Conflicts in Rights of Disclosure of Hiv Status in South Western Nigeria: the Health Care Provider’s Perspective
Adebimpe Wasiu Olalekan
Mat Soc Med. 2012; 24(1): 21-25

View PDF Fulltext


Introduction: Close interaction between clients and health care workers as regards disclosure, refusal of treatment and right to know status has been a subject of debate in legal and medical quarters. The objective of this study was to assess perceived rights of health care workers towards disclosure of HIV status in Lagos State in Southwestern Nigeria. Methods: This was a descriptive cross sectional study carried out among 260 health care workers using multistage sampling technique. Research instruments were semi structured self administered and pre tested questionnaires. Data was analyzed using the SPSS softwares. Results: Mean age of respondents was 39.3(+3.7) years. One hundred and eight four (70.8%) of the health workers studied said that it is the right of health care workers to know the HIV status of clients before commencement of treatments, and 36 (13.8%) agreed that health care workers have the right to refuse to treat or carry out procedure on known HIV positive clients. Twenty (7.7%) said that HIV positive health care workers should not be allowed to handle clients clinically, 72 (27.7%) believed that it is the right of HIV positive clients to know the HIV status of health care workers before attending to them, 36 (13.8%) of respondents has ever disclosed their HIV status to clients before carrying out procedures on them. Fifty six (21.5%) of respondents were willing to show their result results to a HIV positive clients who insist on knowing his or her HIV status, 84 (32.3%) believed that clients has the right to refuse a known HIV positive health care workers to treat or carry out some procedures. Discussion: There was no statistically significant association between readiness to disclose HIV status and believing that health care workers have the right to know the status of clients before given them treatment ({P< 0.05). Conclusion: The need to balance out perceived rights of health care workers and clients would assist in provision of quality services to HIV positive clients.


1. United Nations. Universal Declaration of Human Rights. Adoption and proclamation by General Assembly under resolution 217 A (III) of 10 December 1948. Accessed 12th November 2011. Available at

2. Khakha D. Discrimination in health care to patients living with HIV/AIDS. The Nursing Journal of India. 2003; 94(12): 273-275.

3. Lawrence G. HIV – Infected Physicians and the Practice of Seriously Invasive Procedures. The Hastings Center Report. 1989; 19: 32-39.

4. Self-protection and protection of children are typically expressed concerns in this regard. See Mireya Navarro, “Patients Grilling Health Care Workers on AIDS,” New York Times, 1991: B1-2.

5. Centers for Disease Control. Update: investigation of patients who have been treated by HIV-infected health care workers. MMWR, 1992; 122: 653.

6. Benjamin Schatz, JD. Supporting and Advocating for HIV-positive Health Care Workers. Bulletin of the New York Academy of Medicine. 1995; 1: 263-272.

7. National STIs Control And Prevention NASCAP-Federal Ministry of Health. Update on HIV prevalence in Nigeria 2010 FMOH Abuja, Nigeria.

8. Olawuyi, JF. Choosing the study subjects and sampling. In Biostatistics, a foundation course in health sciences. First edition. Yotson consult publishers. Ibadan. 1996: 110–118.

9. Ros CC, Kerssens JJ, Foets M, Peters L. Trends in HIV-related consultation in Dutch general practice. Int J STD AIDS. 1999; 10(5): 2949.

10. Duyan V, Agalar F, Sayek I. Surgeons’ attitudes toward HIV/AIDS in Turkey. AIDS Care. 2001; 13(2): 243-250.

11. No author. Tanzania stigma-indicators field test group: Measuring HIV stigma: results of a field-test in Tanzania. Washington, DC: Synergy, 2005.

12. Schecter WP. Surgical care of the HIV-infected patient: a moral imperative. Camb Q Health Ethics. 1992; 1: 223-228.

Be the first to comment

Leave a Reply

Your email address will not be published.


Ova web-stranica koristi Akismet za zaštitu protiv spama. Saznajte kako se obrađuju podaci komentara.