Understanding the Impact of Stigma and Discrimination on Adherence to Medication amongst People Living with HIV in Nigeria: A Mixed Method Study | Chapter 2 | Medical Research and Its Applications Vol. 9

 

The present study determines the impact of Stigma and Discrimination amongst People Living with HIV and their Adherence to Medication in North Central Nigeria. Stigma has been and will continue to be one of the factors influencing the prevention and treatment of some diseases in the health sector if adequate measures are not taken to address it. In spite of the identification of stigma as a factor impeding public utilisation of HIV counselling, testing, and treatment services in Nigeria, gaps still exist in knowledge on the impact of stigma, and discrimination on adherence to medication and outcomes amongst people living with HIV (PLWH). It has been observed that even healthcare workers isolate HIV/AIDS patients from other ones, refuse to admit them to the hospital, wear extra cloves when examining them, and charge very high fees for care. This study adopted mixed methods to examine the impact of stigma and discrimination on adherence to medication amongst PLWH in Nigeria. A sample of 1,621 respondents was collected using multi-stage and purposive sampling methods. Structured interviews using questionnaires and in-depth interviews (using a guide) were utilised for data collection. SPSS (version 21) was used for quantitative data analysis while the qualitative data was analysed thematically. There are 46.3% men and 53.7% women respondents. Generally, their income is low, 70.7% are earning less than N25,000 (approximately $125 USD) per month. Some of the HIV patients are stigmatised. In reaction, they avoid public places, and travel long distances away from their immediate community to collect drugs and to avoid being noticed around the centers. They sometimes miss taking drugs regularly as prescribed, suffer depression and die. Those who are alive continue to suffer social exclusion within the communities. Stigma and discrimination impede adherence to medication amongst PLHW in Nigeria. More efforts should be made to create awareness to reduce the stigma and discrimination of HIV patients while augmenting their income to meet up with the challenges of adherence to medication and social acceptability. Policies addressing discrimination of PLWH in the family, marriage and employment domains would be of great help. The overall benefits would be enhanced mechanisms of HIV prevention, treatment and control in the study area.

 

Author(s) Details

Godwin Aondohemba Timiun

Department of Sociology, Benue State University, Makurdi, Benue State, Nigeria and Australian Catholic University, Melbourne, Australia.

 

Please see the book here:- https://doi.org/10.9734/bpi/mria/v9/205

Awareness and Attitudes of South Asian Family Caregivers in Dementia Care in Toronto| Chapter 7| Perspective of Recent Advances in Medical Research Vol. 5

 This study investigated awareness and the stances of South Asian Bangladeshi family caregivers toward dementia care.The study contained 45 family caregivers (>55 age) purposively for the face-to-face interviews 'tween February and March 2020 in Toronto, Ontario. The study used wheeled vehicle for hauling-structured questions and applied having a theme content analysis. Three main ideas emerged related to senility: a) caregivers' awareness of senility, b: awareness of prevention and situation and needs for dementia care, and c) caregivers' stances towards dementia. Many caregivers defined senility as memory misfortune and forgetfulness. They also seen anxiety, cavity, and aging were risk factors for senility, and dementia was an cannot be avoided and incurable disease. Moreover, many were ignorant of the appropriate health providers for diagnosing and directing dementia and of non-pharmacological care for senility. The caregivers perceived senility as a shameful ailment, and they would not go for a diagnosis even though they had risks for dementia and would conceal their dementia after disease. Many did not be going to be a caregiver for a person accompanying dementia related to previous family or family trait. Many caregivers confessed that training was owned by improve their information about dementia. There was a lack of knowledge about senility, its stop, and treatments among South Asian Bangladeshi classification caregivers. Dementia was associated with shame, and they had less interest in care for the person with senility. For the purpose of enhancing knowledge, lowering stigma, and including people in senility care, educational instruction in their native language is required.

Author(s) Details:

Qazi Shafayetul Islam,
Bangladeshi-Canadian Community Services (BCS), 2899 Danforth Avenue, M4C1M2, Toronto, Ontario, Canada.

Nasima Akter,
Bangladeshi-Canadian Community Services (BCS), 2899 Danforth Avenue, M4C1M2, Toronto, Ontario, Canada.

Please see the link here: https://stm.bookpi.org/PRAMR-V5/article/view/9143

Factors Underlying Stigmatization of Epilepsy: Case Study of Abasuba and Ameru Communities, Kenya | Chapter 8 | Current Topics in Medicine and Medical Research Vol. 10

 Objectives: To recognize factors that underlie the stigmatization of people with epilepsy (PWE) in the communities of Abasuba and Ameru, Kenya. Study Design: In this study, cross sectional design was used. Place of research: The study was performed in the sub-districts of Abothuguchi, Miriegameru and Nkuene in the sub-districts of Meru Central and Central, Gwasi and Mbita in the sub-districts of Suba in Kenya. Methodology: It was a cross-sectional, descriptive analysis. A updated participatory rapid evaluation approach that included the use of questionnaires, interview schedules and centered group discussions was used. Interviews were performed with family leaders, medical workers, community-based group executives, patients, parents, administrators, teachers, faith healers and herbalists. Performance: The results of the analysis show an essential statistical association between negative

Epilepsy of fear (~2 = 43.69354, df=1, p<0.05). The fear of epilepsy depends on knowledge of it almost 2 = 7.41663, df=1, p=0.00646). Except among the female respondents in the Meru Central District, occupation was not found to affect fear (almost 2 = 6.19763, df=2, p=0.04510). There was however, no important association between epilepsy apprehension and education level ( ⁇ 2 = 0.15773, df=2, p=0.092436). The idea that epilepsy resulting from a curse or witchcraft is transferable and infectious was profoundly ingrained in the culture of the two groups and that they are treated by society with resentment that results in alienation and social stigma.

Author (s) Details

Tiberry D. O. Nyakwana,
Department of Clinical Medicine, School of Medicine, Jomo Kenyatta University of Agriculture and Technology, 62000-00200, Nairobi, Kenya.

Dr. Jemimah A. Simbauni,
Department of Zoological Sciences, Kenyatta University, P.O.Box 43844-00100, Nairobi, Kenya.

James O. Jowi
Clinical Neurology, Maseno University, P.O.Box 19280 Code 40123, Kisumu, Kenya.

View Book :- https://bp.bookpi.org/index.php/bpi/catalog/book/323