- The Complete Research Material is averagely 61 pages long and it is in Ms Word Format, it has 1-5 Chapters.
- Major Attributes are Abstract, All Chapters, Figures, Appendix, References.
- Study Level: BTech, BSc, BEng, BA, HND, ND or NCE.
- Full Access Fee: ₦7,000
Get the complete project »

SUMMARY
HIV/AIDS is a disease of public health importance with about 35 million people worldwide
living with the disease and Sub-Saharan Africa accounting for about 27.7 million cases. Nigeria
has 3.2 million cases and has recorded 210,000 deaths. Control of the disease has been
predicated on prevention and effective ART. For ART to be successful however, adherence rate
of 95% or more is required to be complemented by adult ART coverage of 80%. Nigeria
however, has 40%. Thus, this study aims to identify the determinants of adherence to
antiretroviral therapy among adults with HIV/AIDS in Dalhatu Araf Specialist Hospital, Lafia,
Nasarawa State.
The study was conducted using a descriptive cross sectional design among 426 randomly
selected HIV/AIDS patients (18 years and above) attending ART clinic in DASH, Lafia.
Quantitative data collection technique was used with the administration of a semi-structured
questionnaire by research assistants. Data was analyzed using Statistical Package for Social
Sciences (SPSS) version 20.0 for univariate and bivariate analyses.
Mean age was 35.8 years (SD± 9.6). Of the respondents, 2.6% had less than 95% adherence rate
and forgetfulness (40%) was the commonest reason for non-adherence. The study showed that
70.2% were females, 59.6% were married and 55.2% had educational level lower than secondary
school education. Also, average knowledge HIV, ART, adherence and level of adherence were
determined to be 40.4%, 80.1%, 55.4% and 97.4% respectively. In addition, age, gender, marital
status and level of education were not significantly associated with adherence. It was
recommended that the adherence level be sustained and enlightenment be intensified to curb the
spread of HIV/AIDS.
Key words: HIV/AIDS, Adherence, Antiretroviral therapy, Nigeria
ix
CHAPTER ONE
INTRODUCTION
1.1 Background
The Human Immunodeficiency Virus (HIV) which causes Acquired Immune Deficiency
Syndrome (AIDS) has continued to be a major global challenge since its discovery in the 1980s
and is said to be the leading cause of mortality in the last decade. Deaths arising from HIV/AIDS
have been estimated to be about 39 million.1
About 35 million people worldwide live with HIV/AIDS. Majority live in low and moderate
income countries in Sub-Saharan Africa accounting for about 24.7 million of people living with
HIV/AIDS.1 Sub-Saharan Africa with a prevalence of 4.7% has South Africa as the worst
affected region. Swaziland has the highest HIV prevalence of any country worldwide (27.4%)
while South Africa has the highest epidemic of any country (5.9 million) .2,3
In Nigeria, about 3.2 million people are living with HIV accounting for about 9% of global
figure. 210,000 deaths have been recorded from AIDS-related illnesses.3 National prevalence of
HIV stands at 3.4% with the highest prevalence being among 35-39 years age group (4.4%) and
the lowest in 15-19 years age group (2.9%).4 Rivers State however has the highest prevalence
among other states with a prevalence of 15.2%.4 The availability of effective anti-retroviral
therapy (ART) to control the virus so that people with HIV can enjoy healthy lives and reduce
the risk of transmission to others has resulted in concerted efforts being made by the global
health community and leading government and civil society organizations in the treatment and
prevention of HIV.3 However adherence to ART by people living with HIV who are eligible is
key.
1
Adherence is described as a patient’s ability to follow a treatment plan, take medications at
prescribed times and frequencies and follow restrictions regarding food and other medications. It
is a collaborative process between the patient and the provider where the patient plays a more
active role in his treatment and makes a commitment to follow the prescribed regimen as best as
possible.5,6-7
Adherence to ART is critical to obtain the full benefits of Highly Active Anti-Retroviral Therapy
(HAART) which include maximal and durable suppression of viral replication, reduced
destruction of CD4 cells, prevention of viral resistance, promotion of immune reconstitution and
slowed disease progression.5,6-7 While an adherence rate of 95% or more is needed to achieve
virologic success, multiple approaches are used to measure adherence as there is no single
method to measure it accurately. Some of the measures used include self report, electronic
devic
You either get what you want or your money back. T&C Apply

You can find more project topics easily, just search
-
SIMILAR PUBLIC HEALTH FINAL YEAR PROJECT RESEARCH TOPICS
-
1. THE EFFECTIVENESS OF RADIO IN EDUCATING NIGERIAN WOMEN ON IMMUNIZATION. A CASE STUDY OF ORU-EAST L.G.A OF IMO STATE
» CHAPTER ONE INTRODUCTION 1.1 BACKGROUND OF THE STUDY Communication is central to every human activity. The mass media are potent channels for communic...Continue Reading »Item Type & Format: Project Material - Ms Word | 52 pages |
Instant Download | Chapter 1-5 | PUBLIC HEALTH DEPARTMENT
-
2. CHILD-SURVIVAL MESSAGE-COMMUNICATION SKILLS, ATTITUDE OF HEALTH WORKERS AND MOTHERS’ READINESS TO ADOPT SURVIVAL STRATEGIES AMONG ATTENDEES IN ADEOY...
