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02217 HIV/STIs PREVENTION THROUGH MICROBICIDES: A STUDY SURVEY AMONG FAMILY PLANNING CLINIC ATTENDEES IN NIGERIA Bankole Marian 1 BACKGROUND: globally HI/STIs remain a major public health problem. Data on HIV/STI in Nigeria remain rudimentary, due to under-reporting. More than 90% of these infections are though heterosexual and unprotected sexual behaviours with women more vulnerable. Effective vaginal microbicide remain the only open hope in the prevention strategy, OBJECTIVE: To assess HIV prevalence and conventional STDs among women attending Family Planning clinic in Lagos, Nigeria. METHODS: Semi-structured questionnaires after informed consent, were administered by trained health personnel to 92 attendees. Demographic data gained were age, marital status, number of sexual partners, history of STDs and blood transfusion. Serum samples obtained were tested fro antibodies against HIV and syphilis. Sero- positive cases were confirmed by Western Blot for HIV and TPHA for Syphilis. Cervical swabs also collected were bacteriologically analysed. Study period was from November 2002 to September 2003. Ninety two (92) attendees made up of 55 married and 37 single women participated in the study. RESULTS: Eight (8.7%) were infected with HIV, six were infected with HIV-1 and two were co-infected with HIV-1 and HIV-11. Conventional STDs were Treponemal pallidium (6%) Neisseria gonorrhoea (3%), Chlamydia trachomatis (4%), Staphylococcus aureus (8%) and Candida albicans (14%). 5% of the participants had two or more of the STIs. Products commonly used among participants include antiseptics, antifungal cream, foaming tablets, gels, condoms, antibiotics and vaginal douches. The study showed that Candida albicans was the most prevalent, followed by HIV and Staphylococcus aureus. There was no significant differences in the 2 groups (married and single). CONCLUSION: the study group was aware of the effects of HIC/STIs and welcomed the concept of effective vaginal Microbicides. Majority of women indicated willingness to participate in the countrys microbicide trials when finally introduced. Marian Bankole, MSc |
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