Abstract

Community Capacity and the wellbeing of children affected by HIV in Nigeria

John Hembling, MPH, Carrie Miller, Stanley Amadiegwu, Emeka Anoje and Olufunlola Adedeji
Catholic Relief Services, Baltimore, MD

APHA 2017 Annual Meeting & Expo (Nov. 4 - Nov. 8)

Background: With an estimated 3.5 million people living with HIV, Nigeria has a large population of children orphaned or affected by HIV, collectively referred to as orphans and vulnerable children (OVC). The role of communities is increasingly recognized as a critical component of the HIV-response. The PEPFAR-funded SMILE program invested in strengthening the ability of communities to respond to the needs of OVC. This study explores the relationship between community capacity and the well-being of OVC in five states in Nigeria. Methods: A structured questionnaire was administered to a random sample of 2,105 caregivers and 3,038 of their children who received project services across five states in Nigeria. Dependent variables include a measure of overall OVC well-being, which was assessed by the 36-item Orphan Well-being Tool. Caregiver knowledge of their child’s HIV status was also measured. A Community Capacity Index served as the primary independent variable. Associations between community capacity and both dependent variables were assessed with multivariate logistic regression. Results: OVC well-being was high among the sample, with 79.3% of children 10-17 reporting a score above the threshold (23 out of 30). Less than half (41.0%) of children had been tested for HIV. Mean community capacity score was 69.3 out of a possible 100. Community capacity was positively associated OVC well-being and caregiver knowledge of child HIV status in both multivariate logistic regression models (p<0.05). Conclusion: The results suggest that strengthening community capacity can support desirable program outcomes including OVC well-being and caregiver knowledge of child HIV status.

Public health or related research Social and behavioral sciences