HIV Non-Occupational Post Exposure Prophylaxis in Nigeria: A Review of Research Evidence and Practice.

Authors

  • Sorochi H. Iloanusi, BPharm Department of Pharmaceutical Health Outcomes and Policy, College of Pharmacy, University of Houston, Houston, Texas, USA
  • Osaro O. Mgbere, PhD, MS, MPH Department of Pharmaceutical Health Outcomes and Policy, College of Pharmacy, University of Houston, Houston, Texas, USA; Institute of Community Health, University of Houston, Houston, Texas, USA; Disease Prevention and Control Division, Houston Health Department, Houston, TX, USA
  • Susan M. Abughosh, PhD Department of Pharmaceutical Health Outcomes and Policy, College of Pharmacy, University of Houston, Houston, Texas, USA; Institute of Community Health, University of Houston, Houston, Texas, USA
  • Ekere J. Essien, MD, DrPH Department of Pharmaceutical Health Outcomes and Policy, College of Pharmacy, University of Houston, Houston, Texas, USA; Institute of Community Health, University of Houston, Houston, Texas, USA; Department of Health Promotion and Behavioral Sciences, University of Texas School of Public Health, Houston, Texas, USA

DOI:

https://doi.org/10.21106/ijma.287

Abstract

Background: Although non-occupational Human Immunodeficiency Virus (HIV) post-exposure prophylaxis (nPEP) has been proven to be efficacious in preventing HIV, it remains an underutilized prevention strategy in Nigeria. We aimed to conduct an overview of research studies on nPEP and practice in Nigeria from 2002 to 2018 examining: sociodemographic characteristics of study sample, awareness, knowledge and prior use of nPEP, reasons for HIV nPEP, timeliness in presenting for PEP, antiretrovirals (ARVs) used for nPEP, side effects and adherence, monitoring and follow-up visits, adherence to guidelines and recommendations for nPEP by healthcare institutions and the strength of evidence of reviewed studies.

Methods: An electronic search on PubMed, PubMed Central (PMC), cumulative Index to Nursing and Allied Health Literature (CINAHL), Scopus, Medline, Embase and Google Scholar for published studies on nPEP from January 2002 to December 2018. We conducted our search using different combinations of the keywords:

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