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LATE PRESENTING OF HIV INFECTION AND THE REASONS IN NIGERIA

LATE PRESENTING OF HIV INFECTION AND THE REASONS IN NIGERIA. SAMSON ISA LUKMAN ADEMOLA JOSEPH OJOBI. INTRODUCTION. First case of HIV/AIDS was reported in 1986. HIV prevalence among general population= 3.6%. About 3.1 million people are living with HIV in Nigeria.

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LATE PRESENTING OF HIV INFECTION AND THE REASONS IN NIGERIA

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  1. LATE PRESENTING OF HIV INFECTION AND THE REASONS IN NIGERIA SAMSON ISA LUKMAN ADEMOLA JOSEPH OJOBI

  2. INTRODUCTION • First case of HIV/AIDS was reported in 1986. • HIV prevalence among general population= 3.6%. • About 3.1 million people are living with HIV in Nigeria. • About 300,000 new infections occur annually with people aged 15 – 24 contributing 60% of infections. • 1.5 million People living with HIV require ARVs using the new WHO guidelines.

  3. CHARACTERISTICS OF THOSE PRESENTING LATE • 57% present late ( CDC class B and C) • Mean age = 35 ± 8 years • 60% are married • 60% have at least primary education • Tuberculosis is the commonest OI • Most patients already knew their HIV status at late presentation

  4. REASONS FOR LATE PRESENTATION • Fear of Stigma • Financial Constraint • Faith in herb/spiritual healing • Not believing in HIV treatment • Surprisingly, no significant Alcohol or Cigarette use • No one presented late because of distance from health facility

  5. RECOMMENDATIONS • Stigma: Intensify EIC strategies for those that may present late and re-enforce positive living • Train PLWHA in vocational trade & inform that Rx is free • Train religious & traditional bodies/schools to further disseminate appropriate information • Testimonies from relatives, friends, community and support group members • Large studies are required

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