» ABSTRACT Child mortality remains a major concern of public health because high rate of child mortality persists in developing and under developed coun...Continue Reading »Item Type & Format: Project Material - Ms Word | 67 pages |
Instant Download | Chapter 1-5 | PUBLIC HEALTH DEPARTMENT
-
3. PROFILE OF ANTIBIOTIC USE AT THE HEALTH CENTRE OF DELTA STATE UNIVERSITY ABRAKA
» CHAPTER ONE: INTRODUCTION 1.1 Background of Study Antibiotics account for the most commonly prescribed drugs in the hospital setting. Inappropriate an...Continue Reading »Item Type & Format: Project Material - Ms Word | 52 pages |
Instant Download | Chapter 1-5 | PUBLIC HEALTH DEPARTMENT
-
4. AN EVALUATION ON THE IMPACT OF POLIO IMMUNIZATION AMONG CHILDREN UNDER FIVE YEARS IN PALI TOWN OF ALKALERI LOCAL GOVERNMENT AREA OF BAUCHI STATE.
» CHAPTER ONE 1.0 INTRODUCTION After two (2) decades of focused efforts to eradicate polio. The impact of eradication activities on health system contin...Continue Reading »Item Type & Format: Project Material - Ms Word | 50 pages |
Instant Download | Chapter 1-5 | PUBLIC HEALTH DEPARTMENT
-
5. SPATIO TEMPORAL ANALYSIS OF THE PREVALENCE OF WATERBORNE DISEASES IN KWARA STATE, NIGERIA
» CHAPTER ONE INTRODUCTION. BACKGROUND TO THE STUDY. Waterborne diseases are a major health issue, because of the burden they place on man. Waterborne d...Continue Reading »Item Type & Format: Project Material - Ms Word | 52 pages |
Instant Download | Chapter 1-5 | PUBLIC HEALTH DEPARTMENT
-
6. ACCESSING TREATMENT BY THE ELDERLY IN NIGERIA – A STUDY IN IGBO-ETITI LOCAL GOVERNMENT AREA
» Chapter 1 Introduction. Aging is a silent process whose consequences are difficult to anticipate. It creeps insidiously on people with some of the eld...Continue Reading »Item Type & Format: Project Material - Ms Word | 65 pages |
Instant Download | Chapter 1-5 | PUBLIC HEALTH DEPARTMENT
-
7. PREVALENCE OF BOVINE TUBERCULOSIS AND KNOWLEDGE, ATTITUDE AND PRACTICE OF WORKERS IN TWO ABUJA ABATTOIRS, FEDERAL CAPITAL TERRITORY, NIGERIA
» SUMMARY Mycobacterium bovis is present in animals in most developing countries where surveillance and control activities are often inadequate or unava...Continue Reading »Item Type & Format: Project Material - Ms Word | 107 pages |
Instant Download | Chapter 1-5 | PUBLIC HEALTH DEPARTMENT
-
8. KNOWLEDGE OF SELECTED DISEASES CAUSED BY TOBACCO USE AMONG CIVIL SERVANTS IN ABAKALIKI METROPOLIS
» Abstract This study sought to determine the knowledge of cancer, cardiovascular, perinatal and respiratory diseases caused by tobacco use among civil ...Continue Reading »Item Type & Format: Project Material - Ms Word | 52 pages |
Instant Download | Chapter 1-5 | PUBLIC HEALTH DEPARTMENT
-
9. HEALTH SYSTEM FACTORS INFLUENCING CLIENT SATISFACTION WITH ANTIRETROVIRAL THERAPY SERVICES IN PRIVATE HEALTH FACILITIES IN ABUJA, FCT
» ABSTRACT The central theme of this study is healthcare financing with focus on the Social Health Insurance system (National Health Insurance Scheme NH...Continue Reading »Item Type & Format: Project Material - Ms Word | 119 pages |
Instant Download | Chapter 1-5 | PUBLIC HEALTH DEPARTMENT
-
10. THE PRESENCE OF HEPATITIS B ENVELOPE ANTIBODY IN PATIENTS WHO HAVE BEEN PREVIOUSLY SCREENED FOR THE SURFACE ANTIGEN.
» CHAPTER ONE INTRODUCTION A virus is a small infectious agent having a simple acellular organization with a nucleic acid and aprotein coat.It lacks ind...Continue Reading »Item Type & Format: Project Material - Ms Word | 52 pages |
Instant Download | Chapter 1-5 | PUBLIC HEALTH DEPARTMENT