Evaluating the Impact of Health System Strengthening on HIV and Sexual Risk Behaviors in Nigeria

Journal of Acquired Immune Deficiency Syndromes : JAIDS
George I EluwaBabatunde Ahonsi

Abstract

We evaluated the impact of health system strengthening (HSS) on HIV prevalence and sexual risk behaviors in Nigeria. Impact of HSS was evaluated in a cross-sectional analysis using 2 rounds of HIV biobehavioral surveys. Logistic regression was used to assess the impact of the HSS program on HIV and risk behaviors. Study was conducted between 2007 and 2012 in 16 states in Nigeria. Using a multistage selection criterion for households, a total of 4856 and 11,712 respondents were surveyed in 2007 and 2012, respectively. HSS for state agencies for the control of AIDS was conducted in 7 states. Overall change in HIV prevalence between 2007 and 2012 was 6·3% vs. 5·3% (P = 0·113) and 3·0% vs. 5·1% (P < 0·001) in the HSS and non-HSS states, respectively. When controlled for age, gender, HSS intervention, location (rural vs. urban), and year (2007 vs. 2012), respondents in the HSS states were less likely to have acquired HIV (adjusted odds ratio [AOR]: 0.78; 95% confidence interval (CI): 0.63 to 0.96), more likely to have comprehensive HIV knowledge (AOR: 1.28; 95% CI: 1.06 to 1.54), and to use a condom consistently in the past 3 months with boy/girlfriends (AOR: 1.35; 95% CI: 1.03 to 1.79). HIV prevalence decreased in HSS states betwee...Continue Reading

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Citations

Apr 18, 2016·The Journal of the Association of Nurses in AIDS Care : JANAC·Kevin OusmanUNKNOWN Afya Bora Consortium Working Group

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