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Topic: Nursing



This study was aimed at determining the extent of community participation in the prevention and control of HIV/AIDS in Akpulu, Ideato North Local Government Area, in Imo State. Survey research design was adopted for the study. The sample of the study consisted of three hundred and twenty (320) adults from four randomly drawn villages out of the existing five villages in Akpulu. The main instrument for data collection was a structured interview. Face validation was done by a jury of Medical and Health workers in Universities, South East of Nigeria to determine the extent to which the items on the structured interview guide are in uniformity with the stated research questions.  The reliability of the instrument was done using split half technique. Twenty copies of the instrument were administered to adults in Isieke village who were not part of the study population but they have similar characteristics with the four villages used for the study. The instrument was administered on face to face basis by the researcher with the help of four trained research assistants from each village and community based escorts who worked in pairs. The data collected were analyzed manually using mean deviation.The findings revealed that there is low extent of community awareness on HIV/AIDS with a grand mean score of 2.25. Low extent community participation on creating awareness was recorded on the use of billboards and posters, resource persons creating HIV/AIDS awareness in town union, kindred and village meetings.  There was moderate (2.81) creation of awareness on church members especially during church meetings. There was also low extent of community participation in prevention and control of HIV/AIDS with a grand mean of 2.11. Recommendations were made, pertinent among which were the need for Government to strengthen community actions by providing fund and technical support by sponsoring media programmes aimed at educating the general public on the ways of preventing and controlling of HIV/AIDS. Also communities were advised to control certain socio-cultural norms that predispose the people to high risk behaviours, to encourage voluntary counseling and testing of every member and for infected persons to seek for medical assistance.


Keywords:     Extent, community, participation, prevention/control, HIV/AIDS.


    COMMENT - 1

  • Chinelo Clare Vincent (Author) 25th Nov 2015 - 2:21 AM
    Good work. Keep it up

  • COMMENT - 2

  • Umoh Edet Okon (Viewer) 25th Nov 2015 - 10:29 PM
    Hello Clare! Am happy having you in the conference. Please why did you not present your work in an APA format? The tool you used for study had no name, is that good? How did you conduct study in people’s village without seeing the Heads, Leaders or council? For that you have no letter granting you consent before your studies. Again, what was the period of your studies—Extent of community participation in prevention & control of HIV/AIDS in AKPULU, from what year to what year? My dear I observed you conduct this research hastily till you miss some tool on transit, why? Please what scale did you use to measure your results, revealing its lowness? Were you exaggerating?
    On the whole, I appreciate your effort.
    Well done!

  • COMMENT - 3

  • Chinelo Clare Vincent (Author) 25th Nov 2015 - 11:51 PM
    Hi Umoh, thank you for your perception. The research was not conducted in a haste as you wrongly quoted. The research used 6th edition of APA format which is the newest format. Check the body of the write-up, citation and referencing. The toll for data collection of the study was structured interview guide which is ideal for illiterate and semi literate population. The study did not include from which year to year as you asked because it is not a historical study nor a retrospective study. The design used was survey research design. Data were analyzed manually by the use of mean deviation and it was only the church that created awareness for HIV?AIDS which recorded moderate extent of community participation. The Eze in Council, village heads gave oral consent that was which the researcher used trained research from each village and also community based escort which the Eze (Community Leader) asked to escort the researcher round the village. Once more thank you for your perception.

  • COMMENT - 4

  • C.Susila (Viewer) 26th Nov 2015 - 12:14 PM
    Dear Author,
    Nice article, community participation is much needed for success of any program. I understand the difficulty in implementing the concepts. Use peer approach in creating awareness, It will work well.
    warm regards.

  • COMMENT - 5

  • Chinelo Clare Vincent (Author) 26th Nov 2015 - 12:52 PM
    Hello Susila,
    Thank you for your comment. I agree with you my dear using peer support/approach will definitely help. Thank you for that observation. All the best my dear.

  • COMMENT - 6

  • MANJEET KAUR (Viewer) 26th Nov 2015 - 1:11 PM
    Dear Author ,
    You have write on very interesting topic . I want to ask you one question:
    what would be the family support mechanisms for HIV positive patients ? also what would be the coping mechanisms available in our society for HIV positive related challenges ?

  • COMMENT - 7

  • Chinelo Clare Vincent (Author) 26th Nov 2015 - 9:58 PM
    Dear Manjeet,
    Thank you for the comment. Among the different types of social support, family support is generally one of the most important factors affecting how patients with HIV adapt to illness. The perception of a supportive family environment may protect individuals from the potential psychopathological effects stemming from the physical impact of their disease. Moreover, family is frequently the main source of support in times of illness, whether through tangible instrumental support, such as preparing meals and administering medication, or through emotional support. In HIV/AIDS, cancer and end-stage renal disease patients, higher levels of family support are associated with lower levels of depression while lack of family support has been linked with increased suicide rates in chronic disease patients. Similarly, one study among HIV-positive women found out that those reporting suicidal thoughts also reported less family cohesion, while higher levels of family cohesion buffered the suicidal thought-inducing potential of HIV-related symptoms.
    Different self-care strategies/coping mechanisms for people living with HIV/AIDS (PLWHA) should include the following: seeing oneself as OK, letting go, turning to God, hoping, changing behavior, keeping oneself active, using humor, joining a support or social group, disclosing one’s HIV status, speaking to others with same problem, getting counseling, helping others to cope with the illness, educating others, learning from others, acquiring knowledge and understanding about the disease, and getting help from others. Coping appears to be self-taught and only modestly helpful in managing perceived stigma.
    Once more thank you.