{"id":5133,"date":"2023-08-01T13:43:24","date_gmt":"2023-08-01T13:43:24","guid":{"rendered":"https:\/\/wapcpharm.org\/journal\/?p=5133"},"modified":"2023-08-07T13:49:02","modified_gmt":"2023-08-07T13:49:02","slug":"west-african-journal-of-pharmacy-2014-25-2-41-53","status":"publish","type":"post","link":"https:\/\/wapcpharm.org\/journal\/west-african-journal-of-pharmacy-2014-25-2-41-53\/","title":{"rendered":"West African Journal of Pharmacy (2014) 25 (2) 41-53"},"content":{"rendered":"\t\t
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Assessment of the constraints to effective delivery of HIV prevention, treatment and care services in a\u00a0<\/b>resource-limited setting<\/b><\/p>

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Kenneth Anene Agu, Uche M. Ochei<\/p>

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Department of Clinical Pharmacy and Pharmacy Practice, University of Benin, Nigeria<\/p>

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Corresponding Author: Kenneth Anene Agu<\/p>

Email: agkenneth@gmail.com; Phone: +2348033031467<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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ABSTRACT<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Background: <\/b>Scaling up HIV prevention, treatment and care services may face a number of constraints. Project constraint is a barrier to full potential.<\/span><\/p>

Objectives:<\/b> This study assessed the constraints to effective delivery of HIV prevention, treatment and care services and made recommendations for improvement in resource-limited settings.<\/span><\/p>

Methods:<\/b> In a cross sectional study, study-specific questionnaires were self-administered to 90 out of 104 health workers providing HIV services and 150 out of 200 HIV-positive patients in seven public health facilities in <\/span>Edo State, Nigeria. Participants were selected using simple random sampling. Chi square was used for inferential <\/span>statistics; and P values were two-tailed at 95% confidence interval.<\/span><\/p>

Results:<\/b> Of the health workers, 59.2% were males, 39.4% aged 31\u201340 years old, 22.5% doctors, 14.1% pharmacists, 15.5% laboratory scientists, 33.8% nurses, 7.0% record officers, and 7.0% administrators. Of the <\/span>clients, 55.2% were females, 39.7% aged 31\u201340 years old; majority (40.5%) had accessed services in the facilities <\/span>for 1\u20133 years and 29.3% accessed for 3\u20136 months prior to this study. Major constraints reported by health <\/span>workers included inadequate health workforce (24.5%), lack of government ownership (14.9%), lack of <\/span>incentives\/staff motivation(13.8%), and poor working conditions(12.8%); whereas clients reported inadequate <\/span>health workforce(41.4%), long waiting time (21.4%), stock-out or inadequate supply of drugs, reagents and <\/span>materials (7.1%). Stigmatization by health workers was reported by 17.6% of clients. Major recommendations <\/span>by health workers for improvement included recruitment of additional health workforce (36.4%), improved <\/span>working conditions (15.2%), good staff motivation\/incentives (15.2%); whereas clients recommended <\/span>recruitment of additional health workforce (54.3%), reduced waiting time (13.0%) and improved working <\/span>conditions (7.6%). However, there was no association between effective delivery of HIV interventions and staff <\/span>motivation (P=0.0571).<\/span><\/p>

Conclusions:<\/b> The major constraints reported were inadequate health workforce, lack of government ownership and poor working conditions. Recruitment of additional health workforce and improved working conditions <\/span>were the major recommendations for improved delivery of quality of HIV interventions.<\/span><\/p>

Keywords: HIV\/AIDS, Constraints, Services, Delivery, Health workers, Clients, Nigeria<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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\n\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\tDownload <\/span>\n\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

Assessment of the constraints to effective delivery of HIV prevention, treatment and care services in a\u00a0resource-limited setting \u00a0 Kenneth Anene Agu, Uche M. Ochei \u00a0 Department of Clinical Pharmacy and Pharmacy Practice, University of Benin, Nigeria \u00a0 Corresponding Author: Kenneth Anene Agu Email: agkenneth@gmail.com; Phone: +2348033031467 ABSTRACT Background: Scaling up HIV prevention, treatment and care […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[235],"tags":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/wapcpharm.org\/journal\/wp-json\/wp\/v2\/posts\/5133"}],"collection":[{"href":"https:\/\/wapcpharm.org\/journal\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/wapcpharm.org\/journal\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/wapcpharm.org\/journal\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/wapcpharm.org\/journal\/wp-json\/wp\/v2\/comments?post=5133"}],"version-history":[{"count":4,"href":"https:\/\/wapcpharm.org\/journal\/wp-json\/wp\/v2\/posts\/5133\/revisions"}],"predecessor-version":[{"id":5139,"href":"https:\/\/wapcpharm.org\/journal\/wp-json\/wp\/v2\/posts\/5133\/revisions\/5139"}],"wp:attachment":[{"href":"https:\/\/wapcpharm.org\/journal\/wp-json\/wp\/v2\/media?parent=5133"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wapcpharm.org\/journal\/wp-json\/wp\/v2\/categories?post=5133"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wapcpharm.org\/journal\/wp-json\/wp\/v2\/tags?post=5133"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}