Partner disclosure and human immunodefficiency virus serology status among antenatal clinicattendees with human immunodefficiency virus infection in Ilorin

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Date

2014-07

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College of Medicine and Health Sciences, Abia State University and Abia State University Medical Research Society

Abstract

Background: The high prevalence of human immunodefi ciency virus (HIV) remains rampant in sub-Saharan Africa with poor partner disclosure and a high risk for infections among serodiscordant couples. Objective: To determine the prevalence, partner disclosure and HIV serology pattern among HIV positive antenatal clinic attendees. Design: A descriptive (retrospective) study. Setting: The antenatal clinic of a tertiary center in Ilorin, Nigeria. Subjects: HIV positive women receiving antenatal care at the study site from September 1, 2010 to February 28, 2013. Materials and Methods: The case fi les and the antenatal clinic records of all participants were retrieved, relevant data were extracted and presented in tables and charts. Results: Of the 7,342 antenatal clinic attendees during the study period, 237 were HIV-positive (prevalence 4.9%). The modal age group was 30–34 years (42.6%), adolescents were three (1.3%), 206 (86.9%) were educated, 192 (81%) were employed, 96 (40.5%) were diagnosed during index pregnancy while 141 (59.5%) were diagnosed and commenced antiretroviral therapy prior to conception. The modal age for male partners was 35–44 years (54%), 228 (96.2%) were aware of the woman’s HIV status, 211 (89%) of these men were aware of their own HIV status while the 26 (11%) refused testing; the serodiscordance rate was 56.7%. Conclusion: The high serodiscordance rate for HIV infection portends a signifi cant risk for transmission between partners; thus, higher awareness during and outside pregnancy should be improved upon to educate on strategies for preventing partner and mother to child transmissions.

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Keywords

Antenatal clinic attendees, Human immunodeficiency virus infection, Human imunodeficiency virus serology, Partner disclosure

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