Testing for Human Immunodeficiency Virus (HIV), widely distributed in sub-Saharan Africa since it is mainly invasive but, could be non-invasive and quick also, reducing waiting time especially when required for presurgical procedures. This study determined the HIV status of patients using Urine screening test method and to compare its performance to blood-based testing methods. The routine pre and post-test counselling for HIV screening were done for all provider-initiated HIV testing using blood-based screening methods. Due to the cost and unavailability of enough urine testing kits, only patients who tested positive for HIV with blood-based methods and were scheduled for surgery or a surgical procedure were enrolled in the study. Informed consent was obtained. Paired urine and blood samples were collected at the same visit into clean universal bottles and analyzed immediately. A colloidal gold enhanced rapid immuno-chromatographic assay (Alliance Biomedical) kit for the rapid qualitative detection of antibodies to Human Immunodeficiency Virus (HIV) I and II in urine were used in comparison to the standard HIV testing of ante-cubital venous blood collected in EDTA vacutainer and analyzed using Determine (T) HIV 1 and 2 in vitro qualitative immunoassay strip, UNI GOLD rapid test kit and the Chembio HIV 1/2 STAT PAK assay strip. A total of 7568 patients were tested for routine provider-initiated HIV testing, 521 tested HIV positive. There were 105 (20.15%) males and 416 (79.85%) females, age ranged from 15 years to >80 years. Most of the surgeries performed were Caesarian section 93 (37%), Hernia 55 (22%), Lumps 48 (19%), Acute appendicitis 33 (13%), Uterine fibroids 10 (4%), Ruptured ectopic pregnancy 2 (1%)
Nigeria has the second largest HIV/AIDS burden in the world and this has been closely associated with adverse economic effects and in turn HIV/AIDS has hindered economic growth in the past decades. In this study, the Vector Error Correction Model was employed to investigate the relationship among HIV/AIDS, infant mortality and economic growth in Nigeria using time series data from 1980-2015. Mixed results were recorded as on one hand, HIV/AIDS impacts positively on infant mortality through Mother-To-Child-Transmission while on the other hand, economic growth was found to be positively correlated with HIV/AIDS. This is because, in most countries, including Nigeria, relatively rich and better educated men and women have higher rates of partner change. We therefore recommends that to achieve the desirable objective of sustainable economic growth, the health sector should be given a larger budgetary allocation and support as the current government expenditure on health is not making any significant impact.
Over 70 million people have been infected by the Human Immunodeficiency virus(HIV) worldwide and the Sub-Saharan Africa has the largest population of people living with Human immunodeficiency virus/Acquired immune disease (HIV/AIDS
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