Assessment of the Influence of Adolescent-Youth Friendly Health Services on HIV-related quality of life (AYLHIV) in Taraba State, Nigeria

Adolescents and youth living with HIV (AYLHIV) face unique challenges impacting their mental, emotional, and social well-being. In Nigeria, where youth-friendly healthcare services are evolving, the true influence of Adolescent and Youth-Friendly Health Services (AYFHS) on HIV-related quality of life (HRQoL) remains unclear. This study assessed the impact of AYFHS on the HRQoL of AYLHIV in Taraba State, Nigeria. Informed consent was obtained from all participants. A cross-sectional comparative study was conducted among 386 AYLHIV aged 10–24 years, comprising 193 AYFHS attendees and 193 non-attendees using a multistage sampling method. Data were collected via a structured, interviewer-administered questionnaire covering Anti-retro-viral therapy (ART) adherence, stigma, resilience, and overall quality of life. Analyses were performed using SPSS version 27, with t-tests and multiple regressions applied to determine group differences. Findings revealed that AYFHS attendees had significantly better ART adherence (78% vs. 62%), higher resilience (81% vs. 54%), and greater confidence in managing HIV in AYLHIV attendees. The AYLHIV attendees were also more hopeful about the future and less likely to feel ashamed of their status. Enhanced social support, peer- engagement, and provider friendliness were key contributing factors. Non-attendees reported greater emotional distress and lower treatment confidence. These results demonstrate that AYFHS attendees significantly improve HIV-related quality of life among adolescents. In conclusion, expanding youth-friendly models maybe essential for improving treatment outcomes and addressing psycho-social needs, contributing to Nigeria’s progress toward achieving UNAIDS 95-95-95 goals.