country, from where they obtain their drugs at a subsidized rate. This study was thus carried out to determine the factors affecting access of PLWHAs in Ibadan, Nigeria to ARVs.
METHODS: A cross-sectional study using both qualitative and quantitative research methods was carried out and PLWHAs belonging to two HIV/AIDS support groups in Ibadan, Nigeria were interviewed.
RESULTS: Forty – six PLWHAs – 13 (28.2%) male and 33 (71.8%) female with a mean age of 36.4 years were interviewed. Thirteen (28.3%) were unemployed at the time of the study. Seventeen (36.9%) were married, 16 (34.8%) widowed, 10 (21.8%) single and 3 (6.5%) separated. Of the 46 respondents, 26 (56.5%) had commenced ARVs, 21 (80.8%) of whom were females. Twenty-five respondents were beneficiaries of the Federal Government ARV pilot programme. The commonest reason proffered by those not on ARVs was that they could not afford the drugs 7 (43.5%). Three (18.75%) had just discovered that they were HIV positive, 2 (12.5%) could not afford the cost of the tests which were a prerequisite for commencing the drugs. One (6.25%) respondent said he was not aware of the existence of ARVs. Of those currently on treatment, 23 (88.5%) said the drugs were readily available and 17 (65.4%) said they were not affordable.
CONCLUSIONS: The commonest reason why the PLWHAs were yet to commence ARVs was that they could not afford the cost of the drugs. Subsidizing the drugs and empowering PLWHAs financially by providing them with alternative sources of income are important ways of improving access to ARVs.
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Clinical | MoPe11.1C38 | Adesola Sangowawa
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