Opportunities and challenges to integrating mental health into HIV programs in a low- and middle-income country: insight
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(2020) 20:904
RESEARCH ARTICLE
Open Access
Opportunities and challenges to integrating mental health into HIV programs in a lowand middle-income country: insights from the Nigeria implementation science Alliance Echezona E. Ezeanolue1,2, Theddeus Iheanacho3* , Isaac A. Adedeji4, Ijeoma Uchenna Itanyi1,5, Babayemi Olakunde1,6, Dina Patel2, Patrick Dakum7,8, Prosper Okonkwo9, Timothy Akinmurele10, Michael Obiefune11, Hadiza Khamofu12, Bolanle Oyeledun13, Muyiwa Aina14, Andy Eyo15, Obinna Oleribe16, John Oko17, Ayodotun Olutola18, Ibrahim Gobir19, Muktar H. Aliyu20, Gambo Aliyu6, Godfrey Woelk21, Gregory Aarons22, George Siberry23, Rachel Sturke24 and Nigeria Implementation Science Alliance25
Abstract Background: In Nigeria, there is an estimated 1.9 million people living with HIV (PLHIV), 53% of whom utilize HIV care and services. With decreasing HIV-related deaths and increasing new infections, HIV with its associated comorbidities continue to be a key public health challenge in Nigeria. Untreated, comorbid mental disorders are a critical but potentially modifiable determinant of optimal HIV treatment outcomes. This study aimed to identify the challenges and opportunities related to integrating mental health care into existing HIV programs in Nigeria. Method: Attendees at the Nigeria Implementation Science Alliance (NISA)‘s 2019 conference participated in nominal group technique (NGT) exercise informed by the “Exploration, Preparation, Implementation, and Sustainment (EPIS)” framework. The NGT process was conducted among the nominal groups in two major sessions of 30-min phases followed by a 30-min plenary session. Data analysis proceeded in four steps: transcription, collation, theming and content analysis. (Continued on next page)
* Correspondence: [email protected] 3 Department of Psychiatry, Yale University School of Medicine, Yale University, 300 George Street, New Haven, CT 06511, USA Full list of author information is available at the end of the article © The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a cr
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