Introduction: Behaviour change and the use of antiretroviral drugs have been the main focus of most human immunodeficiency virus (HIV) prevention and control programs, with minimal focus given to the role of nutrition. Additionally, women are affected the most and have the responsibility to care for other family members. Methods: The study used a cross-sectional study design to determine the nutritional knowledge, attitude, and practices of women living with I IN/acquired immune deficiency syndrome (AIDS). A pre-tested structured questionnaire was used to obtain information from women selected through systematic random sampling at a large I ITV treatment Centre in Lagos, Nigeria. Results: The majority of the respondents in this study were less than 40 years (70%), married (67.2%), and had at least a secondary education (83.0%). The majority (59.7%) of the women earned less than USD 200 per month. Although knowledge of nutrition and attitude was poor, nutritional practices were good. Older women who were married and had at least a secondary education were found to have better knowledge of nutrition than their younger peers who were single and less educated. Education was also found to positively influence nutritional practice as having at least a secondary education was found to be significantly associated with good nutrition. Conclusion: This study showed that I fly positive mothers had poor knowledge and attitude to nutrition but relatively good nutritional practices. Nutrition education should be integrated into routine counselling at I IIV treatment centres, aimed at improving the knowledge and attitude to nutrition among HIV positive women.

Introduction: Behaviour change and the use of antiretroviral drugs have been the main focus of most human immunodeficiency virus (HIV) prevention and control programs, with minimal focus given to the role of nutrition. Additionally, women are affected the most and have the responsibility to care for other family members. Methods: The study used a cross-sectional study design to determine the nutritional knowledge, attitude, and practices of women living with I IN/acquired immune deficiency syndrome (AIDS). A pre-tested structured questionnaire was used to obtain information from women selected through systematic random sampling at a large I ITV treatment Centre in Lagos, Nigeria. Results: The majority of the respondents in this study were less than 40 years (70%), married (67.2%), and had at least a secondary education (83.0%). The majority (59.7%) of the women earned less than USD 200 per month. Although knowledge of nutrition and attitude was poor, nutritional practices were good. Older women who were married and had at least a secondary education were found to have better knowledge of nutrition than their younger peers who were single and less educated. Education was also found to positively influence nutritional practice as having at least a secondary education was found to be significantly associated with good nutrition. Conclusion: This study showed that I fly positive mothers had poor knowledge and attitude to nutrition but relatively good nutritional practices. Nutrition education should be integrated into routine counselling at I IIV treatment centres, aimed at improving the knowledge and attitude to nutrition among HIV positive women.

Introduction: Infant feeding choices made by mothers in the context of HIV infection depend on a number of factors. In our environment, the relative contribution of some of these factors is not known. Methods: The infant feeding practices of HIV positive mothers seen over a decade (July 2004 and December 2015) at a large HIV treatment centre in Lagos, South-western Nigeria were reviewed. Information on maternal socio-economic characteristics, obstetric, HIV treatment history and infant feeding choices were extracted from the program data base for analysis with SPSS version 20. Results: Exclusive formula feeding (EFF) was the most common feeding practice of the mothers ( 86.4%). However, it decreased from 95.3 % before 2010 to 79.5% after 2010. Exclusive breastfeeding (EBF) was practised by only 9.0% of the mothers. Mixed breastfeeding practice increased from 1.1% pre-2010 to 4.1% post-2010. The provision of free infant formula was found not to influence significantly the EFF or EBF rates but the MBF rate. MBF rate decreased from 3.0% pre-free formula to 1.7% after the introduction of free infant formula. Conclusion: Exclusive formula feeding was the most practised infant feeding method in this study (86.4%). Change in infant feeding guidelines was found to influence the infant feeding choice of HIV positive mothers. Health workers implementing PMTCT programs in our setting should be made aware of the risk of mixed breastfeeding with the new guidelines and educate mothers on its dangers at every contact with the health system.

OBJECTIVETo determine the pattern, challenges and correlates of condom use among Nigerians living with HIV Infection.

METHODSA cross sectional questionnaire study among HIV positive adults attending an HIV treatment centre in Lagos, Nigeria. Data entry and analysis were done with Epi-info version 3.5.1.

RESULTSThe mean age of respondents was 35 (SD=7.7; range: 17-58 years) and mean age at sexual debut was 20 years old (range: 7-37 years). Majority were women (66.6%), had at least secondary school education(91.1%), married (68.2%)), on ART (50.7%) and knew their partners HIV status(60.9%). The rate of condom use at last sex act was 65.9%, but only 48.8% used condom consistently. Factors associated with condom use were male gender (OR=2.43, CI=1.35-4.33, P=0.002), less than secondary school education (OR=3.12, CI=1.04-9.28, P=0.05) and Not knowing partner's HIV status (OR=1.90, CI=1.04-3.80, P=0.04). Refusal to use condom (28.4%) were as a result of pregnancy intention, undesirability of condom in marriage and decreased sexual pleasure.

CONCLUSIONThere is low consistent condom use rate of 48.8% among this cohort despite their exposure to behavioural change messages. A review of the present counselling strategy and combination prevention is therefore advocated.