Doctoral Students, University of KwaZulu-Natal Durban, South Africa
HIV/malaria co-infection present a significant global health problem in neglected rural regions.
Human immunodeficiency virus (HIV) and malaria are significant global health problems. Paradoxically, HIV and malaria together are the major causes of disease and poverty. Globally, the combined effects of HIV and malaria contributes to more than two million deaths annually. Malaria is the leading cause of death among HIV positive individuals in Sub-Saharan African region including Nigeria. The impact of HIV and malaria peculiar to low-income countries and overlap significantly in Sub-Saharan Africa. Studies reported that malaria encourages the progression of HIV 1 coupled with decreased CD4 cell, while HIV increases severe cases of malaria episode which often leads to death. HIV-malaria co-infection interaction has continued to maintain a potential risk even in malaria free regions by importation, common among international HIV positive individuals traveling to malaria endemic areas.
The aim of this study is to develop an HIV/malaria co-infection intervention plan. The specific objectives of the study are to: 1. Carry out a time analysis of HIV/malaria co-infection and associated health outcome from January 2013 to December 2017 among Nigerian adults. 2. Explore the available HIV/malaria co-infection interaction management practice and procedure at rural secondary health care in the north central zone, Nigeria. 3. Develop a usable and replicable HIV/malaria co-infection interaction intervention model for Nigeria.
The study will draw upon the theory of change (ToC) in developing a usable and replicable HIV/malaria co-infection intervention model. A mixed method (quantitative and qualitative) design will be adopted in the study. The study will be a descriptive, analytic, retrospective case-control cross sectional study, using (Case Record Forms of HIV patients) folder in six selected rural secondary hospitals in Nigeria. Case records of HIV positive individuals receiving care and treatment at purposively selected rural secondary hospital at two randomly selected senatorial districts from the three states in the (NCZ North Central Zone) Focus Group Discussions (FGD) and in-depth interview will be used for qualitative data collection.
The research study when completed will provide more data, improve the quality of care and life of co-infected individuals. Furthermore, it could successfully inform policy and practice, particularly the development of co-infection management policy particularly in rural regions.