It takes a village: Community-based organizations and the availability and utilization of HIV/AIDS-related services in Nigeria

Autor: Kayode Ogungbemi, Anya Krivelyova, Jakub Kakietek, Tesfayi Geberselassie, Joseph Fruh, Brigitte Manteuffel, Rene Bonnel, Rosalia Rodriguez-Garcia, Sani Gar, Sarah Bausch, N’Della N’Jie
Jazyk: angličtina
Rok vydání: 2013
Předmět:
Program evaluation
Adult
Male
Rural Population
Community-Based Participatory Research
Health Knowledge
Attitudes
Practice
Health (social science)
Palliative care
CBO
Social Psychology
Urban Population
Behavior change communication
Social Stigma
Community-based participatory research
Nigeria
HIV Infections
Federal capital territory
Community Networks
Health Services Accessibility
Interviews as Topic
Social Facilitation
Young Adult
Acquired immunodeficiency syndrome (AIDS)
prevention
Residence Characteristics
Environmental health
community-based organization
medicine
Humans
Community Health Services
Qualitative Research
Community engagement
treatment
business.industry
Public Health
Environmental and Occupational Health
HIV
Social Support
Middle Aged
Patient Acceptance of Health Care
medicine.disease
Socioeconomic Factors
community-based organization (CBO)
community
Female
Rural area
business
Research Article
Program Evaluation
Zdroj: AIDS Care
ISSN: 1360-0451
0954-0121
Popis: Community-based organizations (CBOs) have emerged as a vital part of the response to HIV/AIDs in Nigeria. The evaluation, on which this article is based, conducted in 28 communities in 6 states and the Federal capital Territory in Nigeria, assessed the effects of the CBO engagement on a set of outcomes related to HIV/AIDS knowledge, attitudes, beliefs, and practices, stigma, service availably and utilization and social capital. It consisted of three components: a household survey conducted in all 28 communities, qualitative data collected from CBO staff and key informants (KIs), and a funding allocation study (qualitative interviews and the funding allocation study were conducted in a subset of 14 communities). This article focuses on the association between CBO engagement and reported availability and utilization of HIV/AIDS-related services. It shows that CBO engagement has a potential to add value to the national response to HIV/AIDS by increasing the awareness, availability, and utilization of HIV/AIDS-related services, especially in the area of prevention, care and support. The CBOs in the evaluation communities focused on prevention activities as well as on providing support for people living with HIV/AIDS (PLWHA) and prevention and care and support were the highest expenditure categories reported by CBOs. Respondents in communities with a stronger CBO engagement were more likely to: (1) be aware of any HIV/AIDs-related services, (2) report that prevention and care services were available in their communities, and (3) have used any HIV/AIDS related services, prevention-related and care-related services than respondents in communities where CBO engagement was weaker. The association between service awareness and service use and CBO engagement was stronger in rural than in urban areas.
Databáze: OpenAIRE
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