Exploring the role of religious leaders in promoting positive sexual practices to reduce the prevalence of HIV/AIDS amongst young adults in Aba, Nigeria: a qualitative study
DOI:
https://doi.org/10.64074/jorma007Keywords:
Religious leaders, HIV/AIDS reduction, HIV/AIDS prevention , Young adults , NigeriaAbstract
Despite attempts to control the HIV epidemic in Nigeria, especially amongst young adults, prevalence is increasing. The aim of this study was to provide insights to strengthen the positive impact of religious leaders in preventing HIV/AIDS amongst young adults. Qualitative descriptive research was carried out. Purposive sampling was used to identify religious leaders (Christian or Muslim) and young adults (aged 20–24) who are active in their faith communities in Aba, Nigeria, chosen due to its high prevalence of HIV amongst young people. Religious leaders were recruited through publicly available contact details. Young adult participants were recruited through religious youth groups on Facebook. Online, semi-structured interviews were carried out. Findings were analysed thematically. Seven religious leaders (six male, one female) and seven young adults (five male, two female), all Christian, participated. Results found that young people may lack appropriate knowledge on HIV prevention, and that this topic is not often discussed in church. Religious leaders were seen as influential, with different platforms to engage youth. They could have a positive or negative impact on HIV prevention practices, for instance, by reinforcing stigmatising rhetoric around HIV and discouraging condom use. Capacitating religious leaders with adequate knowledge on HIV and supporting the adoption of a more liberal and pragmatic approach to HIV/AIDS prevention may enable positive impact.
References
Abebe, K. B. (2025). Predictors associated with time to default for HIV/AIDS patients under HAART at Debre Tabor Referral Hospital: a Cox regression model. Scientific Reports, 15(1), 2940.
Aguwa, J. (2010). Religion and HIV/AIDS prevention in Nigeria. Crosscurrents, 60(2), 208-223.
Ansari, D. A., & Gaestel, A. (2010). Senegalese religious leaders’ perceptions of HIV/AIDS and implications for challenging stigma and discrimination. Culture, Health & Sexuality, 12(6), 633-648.
Asekun-Olarinmoye, I. O., Asekun-Olarinmoye, E. O., Fatiregun, A., & Fawole, O. I. (2013). Perceptions and activities of religious leaders on the prevention of HIV/AIDS and care of people living with the HIV infection in Ibadan, Nigeria. HIV/AIDS-Research and Palliative Care, 121-129.
Ashriady, A., Salim, L. A., Widodo, S., & Ruhardi, A. (2024). Role of religious leaders in adolescents’ reproductive health and family planning: A systematic review. African Journal of Reproductive Health, 28(10), 303-317.
Aventin, Á., Gordon, S., Laurenzi, C., Rabie, S., Tomlinson, M., Lohan, M., Stewart, J., Thurston, A., Lohfeld, L., Melendez-Torres, G.J. and Makhetha, M., ( 2021). Adolescent condom use in Southern Africa: narrative systematic review and conceptual model of multilevel barriers and facilitators. BMC Public Health, 21(1), p.1228.
Awofala, A. and Ogundele, O. (2018). HIV epidemiology in Nigeria. Saudi Journal of Biological Sciences, 25(4), pp.697-703. Doi: 10.1016/j.sjbs.2016.03.006.
Balogun, A. S. (2010). Islamic perspectives on HIV/AIDS and antiretroviral treatment: the case of Nigeria. African Journal of AIDS Research, 9(4), 459-466. DOI: 0.2989/16085906.2010.546764.
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77-101.
Broderick, K., Aristide, C., Bullington, B.W., Mwanga-Amumpaire, J., Downs, J.A. and Sundararajan, R., (2023). Stigma of infidelity associated with condom use explains low rates of condom uptake: qualitative data from Uganda and Tanzania. Reproductive Health, 20(1), p.12.
Coleman, J.C., (2011). The nature of adolescence. Routledge.
Denis, P. (2013). HIV/AIDS and religion in sub-Saharan Africa: an emerging field of enquiry. Archives de Sciences Sociales des Religions, (164), 43-58.
Gichuru, E., Kombo, B., Mumba, N., Sariola, S., Sanders, E. J., & van der Elst, E. M. (2018). Engaging religious leaders to support HIV prevention and care for gays, bisexual men, and other men who have sex with men in coastal Kenya. Critical Public Health, 28(3), 294-305. DOI: https://doi.org/10.1080/09581596.2018.1447647.
