alexa Prevalence of Couple Human Immunodeficiency Virus (HIV) Discordance, and Prevention of New HIV Infection in the Negative Partner in Enugu, South-East Nigeria | Abstract
ISSN: 2161-0932

Gynecology & Obstetrics
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Research Article

Prevalence of Couple Human Immunodeficiency Virus (HIV) Discordance, and Prevention of New HIV Infection in the Negative Partner in Enugu, South-East Nigeria

Okafor II1*, Asimadu EE2 and Okenwa WO3

1Department of Obstetrics and Gynecology, Enugu State University Teaching Hospital, Enugu, Nigeria

2Departments of Physiology/Obstetrics and Gynecology, College of Medicine, University of Nigeria, Enugu campus, Nigeria

3Department of Surgery, Enugu State University Teaching Hospital, Enugu, Nigeria

*Corresponding Author:
Okafor II
1Department of Obstetrics and Gynecology
Enugu State University Teaching Hospital, Enugu, Nigeria
Tel: +2348034006918
E-mail: [email protected]

Received Date: October 13, 2015; Accepted Date: October 23, 2015; Published Date: November 15, 2015

Citation: Okafor II, Asimadu EE, Okenwa WO (2015) Prevalence of Couple Human Immunodeficiency Virus (HIV) Discordance, and Prevention of New HIV Infection in the Negative Partner in Enugu, South-East Nigeria. Gynecol Obstet (Sunnyvale) 5:337. doi: 10.4172/2161-0932.1000337

Copyright: © 2015 Okafor II, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Background: A large number of cohabiting HIV discordant couples do not know each other’s HIV status. The negative partners are unknowingly very vulnerable to HIV infections in such settings. Objectives: To determine the prevalence of HIV discordance among cohabiting couples in Enugu, review the literature on their health challenges, and discuss how to prevent new HIV infection in the negative partners. Methods: This was a retrospective study. The Couple HIV Testing and Counseling (CHTC) register in Enugu State University Teaching Hospital; Enugu was evaluated from October 31, 2012 back to January 1, 2009. Relevant data was analyzed using Excel 2007 software, and presented in percentages.
Results: A total of 387 (i.e. 774 sexual partners) couples accessed the CHTC. Twenty eight (28/774, 3.6%) partners opted out while 746 (746, 96.4%) were tested. One hundred and nineteen (119/373, 31.9%) couples were discordant, 185 (185/373, 49.6%) were concordant negative, while 69 (69/373, 18.5%) were concordant positive. Eighty one (81/119, 68.1%) of the discordant female partners tested positive while 38 (38/119, 31.9%) males tested positive.
Conclusion:
Many cohabiting couples in Enugu were HIV discordant. The HIV positive female partners were about twice the HIV positive male partners. The HIV negative partners in such health challenging settings are vulnerable to new HIV infections, and need protection to remain negative.

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