Abstract:

Since the discovery of HIV/AIDS, its morbidity and mortality in Nigeria has risen proportionately, posing significant threats to population health and survival. The increased pressures on the existing health infrastructure and financial burden have negative consequences on the social and economic development of the nation. Several surveys and available records indicate that the main route of over 65% infection with HIV is unprotected and illicit sexual activities, making the sexually active segment the Most at Risk Population (MARP_S). Voluntary Counseling and Testing (VCT) and administration of Anti-Retroviral to boost the immunity of PLWH offers a relief in the management of HIV, Research on post VCT and ART sexual activities are relatively rare in Nigeria. The study examined HIV+ Status history and access to ART among PLWHIV in Ondo State, Nigeria. Data were obtained using a formal questionnaire, from a sample 315 PLWHIV accessing ART in the selected health facilities in Ikare Akoko, Ondo, Owo, Ilaje, Akure and Okitipupa. The instrument was divided into socio-demographic characteristics, HIV+ Status history, Access to ART and Post ART Sexual behaviour. Data were analyzed using SPSS at the univariate and bivariate levels. Findings revealed that about 70% confirmed their HIV+ Status ≥ 3 years prior to the survey, the mean period in years of access to ART was 2.2 years, about 90% ever engaged in unprotected sexual intercourse and the mean number of sexual partners was 2. Some social, political and economic factors determined ease of access to ART. The need to remove all social and economic impediments to access to ART services and intensified post ART counseling will address the increase in secondary infection with HIV among PLWH.

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