Health Think Analytics (2022) HIV/AIDS and the Nigerian Adolescent. https://healththink.org/hiv-aids-in-adolescents-and-young-people-in-nigeria/. (Accessed: 6/02/2022).
Heward-Mills, N., Atuhaire, C., Spoors, C., Pemunta, N., Priebe, G., and Cumber, S. (2018). The role of faith leaders in influencing health behaviour: a qualitative exploration on the views of Black African Christians in Leeds, United Kingdom. Pan African Medical Journal, 30. Doi: 10.11604/pamj.2018.30.199.15656.
Kanagasabai, U., Aholou, T., Chevalier, M. S., Tobias, J. L., Okuku, J., Shiraishi, R. W., ... & Thorsen, V. C. (2023). Reaching youth through faith leaders: evaluation of the Faith Matters! Initiative. AIDS Education and Prevention, 35(Supplement A), 82-99.
Kareem, Y.O., Dorgbetor, C.I., Ameyaw, E.K., Abubakar, Z., Adelekan, B., Goldson, E., Mueller, U. and Adegboye, O. (2023). Assessment and associated factors of comprehensive HIV knowledge in an at-risk population: a cross-sectional study from 19,286 young persons in Nigeria. Therapeutic Advances in Infectious Disease, 10, p.20499361231163664.
Lambert, V.A. and Lambert, C.E., (2012). Qualitative descriptive research: An acceptable design. Pacific Rim International Journal of Nursing Research, 16(4), pp.255-256.
Lambert, V.J., Kisigo, G.A., Nzali, A., Laizer, E., Paul, N., Walshe, L., Kalokola, F., Okello, E.S., Sundararajan, R., Mwakisole, A.H. and Downs, J.A., (2021). Religious leaders as trusted messengers in combatting hypertension in rural Tanzanian communities. American Journal of Hypertension, 34(10), pp.1042-1048.
Larki, M., Manouchehri, E., & Roudsari, R. L. (2022). ABC complementary approaches for HIV/AIDS prevention: a literature review. HIV & AIDS Review. International Journal of HIV-Related Problems, 21(2), 89-90.
Leung, M. R., Chin, J. J., & Petrescu-Prahova, M. (2016). Involving immigrant religious organisations in HIV/AIDS prevention: The role of bonding and bridging social capital. Social Science & Medicine, 162, 201-209. DOI: 10.1016/j.socscimed.2016.06.042.
Mihretie, G. N., Kassa, B. G., Ayele, A. D., Liyeh, T. M., Belay, H. G., Miskr, A. D., ... & Worke, M. D. (2023). Transactional sex among women in Sub-Saharan Africa: A systematic review and meta-analysis. PLoS One, 18(6), e0286850.
Murungi, T., Kunihira, I., Oyella, P., Mugerwa, M., Gift, P., Aceng, M. J., ... & Puleh, S. S. (2022). The role of religious leaders on the use of HIV/AIDS prevention strategies among young people (15–24) in Lira district, Uganda. Plos One, 17(10), e0276801.
National Agency for the Control of AIDS, (2023). National HIV and AIDS Strategic Plan 2023–2027. Federal Republic of Nigeria: Abuja.
National Agency for the Control of AIDS, (2025). Nigeria Prevalence Rate 2019. Online. Available at: https://naca.gov.ng/nigeria-prevalence-rate/#:~:text=The%20South%2DSouth%20zone%20of,North%20West%20zone%20(0.6%25). [Accessed 18 May 2025]
Ochillo, M. A., Van Teijlingen, E., & Hind, M. (2017). Influence of faith-based organisations on HIV prevention strategies in Africa: a systematic review. African Health Sciences, 17(3), 753-761.
Onovo, A.A., Adeyemi, A., Onime, D., Kalnoky, M., Kagniniwa, B., Dessie, M., Lee, L., Parrish, D., Adebobola, B., Ashefor, G. and Ogorry, O., (2023). Estimation of HIV prevalence and burden in Nigeria: a Bayesian predictive modelling study. EClinicalMedicine, 62.
