Factors Associated With Poor Access to Hiv and Sexual and Reproductive Health Services in Nigeria for Women and Girls Living With Hiv During the Covid-19 Pandemic

Factors Associated With Poor Access to Hiv and Sexual and Reproductive Health Services in Nigeria for Women and Girls Living With Hiv During the Covid-19 Pandemic Publisher Pubmed

Folayan MO^{1, 2, 3, 4} ; Arije O⁵ ; Enemo A⁶ ; Sunday A⁷ ; Muhammad A⁸ ; Nyako HY⁹ ; Abdullah RM¹⁰ ; Okiwu H¹¹ ; Undelikwo VA¹² ; Ogbozor PA¹³ ; Amusan O¹⁴ ; Alaba OA¹⁵ ; Lamontagne E^{16, 17}

Show Affiliations

1. Department of Child Dental Health, Obafemi Awolowo University, Ile-Ife, Nigeria
2. Nigeria Institute of Medical Research, Lagos State, Yaba, Nigeria
3. Community Oral Health Department, Tehran University of Medical Sciences, Iran
4. Faculty of Health Sciences, University of Zaragoza, Zaragoza, Spain
5. Institute of Public Health, College of Health Sciences, Obafemi Awolowo University, Nigeria
6. Nigeria Sex Workers Association, Kubwa, Nigeria
7. African Network of Adolescent and Young Persons Development, Barnawa, Nigeria
8. Northern Nigerian Transgender Initiative, Abuja, Nigeria
9. Jami Al Hakeem Foundation, Jimeta-Yola, Nigeria
10. National Association of Persons with Physical Disability, Abuja, Nigeria
11. Abuja, Nigeria
12. Department of Sociology, University of Calabar, Cross River State, Calabar, Nigeria
13. Department of Psychology, Enugu State University of Science and Technology, Enugu, Nigeria
14. Benue State, Makurdi, Nigeria
15. Department of Employment and Labor Relations, Indiana University of Pennsylvania, Indiana, United States
16. Joint United Nations Programme on HIV/AIDS, Strategic Information, Geneva, Switzerland
17. Aix-Marseille University, School of Economics, Marseille, France

Source: African Journal of AIDS Research Published:2022

Abstract

Aim: To determine the proportion of women and girls living with HIV (WGLHIV) who had poor access to HIV, tuberculosis and sexual and reproductive health (SRH) services in Nigeria during the COVID-19 pandemic and associated factors. Methods: This was a cross-sectional study that recruited WGLHIV with six categories of vulnerability (sex work, transactional sex, injecting or using illegal drugs, people on the move, transgender women and people with a disability) through an online survey conducted in ten Nigerian states between june and October 2021. The associations between the limited access to HIV, tuberculosis and SRH services due to COVID-19, the categories of vulnerability and the financial and non-financial barriers to these services were determined using multivariable logistics regression analysis. Results: Over 6 in 10, almost 2 in 10, and almost 4 in 10 WGLHIV had limited access to HIV, tuberculosis and SRH services respectively during the COVID-19 pandemic. Transgender women had 3.59 (95% CI 2.19–5.91) higher odds, women who engaged in sex work had 4.51 (95% CI 2.28–8.42) higher odds, and women who inject or use illegal drugs had 2.39 (95% CI 1.47–32.90) higher odds of facing limited access to sexual and reproductive health services when it was needed. In addition, the direct consequences of the COVID-19 crisis, such as the closure of HIV services and SRH service points, exacerbated pre-existing barriers significantly. Having no money, having to pay additional unofficial fees and the lack of security on the road to the health facility were the barriers with the greatest impact on access to health services. Conclusions: The COVID-19 pandemic had a negative impact on the access of WGLHIV to essential health services. This impact was disproportionately higher for marginalised groups. WGLHIV need non-discriminatory and affordable access to essential health services during the pandemic. © 2022 The Author(s). Co-published by NISC Pty (Ltd) and Informa UK Limited, trading as Taylor & Francis Group.

Style	Citing Format
MLA	Folayan MO, et al.. "Factors Associated With Poor Access to Hiv and Sexual and Reproductive Health Services in Nigeria for Women and Girls Living With Hiv During the Covid-19 Pandemic." African Journal of AIDS Research, vol. 21, no. 2, 2022, pp. 171-182.
APA	Folayan MO, Arije O, Enemo A, Sunday A, Muhammad A, Nyako HY, Abdullah RM, Okiwu H, Undelikwo VA, Ogbozor PA, Amusan O, Alaba OA, Lamontagne E (2022). Factors Associated With Poor Access to Hiv and Sexual and Reproductive Health Services in Nigeria for Women and Girls Living With Hiv During the Covid-19 Pandemic. African Journal of AIDS Research, 21(2), 171-182.
Chicago	Folayan MO, Arije O, Enemo A, Sunday A, Muhammad A, Nyako HY, Abdullah RM, et al.. "Factors Associated With Poor Access to Hiv and Sexual and Reproductive Health Services in Nigeria for Women and Girls Living With Hiv During the Covid-19 Pandemic." African Journal of AIDS Research 21, no. 2 (2022): 171-182.
Harvard	Folayan MO et al. (2022) 'Factors Associated With Poor Access to Hiv and Sexual and Reproductive Health Services in Nigeria for Women and Girls Living With Hiv During the Covid-19 Pandemic', African Journal of AIDS Research, 21(2), pp. 171-182.
Vancouver	Folayan MO, Arije O, Enemo A, Sunday A, Muhammad A, Nyako HY, et al.. Factors Associated With Poor Access to Hiv and Sexual and Reproductive Health Services in Nigeria for Women and Girls Living With Hiv During the Covid-19 Pandemic. African Journal of AIDS Research. 2022;21(2):171-182.
BibTex	@article{ author = {Folayan MO and Arije O and Enemo A and Sunday A and Muhammad A and Nyako HY and Abdullah RM and Okiwu H and Undelikwo VA and Ogbozor PA and Amusan O and Alaba OA and Lamontagne E}, title = {Factors Associated With Poor Access to Hiv and Sexual and Reproductive Health Services in Nigeria for Women and Girls Living With Hiv During the Covid-19 Pandemic}, journal = {African Journal of AIDS Research}, volume = {21}, number = {2}, pages = {171-182}, year = {2022} }
RIS	TY - JOUR AU - Folayan MO AU - Arije O AU - Enemo A AU - Sunday A AU - Muhammad A AU - Nyako HY AU - Abdullah RM AU - Okiwu H AU - Undelikwo VA AU - Ogbozor PA AU - Amusan O AU - Alaba OA AU - Lamontagne E TI - Factors Associated With Poor Access to Hiv and Sexual and Reproductive Health Services in Nigeria for Women and Girls Living With Hiv During the Covid-19 Pandemic JO - African Journal of AIDS Research VL - 21 IS - 2 SP - 171 EP - 182 PY - 2022 ER -

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