PERSPECTIVES PAPER: Tackling the Sexual and Reproductive Health and Rights of Adolescents Living with HIV/AIDS: A Priority Need in Nigeria
), Abigail Harrison(2), Morolake Odetoyinbo(3), Brandon Brown(4),
(1) Department of Child Dental Health and Institute of Public Health, Obafemi Awolowo University, Ile-Ife,
(2) Obafemi Awolowo University, Ile-Ife, Nigeria; 2Department of Behavioral and Social Sciences, School of Public Health, Brown University, Providence, RI 02912,
(3) Positive Action for Treatment Access, First floor, Holy Trinity Hospital Plaza, Adesina Street, Off Obafemi Awolowo Way, Ikeja, Lagos,
(4) Program in Public Health, University of California, Irvine, Irvine, CA,
Corresponding Author
Abstract
and the needs of those in Nigeria specifically. A review was conducted to identify the SRH of ALHIV, assess if these are
different from the SRH of adolescents who are free from HIV infection, and from those of adults living with HIV. Few research
have been conducted on how ALHIV deal with sexual and reproductive health challenges faced in their everyday lives - as
adolescents and as persons living with HIV living in sub-Saharan Africa - to help make any meaningful inferences on these
differing needs. The review suggests that the SRH needs and practices of ALHIV may differ from that of other adolescents and
that of adults living with HIV. ALHIV would require support to cope with sex and sexual needs, through full integration of
individualized SRH services into the HIV services received. Service providers need to appreciate the individualistic nature of
health problems of ALHIV and address their health care from this holistic perspective. A 'one-size-fits-all' approach for designing
SRH programmes for ALHIV would not be appropriate. We conclude that research evidence should inform the design and
implementation of ALHIV friendly SRH programmes services in both urban and rural settings in Nigeria. (Afr J Reprod Health
2014; 18[3]: 102-108)
References
Patton G, Viner RM, Linh LC, Ameratunga S, Fatusi AO,
Ferguson J, Patel V. Mapping a Global Agenda for
Adolescent Health. Journal of Adolescent Health.
; 47: 427-32.
Fatusi AO, Blum RB. Adolescent Health in an
International Context: The Challenge of Sexual &
Reproductive Health in Sub-Saharan Africa.
Adolescent Medicine: State of the Art Reviews. 2009;
(3): 874-86.
National Population Commission and ICF Macro. Nigeria
Demographic and Health Survey 2008. Abuja,
Nigeria: National Population Commission and ICF
Macro. 2009
Federal Ministry of Health. National HIV & AIDS and
Reproductive Health Survey, 2012 (NARHS Plus).
Federal Ministry of Health Abuja, Nigeria. 2013
Kirumira, E. Familial relationships and population
dynamics in Uganda: A case study of fertility
behaviour in the Central Region. PhD Thesis,
University of Copenhagen. 1996
Birungi H, Mugisha JF, Nyombi J, Obare F, Evelia H,
Nyinkavu H. Sexual and reproductive health needs of
adolescents perinatally infected with HIV in Uganda.
July, 2008.
Wellings K, Collumbien M, Slaymaker E, Singh S,
Hodges Z, Patel D, Bajos N . Sexual behaviour in
context: a global perspective. Lancet 2006;
(9548):1706–28
Heffron R, Donnell D, Rees H, Celum C, Mugo N, Were
E, de Bruyn G, Nakku-Joloba E, Ngure K, Kiarie J,
Coombs RW, Baeten JM; for the Partners in
Prevention HSV/HIV Transmission Study Team. Use
of hormonal contraceptives and risk of HIV-
transmission: a prospective cohort study. Lancet
Infect Dis. 2012;12(1):19-26. Epub 2011 Oct 3.
World Health Organisation (WHO).Hormonal
contraceptives and HIV. 2012. http://www.who.int /
reproductivehealth/topics/family_planning/hc_hiv/en/
Accessed 4th March, 2014.
Feldman-Jacobs C, Worley H. Cross generation sex: risks
and opportunities. July 2008. http://www.igwg.org/
igwg_media/crossgensex.pdf. Accessed 4th March,
Muula AS. HIV infection and AIDS among young women
in South Africa. Croat Med J. Jun 2008; 49(3): 423–
Cherie A, Berhane Y. Oral and Anal Sex Practices among
high school youth in Addis Ababa, Ethiopia. BMC
Public Health. 2012 Jan 4;12(1):5.
