Authors: Olabimpe Gbadeyan1, Ebenezer Obi Daniel2 , Adeola John Gbadeyan3, Oladele Abidoye3, Joseph Clark3, Shadrack Onoja3, Ahmed Mamuda Bello1, Michael Avwerhota4, Christiana Asibi-Ogben Inegbeboh1, Israel Olukayode Popoola5, Michael Olabode Tomori1, Adebanke Adetutu Ogun6, Oladapo Michael Olagbegi7
1Department of Public Health, Texila American University, Georgetown, Guyana
2World Health Organization, Regional Office for Africa, Emergency Preparedness and Response Cluster, Brazzaville,
Congo
3Department of Public Healthcare, Citizen Hospital, Suleja, Nigeria
4Department of Criminology, Alex Ekwueme Federal University, Ndufu Alike Ikwo, Nigeria
5Department of Public Health, Atlantic International University, Hawaii, United States of American
6Department of Epidemiology and Community Health, University of Ilorin, Ilorin, Nigeria
7International Organization for Migration, Abuja, Nigeria
8South African National Bioinformatics Institute, University of the Western Cape, Western Cape, South Africa
Abstract
Introduction: The incidence of HIV/AIDS in Nigerian is on the decline, but with the trio of high inflation, high unemployment, and high terrorism in the country; lot of synergies are still needed to end the HIV scourge. Objective: The study was carried out to determine the status of HIV services in Niger state. Method: A cross-sectional survey, using a simple randomization sampling method, and the client‟s viewpoint in health facilities across Niger state was undertaken to examine the challenges faced by HIV service providers. Data from 351 HIV providers, 361 clients were collected using questionnaires; IBM and Pearson correlation were used for descriptive and inferential statistics respectively. Results: The mean age of the providers was (M = 30.50, SD = 8.2). Challenges included poor salary (M = 2.44, SD = 1.16), staff shortage (M = 3.01, SD = 1.24), lack of recognition & incentives (M = 2.57, SD = 0.99; M = 2.63, SD = 1.08), others were infrastructural deficit, inadequate funding, training and materials; poor electricity and internet; lack of research and unionism among others. The non-enabling factors challenges were burnt out (M = 3.01, SD = 0.99), insecurity (M = 3.51, SD = 1.09), working extra hours (M = 3.02; SD = 0,98), migration desire (M = 3.87, SD = 1.06).
Conclusion: It is highly overdue, that all HIV stakeholders in the country take complete custodian of all HIV service components; come up with a sustainable policy to steer toward HIV eradication program, by increasing the enabling factors, and reducing the non-enabling factors.

