Background:  The sexual and reproductive health of people living with HIV in sub-Saharan Africa should be of paramount importance and, therefore, given the attention it deserves. The advent of antiretroviral therapy (ART) and subsequent access to it has aided millions of infected people to live a normal life. However, being on ART is not enough as most of these people despite being on the therapy are faced with needs and concerns that have shaped their sexual behaviour. This review aims to bring to perspective the sexual behaviour, needs, and concerns regarding the sexual and reproductive health of adults living with HIV in sub-Saharan Africa (SSA) with a view to reducing the disease's ultimate burden in the region. Method: An extensive search of articles was carried out using the reporting systematic review and meta-analysis (PRISMA). The database search was from JSTORE, Scopus, Google Scholar, Medline, Cochrane, Semantic scholar, and Pubmed. Results: A total of 3,984 results were obtained from the search. The application of the inclusion and exclusion criteria finally gave ten studies which were reviewed. The review revealed, among other things, that a good number of adults living with HIV have multiple sex partners, and some still have sex without condoms. Besides, most of them indicated the need for their own biological children, especially after being on ART for a while. Some women living with HIV in SSA do not have a right to decide on their sexual and reproductive health. Recommendation: It was recommended that there be intense re-orientation and health education for this group of people. Women need to be empowered and taught their rights.

Background: The establishment of a Youth Friendly Centre (YFC) is to ensure that the reproductive and sexual health needs of young people are adequately met. However, data have shown that a number of them are not even aware of such Centres in their vicinities or the services they offer, how much more utilize them. Therefore, this study aimed at assessing the level of HIV knowledge, awareness, and utilization of Youth Friendly Services (YFS) among undergraduates in Rivers State University, Rivers State, Nigeria. Methods: A total of 520 students were given structured self-administered questionnaire which had been validated and pretested. Four hundred and forty-six questionnaires were returned properly filled. Information regarding knowledge of Human immunodeficiency virus/Acquired immunodeficiency syndrome (HIV/AIDS), awareness, and utilization of Youth Friendly Services were obtained from the students. Results: Two hundred and nineteen (49.1%) of the students indicated HIV had no cure, while 73(16.4%) reported that there was a cure and 154 (34.5%) specified they were uncertain. The female respondents had a better knowledge compared to their male counterparts. The respondents exhibited a high knowledge of HIV preventive measures with the majority 357 (80%) indicating that abstinence was the best means. All the students agreed that everyone was at risk of HIV if they engaged in risky behaviors. In spite of this good knowledge on HIV, only 112 (25.1%) of the students were aware of a YFCs on campus. Conclusion: The high knowledge level of HIV exhibited by the students did not translate to the awareness and utilization of the YFS. There is still so much to be done by health workers and the university committee if the students are to be encouraged to use the services offered at the Centre.

Background: Family planning is an important part of reproductive health which assists couples and individuals to make decisions regarding the timing, spacing, as well as the number of desired children. For individuals living with HIV, this can be challenging, as assess to reproductive health services may be hampered by a range of factors, thus causing an unmet need for family planning. Aim: To investigate the factors associated with unmet needs for family planning among people living with HIV/AIDS in the South-South Region of Nigeria. Study Design: Facility-based cross-sectional survey. Place and Duration of Study: The study was carried out at the HIV clinics of Federal Medical Centre (FMC), Yenagoa and Otuasega Cottage Hospital (OCH), Ogbia in Bayelsa state. Methodology: Six hundred (600) participants were recruited using a simple random sampling technique. An interviewer-administered questionnaire was used to collect data. Data obtained from the study were analyzed and presented as frequencies and percentages. Chi-square and Binary logistic regression were used to test for association between variables. Statistical significance was set at p=0.05. Result: The response rate was 100%. The unmet family planning needs were identified in 43.5% of the study population. Duration of status awareness (X2=9.983, P=0.002), ART duration (X2=10.410, P=0.001), number of sexual partners (X2=36.665, P=0.001) were significantly associated with unmet planning family need. Likewise, age group (X2=22.988, P<0.001), gender (X2=9.327, P=0.002), and religion (X2=17.243, P=0.001) were also significantly associated with unmet family planning needs. Binary logistic regression showed that respondents who were 40 years or more had 2.15 odds of unmet family planning needs compared to those less than 40 years. Also, respondents who had one sexual partner had 2.98 odds of unmet family planning needs when compared to respondents who had multiple sexual partners. Conclusion: There is a high prevalence of unmet family planning needs among people living with HIV/AIDS in the South-South region of Nigeria.

Background: HIV/AIDS remains a public health challenge with an estimated 37.9 million persons living with HIV/AIDS (PLWHA) globally. Risky sexual behaviours/practices among PLWHA increase the likelihood of co-infection and further spread of infection. Understanding the pattern of these behaviours will aid in the modelling of campaigns to control further spread of infection. Aim: To examine sexual behaviour and risky practices among adults living with HIV in Bayelsa State, Nigeria. Methodology: Six hundred (600) participants were recruited for this cross-sectional study from the HIV/AIDS clinics at Federal Medical Centre (FMC), Yenagoa, and Otuasega Cottage Hospital, Ogbia in Bayelsa State, after obtaining informed consent. An interviewer-administered questionnaire was used to collect data comprising socio-demographic characteristics and the sexual activities/behaviour of the respondents in this study. The data obtained from the study were analyzed and presented as frequencies and percentages. Results: Most of the respondents reported sexual intercourse 532(88.7%) 3 months to study. Sexual intercourse with casual partners 20(3.8%), multiple sexual partners 72(12%), and sex workers 2(0.4%) were observed among the respondents. Regular use of condoms during sex was reported by 63(11.8%), while 200(37.6%) sometimes, 96(18.0%) rarely, and 173(32.5%) never. A recent treatment of sexually transmitted infections (STIs) was reported by 115(19.2%). Alcohol use before sex was reported by 218(36.3%). Overall, 253(42.2%) of the respondents engaged in at least one form of risky sexual behaviour. Conclusion: There is a preponderance of risky sexual behaviour/practices among PLWHA in Bayelsa State that may account for coinfection with STI as well as increase HIV/AIDS transmission.