• Carla S Alexander, Gregory Pappas, Yvonne Henley, Angela Kaiza Kangalawe, Folaju Olusegun Oyebola, Michael Obiefune, Ejike Nwene, Winifred Stanis-Ezeobi, Victor Enejoh, Chidi Nwizu, Anthea Nwandu Nwandu, Peter Memiah, Martine Etienne-Mesubi, Babatunji Oni, Anthony Amoroso, and Robert R Redfield.
• University of Maryland, School of Medicine - Institute of Human Virology, Baltimore, MD calexand@medicine.umaryland.edu.
• Am J Hosp Palliat Care. 2015 Aug 1; 32 (5): 555-62.

ContextPain management (PM) has not been routinely incorporated into HIV/AIDS care and treatment in resource-constrained settings.ObjectivesWe describe training for multidisciplinary teams tasked with integrating care management into HIV clinics to address pain for persons living with HIV in Nigeria.MethodsEducation on PM was provided to mixed-disciplinary teams including didactic and iterative sessions following home and hospital visits. Participants identified challenges and performed group problem solving.ResultsHIV trainers identified barriers to introducing PM reflecting views of the patient, providers, culture, and the health environment. Implementation strategies included (1) building upon existing relationships; (2) preliminary advocacy; (3) attention to staff needs; and (4) structured data review.ConclusionImplementing PM in Nigerian HIV clinics requires recognition of cultural beliefs.© The Author(s) 2014.

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