Abstract
This study assessed the effectiveness of a clinician client centered counseling on HIV knowledge and attitudes towards HIV/AIDS of adult HIV positive patients enrolled in care in Yola, Nigeria. The study was a 3 arm randomized single blind clinical trial involving 386 randomly selected and allocated adult HIV patients who were enrolled into ART at the 4 comprehensive ART sites in Yola. A clinician client centered training module was developed based on the Information Behavior and Motivation (IBM) Model. Nine Clinicians involved in ART care were trained with this module to deliver a 10 to 15 minutes clinic based intervention (Clinician Client Centered counseling). Intervention group 1 received two counseling sessions; at baseline and at 2 months. Intervention group 2 received one counseling session at baseline and the control group received routine care. An interviewer administered validated and structured questionnaire was used for data collection. Data was collected at baseline, 2 months and 6 months. Outcome measures were knowledge on HIV transmission and prevention and attitude towards HIVAIDS. Significant main effects for groups (F (2, 331) = 17.410, p = 0.0001), time (F (2) = 49.826, p = 0.0001, partial ἠ2 = 0.134) and group-time interaction (F (2, 331) = 4.239, p = 0.015, partial ἠ2 = 0.026) were seen for HIV knowledge scores. Significant main effects were seen for groups (F (2) =11.107, p = 0.021, partial ἠ2 = 0.065) and time (F (2) = 34.088, p = 0.0001, partial ἠ2 = 0.096) for HIV attitudes scores. Clinician client centered counseling is effective in improving knowledge on HIV transmission and prevention and attitudes towards HIV/AIDS.
Highlights
An estimated 34.0 million people are presently known to be living with HIV/AIDS globally [1]
This paper describes the effectiveness of a clinician centered client counseling on knowledge of HIV prevention and transmission, and attitudes towards HIV/AIDS of adult HIV positive patients enrolled in care at the 4 comprehensive Antiretroviral Therapy (ART) sites in Yola, north-eastern Nigeria
A significant main effect for time indicates a change in the HIV knowledge scores over time with a large effect size further indicating that implementation of the CCC counseling would detect a large improvement in HIV knowledge of the respondents who receive it
Summary
An estimated 34.0 million people are presently known to be living with HIV/AIDS globally [1]. This epidemic varies considerably between countries and regions with Sub – Saharan Africa remaining the most severely affected [1]. 1 in 20 adults (4.9%) are living with HIV in SubSaharan Africa and this account for about 69% of the global burden [1]. Nigeria has a HIV prevalence of 4.1% [2], which accounts for about 3.2 Million Nigerians out of which 2.8 Million are aged 15 years and above [3]. Adamawa state is located in the north- east of Nigeria. Yola is the capital of Adamawa state and has a prevalence of 3.8% [2]
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