Loneliness and depression among informal caregivers of children with HIV/AIDS in Nigeria

This research explores the experience of loneliness and depression among informal caregivers of children with HIV/AIDS in Nigeria. The study utilised semi-structured interviews involving eleven informal caregivers of children with HIV/AIDS in Nigeria. Using interpretative phenomenological analysis (IPA) to analyse the account of participants, five superordinate themes were identified which are: 'caregiving – a challenging experience', 'HIV medication – a solution and a problem', 'struggle with negative emotions', 'keeping it secret' and 'positive coping with caregiving'. These themes provided an overall account of the experience of caregiving among informal caregivers of children with HIV/AIDS in Nigeria. The study findings revealed there could be a relationship between informal caregiving and the experience of loneliness and depression. Participants described caregiving as emotionally distressing due to the challenges involved with their care recipient's health condition, the management of HIV medication, the attitude of care recipients towards their medication, andperceived stigma and discrimination associated to HIV/AIDS. HIV medication was an important element that influenced informal caregivers' approaches to coping with HIV caregiving, such as non-disclosure and secrecy, which limited their access to social support and intensified the feeling of loneliness. Furthermore, religious resources were highlighted as important part of participants' coping strategies. Participants were also optimistic and hopeful for a lasting solution to HIV infection and its related problems. Based on the findings of the study, a new theoretical framework which explains the experience of informal caregivers in the context of paediatric HIV/AIDS, is proposed. The study makes recommendations for policy and practice and for future research.