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Trends in the prevalence of human immunodeficiency virus among pregnant women in Keffi, north central Nigeria.
Abstract
Background: Infection with the Human Immunodeficiency Virus remains a major global health challenge. Nigeria is committed to reaching universal access targets as well as meeting the MDG goal of halting and reversing the spread of the HIV epidemic by 2015. The Nigerian National HIV Sero-prevalence Sentinel Survey has recorded a decreasing prevalence since 2008. Federal Medical Centre Keffi has also made prudent strides to help attain this national target.
Objective: To determine the trends in the prevalence of HIV infection among antenatal clinic attendees at Federal Medical Centre, Keffi, North Central Nigeria.
Method: This is a cross-sectional study of women attending antenatal clinic at the Federal Medical Centre, Keffi, Nasarawa State, North Central Nigeria from 1st January 2007 to 31st December 2013.
Results: A total of 13,661 clients booked for ante-natal care at Federal Medical Centre, Keffi during the study period. All were counseled and tested for HIV with an opt - out rate of 0.0%. Nine hundred and fifty – three clients tested positive giving an overall prevalence of 7.0%. The number of patients tested increased by the years from 1018 in 2007 to 2886 in 2013. The prevalence of HIV infection decreased over the years from 17.8% in 2007 to 2.0% in 2013.
Conclusion: This study has shown a consistently decreasing prevalence in HIV infection among pregnant women despite a persistent increase in the total number of antenatal attendance over the years. There was also no opt out of HIV testing after the counseling. To maintain a decreasing prevalence, we recommend concerted efforts aimed at decreasing the incidence of HIV infection while striving to increase access to HIV/AIDS treatment, care and support.
Key words: Trends, HIV, Pregnant women, Keffi Nigeria