Kazaura MR, Masatu MC. Sexual practices among
unmarried adolescents in Tanzania. BMC Public
Health 2009, 9:373doi:10.1186/1471-2458-9-373
Federal Ministry of Health. National HIV/AIDS and
Reproductive Health Survey, 2007 (NARHS Plus).
Federal Ministry of Health Abuja, Nigeria. 2008
Folayan M, Aboki H, Daniel U. Is the National HIV
Prevention Programme in Nigeria yielding positive
results for adolescents?. Abstract submitted to the IAS
conference. July 2013.
Ajuwon AJ. Olley BO, Akin-Jimoh I, Akintola O.
Experience of sexual coercion among adolescents in
Ibadan, Nigeria. Afr J Reproductive Health. 2001;
(3):120–31.
Ajuwon AJ, Olaleye A, Faromoju B, Ladipo O. Sexual
behavior and experience of sexual coercion among
secondary school students in three states in North
Eastern Nigeria. BMC Public Health. 2006(23);6:310.
Ajuwon AJ, McFarland W, Hudes S, Adedapo S,
Okikiolu T, Lurie P. Risk-related behavior, sexual
coercion and implications for prevention strategies
among female apprentices tailors in Ibadan, Nigeria.
AIDS & Behav 2002; 6(3):233-41.
Fawole OI, Ajuwon AJ, Osungbade KO, Faweya OC.
Prevalence of violence against young female hawkers
in three cities in south-western Nigeria. Health
Education 2002; 102(5):230-8.
Federal Ministry of Health. HIV/STI integrated biological
and behavioural surveillance survey (IBBSS). Abuja,
Nigeria. 2008.
Fatusi AO, Hindin MJ. Adolescents and youth in
developing countries: Health and development issues
in context. Journal of Adolescence. 2010; 33:499-508
Fielden S, Sheckter L, Chapman G, Aliment A, Forbes J,
Sheps S, Cadell S, Frankish J. Growing up:
perspectives of children, families and service
providers regarding needs of older children with
perinatally-acquired HIV. AIDS Care 2006; 18(8):
-3.
Rice E, Batterham P, Rotherram-Borus, M. Unprotected
sex among youth living with HIV before and after the
advent of highly active antiretroviral therapy.
Perspectives on Sexual and Reproductive Health
; 38(3): 162-7
Truong HM, Kellogg T, Klausner JD, Katz MH, Dilley J,
Knapper K, et al. Increases in sexually transmitted
infections and sexual risk behaviour without a
concurrent increase in HIV incidence among men who
have sex with men in San Francisco: a suggestion of
HIV serosorting? Sex Transm Infect. 2006;82(6):461–
Mao L, Crawford JM, Hospers HJ, Prestage GP, Grulich
AE, Kaldor JM, et al. "Serosorting" in casual anal sex
of HIV-negative gay men is noteworthy and is
increasing in Sydney, Australia. Aids.
;20(8):1204–6.
Elford J, Bolding G, Sherr L, Hart G. No evidence of an
increase in serosorting with casual partners among
HIV-negative gay men in London, 1998–2005. Aids.
;21(2):243–5.
World Health Organization. Sexual and reproductive
health of women living with HIV/AIDS: Guidelines
on care, treatment and support for women living with
HIV/AIDS and their children in resource-constrained
settings WHO: Geneva. 2006
Folayan MO, Haire B, Harrison A, Brown B,
Odetoyingbo M, Fatusi OA. Ethical Issues in
Adolescents’ Sexual and Reproductive Health
Research in Nigeria. Dev World Bioeth. 2014; Jun 9.
doi: 10.1111/dewb.12061.
Folayan MO, Haire B, Harrison A, Fatusi O, Brown B.
Beyond informed consent: other ethical consideration
in the design and implementation of sexual and
reproductive health research among adolescents in
Nigeria – Afri J Reprod Health 18(3): 118-26.
Due P, Holstein BE, Soc MS. Bullying victimization
among 13 to 15- year-old school children: Results
from two comparative studies in 66 countries and
regions. Int J Adolesc Med Health 2008;20:209–21
Murray CJ. Towards good practice for health statistics:
Lessons from the millennium development goal health
indicators. Lancet 2007;369: 862–73.
Article Metrics
Abstract View
: 492 times
Download : 224 times
Refbacks
- There are currently no refbacks.
