The The Influence of Peer-Led Health Education Intervention on Medication Adherence Practices Among Youths Living with HIV In Nigeria
Main Article Content
http://orcid.org/0000-0001-6074-9097
Gbadegesin O Alawode, MPH
Saratu Ajike, PhD
Ololade O Ogunsanmi, PhD
Mustapha S Bello, MD, MPH
John O Ibitoye, PhD
Adebusola Oyeyemi, PhD
Adeniyi Adeniran, MD, PhD
Chisom L Emeka, PhD
Oluwagbemiga Obembe, MPH
Olubunmi Ojelade, PhD
Olutayo Asaolu, MBA
Adaeze Ugwu, MD, MPH
Christopher Obanubi, MD, MHE, MDS, MPPA
Abdulmalik Abubakar, MPH
Adekemi Asaolu, MBA
Olubayode Asaolu, MSc
Nannim Nalda, MPH
Adebayo O. Amao, MPH
Oladimeji Folorunso-Ako, PhD
Ishaq K. Salako, MD, MPH
Catherine Agbede, PhD
Catherine Agbede, PhD
Abstract
Medication adherence and antiretroviral therapy retention are required for successful durable, virologic suppression and treatment outcomes among youths. The use of peer-led health education in increasing medication adherence and antiretroviral therapy retention has been advocated. Therefore, this study investigated the effect of peer education on medication adherence and antiretroviral-therapy retention practices among Youth Living with HIV in Niger state, Nigeria. The study was a quasi-experimental design in two selected hospitals. One hospital was assigned to a one-hour peer-led health education session for six weeks, and the 2nd served as the control group. Data were collected at baseline, immediate post-intervention, and at the sixth-week follow-up. Data were analyzed using descriptive and inferential statistics at a 0.05 level of significance.
Majority of respondents practice Islam and are within the ages of 20-24 years (control: 100%, 89%; intervention: 83%, 73%), from the Hausa Ethnic group (control: 62%; intervention: 56%). Majority of respondents in the control group have Islamic education (50%) and Secondary education (50%), while the majority of those in the intervention group have primary education (35%), secondary (29%), tertiary (19%) and Islamic (17%) respectively. Medication adherence and ART retention was higher in the intervention group (27%, 16%) compared with the control (17%, 9%). A significant association between knowledge and perception due to peer education on medication adherence was found (24%, 80%) in the intervention group and (11%, 36%) in the control group. Subsequently, the 6th week follow-up sustained findings from the intervention period on medication adherence and ART retention (27%, 16%) in the intervention group compared with control group (17%, 9%). Similarly, knowledge and perception follow-up post intervention was sustained (24%, 80%) in the intervention group and (11%, 36%) in the control group.
Interventions leveraging peer-led health education enhanced HIV medication adherence and antiretroviral therapy retention practices among youths. Thus, we recommend scale-up of the structured peer-led curriculum and integration into the health systems to improve health outcomes among HIV positive youths, achieve epidemic control and accelerate progress for the UNAIDS 95:95:95 goals.
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