Akwa Ibom AIDS indicator survey: Key findings and lessons learnt

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From: PLoS ONE(Vol. 15, Issue 6)
Publisher: Public Library of Science
Document Type: Report
Length: 5,198 words
Lexile Measure: 1420L

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Author(s): Oluwasanmi Adedokun 1, Titilope Badru 1, Hadiza Khamofu 1, Olubunmi Ruth Negedu-Momoh 2, Emem Iwara 3, Chinedu Agbakwuru 3, Akinyemi Atobatele 4, Mike Merrigan 5, Dominic Ukpong 6, Charles Nzelu 7, Gregory Ashefor 8, Satish Raj Pandey 1, Kwasi Torpey 9,*

Introduction

Nigeria has a generalized HIV epidemic with a HIV prevalence of 1.5% among adults 15-49 years old as at 2018. About 1,900,000 people were estimated to be living with HIV in Nigeria as at 2018. An estimated 100,000 children and adults are newly infected with HIV with about 13,000 AIDS related deaths [1]. HIV prevalence varies across states and geopolitical zones. Preliminary findings from the 2018 National AIDS Indicator and Impact Survey (NAIIS) shows the South South geopolitical zone with the highest geopolitical prevalence of 3.1%. Akwa Ibom is the South South zone with the highest prevalence of 5.5%. [2]. The United State President's Emergency Plan for AIDS Relief (PEPFAR) has therefore prioritized Akwa Ibom state as one of the states for intensified HIV prevention and care surge activities in order to achieve epidemic control by September 2020. Epidemic control is defined as a state in which new HIV infections are lower than AIDS-related deaths. PEPFAR's epidemic control goals derives from UNAIDS 90-90-90 goals. The 90-90-90 goals envisions that, by 2020, 90% of people living with HIV will know their HIV status, 90% of people who know their HIV-positive status will be sustained on antiretroviral treatment and 90% of people on treatment will be virally suppressed. [3,4].

Akwa-Ibom state is in the southern region of Nigeria with a HIV prevalence of 5.5% as at 2018 [2]. In the 2014 Antenatal care (ANC) survey, Akwa-Ibom had the second highest prevalence rate of 10.8% in the country after Benue state [5]. The HIV prevalence in Akwa-Ibom state declined steadily from 12.5% in 1999 to 7.2% in 2003, this was followed by a steep rise to 10.9% in 2010, stabilizing at 10.8% in 2014 [5]. The population-based National AIDS and Reproductive Health (NARHS plus) in 2012 [6] also estimated HIV prevalence of 6.5% for Akwa Ibom state. The differences between the prevalence from different surveys (ANC 2014 and NARHS plus 2012) with less robust design therefore necessitated another survey to provide more precise estimates of HIV prevalence in Akwa Ibom state.

The purpose of Akwa Ibom AIDS Indicator Survey (AKAIS), was to generate population-based HIV estimates through state-level representative survey to inform the HIV program response in Akwa-Ibom State. The information from the survey will be valuable to program managers and policy makers as it will: provide evidence on the burden of HIV in Akwa-Ibom State, guide the scale-up of treatment and prevention services and provide the information needed for evaluation of current and future programs. AKAIS was adapted from the United States Centers for Disease Control and Prevention (CDC) HIV Impact Assessments (HIAs) which serves as a model survey. (S1 Appendix)

Methods

Study design

The study was a population based cross-sectional survey.

Study area

Akwa Ibom State is located...

Source Citation

Source Citation   

Gale Document Number: GALE|A626896706