Onyemachi, P. E. N., Awa, M. J., Ejikem, M. E., & Enukeme, J. U. (2021). Prevalence and predictors of non-uptake of HIV voluntary counselling and testing among undergraduates of tertiary institution in Abia State, Nigeria. Open Journal of Statistics, 11(01), 19. Doi:10.4236/ojs.2021.111002.
Patton, M. Q. (2014). Qualitative research & evaluation methods: Integrating theory and practice. Sage Publications.
PBS News. (2011). Vatican Hosts AIDS Meeting In Wake Of Condom Controversy. Online. Available at: https://www.pbs.org/newshour/health/vatican-hosts-aids-meeting-following-condom-controversy#:~:text=Health%20May%2027%2C%202011%2010,trip%20to%20Africa%20in%202009. Accessed [18 May 2025]
Pichon, L. C., Williams Powell, T., Williams Stubbs, A., Becton-Odum, N., Ogg, S., Arnold, T., & Thurston, I. B. (2020). An exploration of US Southern faith Leaders’ perspectives of HIV prevention, sexuality, and sexual health teachings. International Journal of Environmental Research and Public Health, 17(16), 5734.
Rafiq, M. Y., Wheatley, H., Salti, R., Shemdoe, A., Baraka, J., & Mushi, H. (2022). “I let others speak about condoms:” Muslim religious leaders’ selective engagement with an NGO-Led family planning project in rural Tanzania. Social Science & Medicine, 293, 114650.
Sach’s, W. (2007). Empowered by faith: Collaborating with faith-based organizations to confront HIV/AIDS. pp. 20-30. https://www.fhi360.org/sites/default/files/media/documents/Empowered%20by%20Faith.pdf.
Smith, D. J. (2004). Youth, sin and sex in Nigeria: Christianity and HIV/AIDS‐related beliefs and behaviour among rural‐urban migrants. Culture, Health & Sexuality, 6(5), 425-437. DOI:10.1080/1369105041000168052.
Somefun, O. D. (2019). Religiosity and sexual abstinence among Nigerian youths: does parent religion matter? BMC Public Health, 19, 1-11.
Statista. (2022). Distribution of religions in Nigeria in 2018. https://statista.com/statistics/1203455/distribution-of-religions-in-nigeria/
Surur, F., & Kaba, M. (2000). The role of religious leaders in HIV/AIDS prevention, control, and patient care and support: A pilot project in Jimma Zone. Northeast African Studies, 59-79. DOI: 10.1353/nas.2004.0021.
Syed, U., Kapera, O., Chandrasekhar, A., Baylor, B.T., Hassan, A., Magalhães, M., Meidany, F., Schenker, I., Messiah, S.E. and Bhatti, A., (2023). The role of faith-based organizations in improving vaccination confidence & addressing vaccination disparities to help improve vaccine uptake: A systematic review. Vaccines, 11(2), p.449.
Ucheaga, D. N., & Hartwig, K. A. (2010). Religious leaders' response to AIDS in Nigeria. Global Public health, 5(6), 611-625. DOI:10.1080/17441690903463619.
Umar, S. A., & Oche, O. M. (2012). Knowledge of HIV/AIDS and use of mandatory premarital HIV testing as a prerequisite for marriages among religious leaders in Sokoto, Northwestern Nigeria. Pan African Medical Journal, 11(1).
UNAIDS, (2025). Nigeria. Available at https://www.unaids.org/en/regionscountries/countries/nigeria
World Health Organisation.(2025). The global health observatory. https://www.who.int/data/gho/data/themes/hiv-aids
World Health Organization, (2021). World Health Organization strategy for engaging religious leaders, faith—based organizations and faith communities in health emergencies. World Health Organization: Geneva.
Yaya, S., & Bishwajit, G. (2018). Age at first sexual intercourse and multiple sexual partnerships among women in Nigeria: A cross-sectional analysis. Frontiers in Medicine, 5, 171.
Young, A., Ryan, J., Reddy, K., Palanee-Phillips, T., Chitukuta, M., Mwenda, W., Kemigisha, D., Musara, P., van der Straten, A. and MTN-041/MAMMA study team, (2022). Religious leaders’ role in pregnant and breastfeeding women’s decision making and willingness to use biomedical HIV prevention strategies: a multi-country analysis. Culture, Health & Sexuality, 24(5), pp.612-626.
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