Socio-Demographic Characteristics Of Adults Screened For Hiv/Aids In A Rural Community In Benue State, Nigeria

Background: Benue state has been considered among the ‘hot zones’ for HIV/AIDS in Nigeria with a prevalence rate of 9.3 among adults aged 15 to 45 years. Yet, there is paucity of information on the socio-demographic factors associated with this level of prevalence. We hereby report the prevalence and socio-demographic factors associated with HIV among adults in Abwa-Mbagene, Benue state, Nigeria.Methods: Adults in Abwa-Mbagene community who accepted to participate between 9th and 24th of August 2007 were recruited. After counselling, screening was done using ‘Determine HIV’ kit.Results: 153 subjects (74 males and 79 females) were recruited. Their age ranges from 15 to 60 years (Mean: 26.2years). Fourty-two (27.5%) consisting of 12 (16.2%) males and 30 (38%) females were positive for HIV (male to female ratio, 2:5). The prevalence of HIV was higher among the divorcees (50%); those whose level of education was primary school (41.3%) and below and; farmers (60%). Majority (96%) knows AIDS exists, 85% are informed on mode and prevention of HIV transmission. Cases of AIDS deaths, unprotected casual sex, blood transfusion with unscreened blood and polygamy are common in the community. The single most important cultural factors in HIV transmission identified is indulgence in night parties, which increased the rate of unprotected casual sex.Conclusion: This community represents a high HIV/AIDS prevalence spot in Benue State, Nigeria. There is therefore the need for the establishment of HIV Counselling and Testing (HCT), Prevention of Mother-To-Child Transmission (PMTCT), save blood and antiretroviral treatment services in the community. Vocational centers to engage single women and improve their financial state will boost preventive strategies. Finally, partnership with community leaders towards discouraging night parties will reduce the prevalence of HIV in the community

No one knows what will happen after these five years': narratives of ART, access and agency in Nigeria

Rural Nigerians pursue a range of strategies to maximize current and future access to HIV treatment in the context of securing livelihoods and minimizing the social and economic risks of stigma. This study reports on qualitative interviews with service providers and anti-retroviral therapy (ART) patients accessing care in Benue State, Nigeria, or travelling several hours to Abuja for treatment (n = 34). Nigerians living with HIV are keenly aware of the fragility and complex global and local politics of funding. Their narratives of pervasive stigma, economic and health system barriers to access, growing fears that free ART will cease, and strategies to secure access to care reveal a sophisticated synthesis of social determinants of health and clinical care, and challenge practitioners, planners, and scholars to take a similarly robust and nuanced approach to vulnerability, access, and agency.Department of HE and Training approved lis

Prevalence and factors associated with rotavirus infection among children admitted with acute diarrhea in Uganda

<p>Abstract</p> <p>Background</p> <p>Rotavirus remains the commonest cause of severe dehydrating diarrhea among children worldwide. Children in developing countries die more because of several factors including poorer access to hydration therapy and greater prevalence of malnutrition. Hitherto, the magnitude of rotavirus disease in Uganda has remained unknown. This study was therefore done to determine the prevalence and factors associated with rotavirus infection among children aged 3-59 months admitted with acute diarrhea to paediatric emergency ward of Mulago Hospital, Uganda</p> <p>Methods</p> <p>Three hundred and ninety children, aged between 3-59 months with acute diarrhoea were recruited. The clinical history, socio-demographic characteristics, physical examination findings and laboratory investigations were recorded. Stool samples were tested for rotavirus antigens using the DAKO IDEIA rotavirus EIA detection kit.</p> <p>Results</p> <p>The prevalence of rotavirus infection was 45.4%. On multivariate analysis rotavirus was significantly associated with a higher education (above secondary) level of the mother [OR 1.8; 95% CI 1.1-2.7]; dehydration [OR 1.8; 95% CI 1.1-3.0] and breastfeeding [OR 2.6; 95% CI 1.4-4.0]. Although age was significantly associated with rotavirus on bivariate analysis; this association disappeared on multivariate analysis. No significant association was found between rotavirus infection and nutritional status, HIV status and attendance of day care or school.</p> <p>Conclusions</p> <p>Rotavirus infection is highly prevalent among children with acute diarrhoea admitted to Mulago Hospital in Uganda.</p

The Use Of Immunochromatographic Technique (ICT) In The Diagnosis Of Malaria In Ilorin, Nigeria

Malaria is a major global health problem with about 2.4 billion people at risk. It is the commonest cause of outpatient consultations and one of the leading causes of paediatrics medical admission. Prompt and accurate diagnosis is the key to effective disease management and one of the main interventions of the global malaria strategy. We assess the sensitivity, specificity, predictive values and diagnostic accuracy of immunochromatographic technique (ICT) with the aim of assessing its relevance to the diagnosis of malaria in the North Central part of Nigeria. The study population, which comprised of 39 subjects aged 1 to 49 years, was sent to the hospital laboratory after clinical assessment. Thirty-five (89.7%) of the 39 subjects with fever had parasite count by thick blood film (TBF) ranging from 60-7,200 parasites/µL of blood. Twenty-five of these were positive by the dipstick technique giving a sensitivity, specificity, positive predictive value, negative predictive value and accuracy for the ICT of 71.4%, 100%, 100%, 28.5% and 74.3% respectively when compared with the TBF. All four (4) subjects that were negative microscopically also tested negative with the ICT kit. We therefore conclude that ICT kits is a good alternative in diagnosis of malaria especially in adult in an endemic environment, because it is fast, requires simple manpower and no need of heavy equipment, However, before antigen tests can replace the thick and thin film, it should cover and differentiate between all Plasmodia species and detect lower level of parasitaemia. Afr. J. Clin. Exper. Microbiol. 2004; 5 (3): 242-24

Seroprevalence of Hepatitis B Surface Antigen among Patients Attending Aminu Kano Teaching Hospital, Kano

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