Submission ID 131553
| Issue/Objective | Nigeria has a high burden of tuberculosis (TB) and HIV. Even when overall awareness is high, small gaps can delay diagnosis and care, especially for women reached outside formal health services. To support CCGH2026's focus on equity in action, we assessed whether TB/HIV awareness is evenly distributed across geography and socioeconomic groups in two diverse Nigerian settings. Objectives 1. Measure TB and HIV awareness among respondents reached in non-health settings in Kano and Oyo states. 2. Identify sub-national and socioeconomic predictors of TB/HIV awareness to guide equity-focused programming. |
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| Methodology/Approach | We analysed cross sectional survey data from 316 respondents in Kano (50.3%) and Oyo (49.7%), with near equal representation of urban (50.9%) and rural (49.1%) communities. Mean age was 30.8±5.7 years; most were 30-34 years (25.9%) or 25-29 years (31.6%), and 98.7% were married. Educational attainment was largely secondary (48.7%), with tertiary (19.3%) and Quranic-only (14.9%) education also represented. Respondents were primarily traders (47.5%) or in other occupations (42.4%), and household income clustered in ₦0-20k (22.5%) and ₦21-50k (27.8%), with 18.7% reporting "don't know." We assessed associations between participant characteristics and TB/HIV awareness using chi-square tests (p<0.05). |
| Results | Awareness was very high: TB 93.4% and HIV 97.2%. However, awareness differed by state for TB (χ²=18.67, p<0.001) and HIV (χ²=9.38, p=0.002). TB awareness was associated with education (χ²=34.06, p<0.001) and occupation (χ²=11.82, p=0.019). HIV awareness was associated with occupation (χ²=11.47, p=0.022) and household income (χ²=14.73, p=0.005). Urban/rural setting was not significantly associated with TB or HIV awareness. |
| Discussion/Conclusion | High overall awareness masks inequities in message reach: significant state and socioeconomic differences persist. Programs should move beyond "one size fits all" messaging to state-specific, equity-targeted communication prioritizing groups defined by lower education, occupation type, and lower/uncertain income, and strengthening community pathways that link awareness to timely screening and care. |
| Presenters and Affiliations | Stella Atema Ijioma Institute of Human Virology, Nigeria. Charity Sanni Institute of Human Virology, Nigeria. Joseph Ozigbo Ihvn Institute Of Human Virology Nigeria Edward Kombo Global Fund N THRIP, Institute of Human Virology Nigeria (IHVN), Abuja, Nigeria Miriam Bathnna Global Fund N THRIP, Institute of Human Virology Nigeria (IHVN), Abuja, Nigeria Peter Oluwaseun Global Fund N THRIP, Institute of Human Virology Nigeria (IHVN), Abuja, Nigeria Kazeem Ayodeji Global Fund N THRIP, Institute of Human Virology Nigeria (IHVN), Abuja, Nigeria Veronica Ajuka-Patrick Global Fund N THRIP, Institute of Human Virology Nigeria (IHVN), Abuja, Nigeria Adetola Adegoke Global Fund N THRIP, Institute of Human Virology Nigeria (IHVN), Abuja, Nigeria Husna Ma'ab Baffa KNCV Nigeria Muideen Isa Diadem Foundation Belgium, Nigeria Bello Hasiya Global Fund N THRIP, Institute of Human Virology Nigeria (IHVN), Abuja, Nigeria Opeyemi Adebayo Global Fund N THRIP, Institute of Human Virology Nigeria (IHVN), Abuja, Nigeria Temitope Adetiba Global Fund N THRIP, Institute of Human Virology Nigeria (IHVN), Abuja, Nigeria Mary Kinmilola Olayemi Global Fund N THRIP, Institute of Human Virology Nigeria (IHVN), Abuja, Nigeria Aderonke Vivan Agbaje Global Fund N THRIP, Institute of Human Virology Nigeria (IHVN), Abuja, Nigeria Patrick Dakum Institute of Human Virology, Nigeria. Evaezi Okpokoro Institute of Human Virology, Nigeria. Margaret Zamzu Global Fund N THRIP, Institute of Human Virology Nigeria (IHVN), Abuja, Nigeria |
