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INTRODUCTION: Prevention of Mother-To-Child-Transmission (PMTCT) of Human Immunodeficiency Virus (HIV) guideline recommends replacement feeding where it is acceptable, feasible, affordable, sustainable and safe. Where this is un-achievable, exclusive breastfeeding (EBF) is recommended during the first six months of life. METHODS: A hospital-based cross-sectional study was conducted among 600 HIV-positive using a two-stage sampling technique. Data on socio-demographics, infant feeding choice and factors influencing these choices were collected using semi-structured questionnaires. RESULTS: Majority of the mothers (86.0%) were married and aged 31.0 ± 5.7 years. Slightly above half (53.0%) had ≤2 children and more than two-third had disclosed their HIV status to their spouses. About two-third (61.0%) were traders with 75.0% earning monthly income ≤N5,000.00k. Half of the mothers had ≥4 antenatal care visits and 85.0% had infant feeding counselling. Infant feeding choices among the mothers were EBF (61.0%), ERF (26.0%) and MF (13.0%). The choice of EBF was influenced by spouse influence (84.0%), family influence (81.0%) and fear of stigmatisation (53.0%). Predictors of EBF were; monthly income (AOR = 2.6, C.I. =1.4-4.5), infant feeding counselling (AOR = 2.7, C.I. = 1.6-6.9) and fear of stigmatisation (AOR = 7. 2, C.I. = 2.1-23.6). CONCLUSION: HIV positive mothers are faced with multiple challenges as they strive to practice exclusive breastfeeding. More extensive and comprehensive approach of infant feeding counseling with emphasis on behavioural change programmes in the context of HIV/AIDS within communities is advocated.

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BACKGROUND: Documentation of adverse drug reactions (ADRs) is critical to a safe health delivery system. The aim of our study was to explore the prevalence of self-reported sulphonamide hypersensitivity reactions in a community-based sample of the general population in Ibadan, Nigeria. We also examined sociodemographic factors associated with ADRs in the sample. PATIENTS AND METHODS: The study was cross-sectional in design with study sites in urban, semiurban, and rural settlement areas. Pretested questionnaires were administered on a one-on-one basis by trained interviewers. Frequency tables and percentages were computed for various levels of the variables. Chi-square test was used to assess the relationship between sulphonamide hypersensitivity and variables such as sociodemographic characteristics of respondents, respondents' knowledge of drugs, as well as drug sources. Variables found to be significantly associated with sulphonamide hypersensitivity were further investigated using multiple logistic regressions analysis. RESULTS: Out of the 1062 respondents, 15.5% reported hypersensitivity to sulphonamides with skin reactions being the most prevalent. The proportion reporting ADRs was significantly higher among respondents with tertiary education (23.1%) than any other level of education (P = 0.008). In addition, individuals who were very knowledgeable about drug use (odds ratio[OR]: 2.07; 95% confidence interval [CI]: 1.15-3.73) and persons who got drugs from hospitals (OR: 2.00; 95% CI: 1.10-3.65) were more likely to report ADRs than those who were ignorant about drugs and those who purchased drugs from open markets, respectively. CONCLUSION: Prevalence of sulphonamide hypersensitivity is high among respondents, and ADRs is likely to be reported by people who are knowledgeable about drug use.

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OBJECTIVE: To assess knowledge, extent of reporting and factors influencing reports of adverse drug reactions (ADRs) by resident doctors. STUDY DESIGN AND SETTING: Study site was the University College Hospital (UCH), Ibadan, an 850-bed tertiary care hospital in western Nigeria. It was a cross-sectional survey. Data were collected with a 46-item self-administered questionnaire from 192 clinical physicians. RESULTS: Older aged doctors, senior cadre and doctors in medical faculty were 1.5 times likely to be aware of ADR reporting guidelines. General knowledge on ADR was good while 58.3% of residents knew the burden of ADRs. Most (89.5%) had observed at least one ADR but only 32% had ever reported it. Residents in medical faculty were twice more likely to report ADRs than the surgeons [OR 2.1; 95%CI 1.1, 4.1]. The commonest factors that militate against ADR reporting were lack of knowledge that reporting forms were available (70.9%) and ignorance of reporting procedure (69%). CONCLUSION: Despite high observation and good knowledge of ADR among doctors, the rate of reporting was low. There is need for publicity of activities of the pharmacovigilance unit of the hospital.

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