Characteristics of clients accessing HIV counseling and testing services in a tertiary hospital in Sagamu, Southwestern Nigeria

Introduction: Client-initiated HIV testing and counseling has helped millions of people learn their HIV status. Nevertheless, global coverage of HIV testing and counseling programs remains low. This study describes the characteristics of clients who accessed HIV counseling and testing (HCT) services in Olabisi Onabanjo University Teaching Hospital, (OOUTH)Sagamu.Materials and Methods: A retrospective study of the clients accessing HCT services in OOUTH. Data was collected from clients using a client intake form. Pre-test counseling, HIV screening and post-test counseling were carried out. Informed consent and confidentiality were ensured. Data obtained were analyzed using SPSS 10.0.Results: A total of 2607 clients accessed our HCT services between May 1st 2008 and April 30th 2010. The clients were between the ages of 1 year and 90 years. The mean age was 33.3 ± 15.26. The median age was found to be 32.0 years, with the modal age being 30.0 years. 73.7% (1828) were non-reactive (negative result), 25.9% (643) were reactive (positive result), while 0.3% (8) were indeterminate. Among the reactive results, 9.3% (242) were males while 15.1% (394) were females.Conclusion: A fair uptake of HCT services was noted. More females accessed services than males. More positive results were seen among females than males (P<0.05).Recommendations: Upscale of HCT services to involve Sexually transmitted infections clinics and free-standing, client-initiated testing centers is necessary. Continuous AIDS education and risk reduction should be promoted

Nutritional Issues of HIV/AIDS Orphans in Sagamu South Western, Nigeria

More than 12 million children under the age of 18 years have been orphaned worldwide, as a result of HIV/AIDS, with Nigeria having the largest number of HIV/AIDS orphans in Africa, as more people die from AIDS, the proportion and problems of orphans and vulnerable children will increase. Little is known about the health and nutrition of those HIV/AIDS orphans and inconsistent findings make it difficult to assess if orphans and other vulnerable children have specific nutritional needs. This study investigated nutritional status HIV/AIDS orphans in Sagamu. The study population consisted of fifty seronegative orphans of parents who died as a result of HIV infection and AIDS and fifty seronegative non-orphaned children whose parents were HIV negative who served as control. Nutritional status was assessed anthropometrically and biochemically. Height, weight, mid-upper arm circumference and head circumference were measured in orphans and control. Significant difference (p< 0.05) was obtained in the percentage of children having stunted growth as determined by height-for-age in the orphans 30%, compared to 8% in the control. Also haemoglobin and plasma levels of total protein, albumin, calcium and phosphate were significantly reduced (p< 0.05) in the orphans compared with the control Nutritional status seemed to be compromised in the HIV/AIDS orphaned. Micronutrient profile assessment in a large sample size is suggested