Prevalence of Couple Human Immunodeficiency Virus (HIV) Discordance, and Prevention of New HIV Infection in the Negative Partner in Enugu, South-East NigeriaOkafor II1*, Asimadu EE2 and Okenwa WO3
- *Corresponding Author:
- Okafor II
1Department of Obstetrics and Gynecology
Enugu State University Teaching Hospital, Enugu, Nigeria
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.
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.