STRATEGIES FOR THE PREVENTION OF PEDIATRIC HIV/STUDY OF SOCIAL - PowerPoint PPT Presentation

STRATEGIES FOR THE PREVENTION OF PEDIATRIC HIV/STUDY OF SOCIAL BARRIERS ACCOMPANYING ADOLESCENT HIV IN NIGERIA Dr. Nadia Sam-Agudu Daniel Lee Megan Belich Gloria Rinomhota Erika Saunders Katherine Kongs

INTRODUCTION We traveled to Abuja, Nigeria to assist with two research projects being conducted through the Institute of Human Virology Nigeria. We were fortunate to have a very diverse group with students from the school of pharmacy, social work, nursing and medicine. Coming from these different backgrounds allowed us to address different aspects of the research process and problem solve with the study participant in mind. We were able to benefit from what each discipline brings to the table and collaborate together to create surveys and other research tools encompassing multidisciplinary perspectives.

BACKGROUND “The impact of mentor mother programs on PMTCT service uptake and retention-in-care at primary health care facilities in Nigeria.” iCatch Study: Support for Adolescents Living with HIV in Boarding School

MOMENT STUDY AND DATA ANALYSIS THE IMPACT OF MENTOR MOTHER PROGRAMS ON PMTCT SERVICE UPTAKE AND RETENTION-IN-CARE AT PRIMARY HEALTH CARE FACILITIES IN NIGERIA Primary Outcome Measures  Early Infant Diagnosis (EID) at 2 months  Retention 6 months post-partum Secondary Outcome Measures  Viral Load at 6 months  Retention 12 months post-partum

CONFOUNDING FACTOR: GEOGRAPHICAL BARRIER Federal Capital Territory Nassarawa District

CULTURAL CONTEXT HIV Disclosure Cultural boundaries and religion Impact on research Limitations on data collection Husband not aware of HIV status Interprofessional experience

SITE VISITS Daigiri in Gwagalada ARV pharmacy and regular pharmacy

MoMent Log books and collecting data

Angwan City Tunga Maje

ADOLESCENT STUDY Research Question  Why are so few ALHIV enrolled in boarding school in Akwa Ibom state? Developing a conceptual framework  Relationships and Trust, HIV Knowledge, Disclosure, Stigma and Discrimination, School Climate, Privacy and Confidentiality, School/Campus Knowledge,Medical Issues, and Medications Focus Group Discussion Questionnaire  Parents/Guardians of Adolescents Living with HIV  Teaching and Medical Staff of ART clinics and schools Key Informant Interview Questionnaire  Adolescents Living with HIV  Ministry of Health/Ministry of Education

ACKNOWLEDGEMENTS University of Maryland, Baltimore Center for Global Education Initiatives Heidi Fancher Bonnie Bissonette Dr. Nadia Sam-Agudu Institute of Human Virology Nigeria