The Contribution of Pharmacy to The Management of HIV Patients at Maitama District Hospital, Abuja, Nigeria

2.50
Hdl Handle:
http://hdl.handle.net/2436/298242
Title:
The Contribution of Pharmacy to The Management of HIV Patients at Maitama District Hospital, Abuja, Nigeria
Authors:
Audu, Bridget
Abstract:
Human immunodeficiency virus (HIV) is a worldwide problem, with more than 34 million people infected with HIV/AIDS in 2011. At the end of 2011, in Nigeria, an estimated 3.7% of the adult population were living with HIV/AIDS. HIV services in Nigeria are secondary-care led, involving multidisciplinary teams and access to free antiretroviral. However, evaluations of service provision from both patient and healthcare professional perspectives, especially, pharmacists in Nigeria have never been conducted, and are the aims of this research. This study involved grounded theory methodology, using In-depth semi-structured interviews with adults infected with HIV, pharmacists, and administrators involved in the management and care of those patients at Maitama District Hospital in Abuja. HIV pharmacists working for the NHS in the UK were interviewed for comparative purposes. Thirty-five patients were interviewed. Five concepts were identified that influenced how they accessed hospital services after diagnosis. These include faith in God and antiretroviral, social issues with emphasis on HIV stigma and discrimination, patient journeys at the hospital with delays and repeat visits, obstacles such as ARV unavailability and their expectations. Also, five concepts were identified from the pharmacists’ interviews which include clinical service, impressions of service provided, social issues the patients encountered, the obstacles faced with clinical service provided and expectations for improvement. Ten patients were shadowed on their clinic days to observe the patient journey articulated. Furthermore, the administrators interviewed re-affirmed the opinions of the patients and pharmacists about many patients attending HIV clinic, few staff attending to patients, medicines unavailability, especially ARV drugs, and lack of working space for staff. Delays, few pharmacists/many patients and shortage of ART as barriers to service provision ii emerged as dominant themes across the three groups of interviewees in Nigeria. Also, it has been found that there is a wide gap between HIV patients’ hospital management in the UK and Nigeria as regards availability of antiretroviral, staff strength, number of patients in attendance on clinic days and weekly clinic days. Pharmacy was found to have a substantial role in the management of HIV/AID patients but it appears from this study that service improvements, both human and material resources are needed. Twenty three recommendations, which are further synthesised into six potential areas, are made, which, if implemented, would dramatically improve the service provision for HIV/AIDS patients at Maitama District Hospital.
Advisors:
Morgan, Rae; Rutter, Paul M.
Publisher:
University of Wolverhampton
Issue Date:
Mar-2013
URI:
http://hdl.handle.net/2436/298242
Type:
Thesis or dissertation
Language:
en
Description:
This thesis is submitted in partial fulfilment of the requirements for the award of the degree of Doctor of Philosophy (PhD) of the University of Wolverhampton
Appears in Collections:
E-Theses

Full metadata record

DC FieldValue Language
dc.contributor.advisorMorgan, Raeen_GB
dc.contributor.advisorRutter, Paul M.en_GB
dc.contributor.authorAudu, Bridgeten_GB
dc.date.accessioned2013-08-14T10:57:54Z-
dc.date.available2013-08-14T10:57:54Z-
dc.date.issued2013-03-
dc.identifier.urihttp://hdl.handle.net/2436/298242-
dc.descriptionThis thesis is submitted in partial fulfilment of the requirements for the award of the degree of Doctor of Philosophy (PhD) of the University of Wolverhamptonen_GB
dc.description.abstractHuman immunodeficiency virus (HIV) is a worldwide problem, with more than 34 million people infected with HIV/AIDS in 2011. At the end of 2011, in Nigeria, an estimated 3.7% of the adult population were living with HIV/AIDS. HIV services in Nigeria are secondary-care led, involving multidisciplinary teams and access to free antiretroviral. However, evaluations of service provision from both patient and healthcare professional perspectives, especially, pharmacists in Nigeria have never been conducted, and are the aims of this research. This study involved grounded theory methodology, using In-depth semi-structured interviews with adults infected with HIV, pharmacists, and administrators involved in the management and care of those patients at Maitama District Hospital in Abuja. HIV pharmacists working for the NHS in the UK were interviewed for comparative purposes. Thirty-five patients were interviewed. Five concepts were identified that influenced how they accessed hospital services after diagnosis. These include faith in God and antiretroviral, social issues with emphasis on HIV stigma and discrimination, patient journeys at the hospital with delays and repeat visits, obstacles such as ARV unavailability and their expectations. Also, five concepts were identified from the pharmacists’ interviews which include clinical service, impressions of service provided, social issues the patients encountered, the obstacles faced with clinical service provided and expectations for improvement. Ten patients were shadowed on their clinic days to observe the patient journey articulated. Furthermore, the administrators interviewed re-affirmed the opinions of the patients and pharmacists about many patients attending HIV clinic, few staff attending to patients, medicines unavailability, especially ARV drugs, and lack of working space for staff. Delays, few pharmacists/many patients and shortage of ART as barriers to service provision ii emerged as dominant themes across the three groups of interviewees in Nigeria. Also, it has been found that there is a wide gap between HIV patients’ hospital management in the UK and Nigeria as regards availability of antiretroviral, staff strength, number of patients in attendance on clinic days and weekly clinic days. Pharmacy was found to have a substantial role in the management of HIV/AID patients but it appears from this study that service improvements, both human and material resources are needed. Twenty three recommendations, which are further synthesised into six potential areas, are made, which, if implemented, would dramatically improve the service provision for HIV/AIDS patients at Maitama District Hospital.en_GB
dc.language.isoenen
dc.publisherUniversity of Wolverhamptonen
dc.subjectHIV/AIDSen_GB
dc.subjectAdherenceen_GB
dc.subjectPharmacy Practiceen_GB
dc.subjectPatient Careen_GB
dc.subjectHospitalen_GB
dc.subjectExperiencesen_GB
dc.subjectGrounded Theoryen_GB
dc.subjectNigeriaen_GB
dc.subjectRolesen_GB
dc.titleThe Contribution of Pharmacy to The Management of HIV Patients at Maitama District Hospital, Abuja, Nigeriaen_GB
dc.typeThesis or dissertationen
dc.type.qualificationnamePhDen
dc.type.qualificationlevelDoctoralen
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