Social characteristics associated with outcome of paediatric human immunodeficiency virus admissions


  • Olusola Adetunji Oyedeji Department of Paediatrics and Child Health, Ladoke Akintola University of Technology Teaching Hospital, Osogbo, Osun State, Nigeria
  • Olasunkanmi Oladapo Olubanjo Paediatric Unit Pilgrim Hospital, United Lincolnshire Health Trust Boston, Lincolnshire, United Kingdom
  • Gabriel Ademola Oyedeji Department of Paediatrics and Child Health, Ladoke Akintola University of Technology Teaching Hospital, Osogbo, Osun State, Nigeria



Characteristics, Childhood, HIV, Outcome, Social


Background: Information on social characteristics in human immunodeficiency virus (HIV) infected Nigerian children is scarce. The association between social characteristics such as single parenthood, low socio-economic status, polygamy and lack of parental education on the outcome of paediatric HIV admissions has been under studied.

Methods: Information was obtained from the case notes of HIV infected children between the year 2006 and 2012 at a Nigerian tertiary hospital. Details of the information extracted include socio-demographics, diagnoses and outcome of management. Data was analysed with the SPSS 18 software.

Results: Fifty (1.73%) of the total 2897 paediatric admissions were due to HIV disease. The mean age of the children studied was 3.7±2.9years and the 50 children were made up by 27 boys and 23 girls, giving a male to female ratio of 1:0.9. The mean age of the mothers and fathers were 28.7 and 36.7 years respectively. Pneumonia, septicaemia and tuberculosis accounted for more than 60% of admissions. Five (10.0%) children were from the upper, 12 (24.0%) from the middle and 33 (766.0%) from the lower socioeconomic classes. Twenty-four parents (couples) were both sero-positive for HIV and 7 discordant. Nineteen (38.0%) could not be classified because the status of the father was unknown. Of the 7 sero-discordant parents, 3 sero-negative fathers neglected their families. Thirty-nine children were from monogamous homes, nine from polygamous and two were raised by single parents. There were two discharges against medical advice and eleven deaths. The average number of siblings of the children studied was 2.57±2.1. Mortalities on admission were significantly associated with, parental financial constraints and the admitted HIV infected child having more than one sibling (p<0.05).

Conclusions: It was concluded that appropriate interventions to manage these associations will most likely improve the outcome of admissions. Strategies of improving disclosure and prevention of negative outcome of disclosures, such as family neglect in sero-discordant couples also need to be identified.



UNAIDS/WHO AIDS epidemics update. Genevea, Swizerland 2009 Available at; Accessed January 2019.

Kwara A, Shah D, Renner LA. Outcome of hospital admissions in HIV infected children at the Korle Bu Teaching Hospital, Accra, Ghana. West Afr J Med. 2010;29(6):379-83.

Singh S, Jat KR, Minz RW, Arora S, Suri D, Sehgal S. Clinical profile of 516 children affected by HIV in a tertiary care centre in Northern India: 14 years of experience. Trans R Soc Trop Med Hyg. 2009;103(6):627-33.

Oniyangi O, Awani B, Iregbu KC. The pattern of paediatric HIV/AIDS as seen at the National Hospital, Abuja, Nigeria. Niger J Clin Pract. 2006;9(2):153-8.

Ibagere A, Oviawe O. The social characteristics of HIV positive children in Benin City. Nig J Clin Pract. 2000;3:10-12.

National population commission, Nigeria. National population commission census report 2006 [Online] available at Accessed 12 September 2011.

Ogunlesi TA, Dedeke IOF, Kuponiyi OT. Socio-economic classification of children attending paediatric centres in Ogun State, Nigeria. Nig Med Pract. 2008;54(1):21-5.

Pol RR, Shepur TA, Ratageri VH. Clinico-laboratory profile of pediatric HIV in Karnataka. Indian J Pediatr. 2007;74(12):1071-5.

Temiye EO, Akinsulie AO, Ezeaka CV, Adetifa MO, Iroha EO, Grange AO, and pediatric HIV working group. Constraints and prospects in the management of pediatric HIV/AIDS. J Natl Med. 2006; 98(8):1252-9.

Ogunbosi BO, Oladokun RE, Brown BJ, Osinusi K I. Prevalence and clinical pattern of paediatric HIV infection at the university college hospital, Ibadan, Nigeria: a prospective cross-sectional study. Ital J Pediatr. 2011;37(1):29.

Titilope AA, Adediran A, Umeh C, Akinbami A, Unigwe O, Akanmu AS. Psychosocial impact of disclosure of HIV serostatus in heterosexual relationships at Lagos university teaching hospital, Nigeria. Niger Med J. 2011;52(1):55-9.

Asnake S, Amsalu S. Clinical manifestations of HIV/AIDS in children in North West Ethiopia. Ethiop J Health Dev. 2005;19(1):24 -29.

Gentilini M, Chieze F. Socioeconomic aspects of human immunodeficiency virus (HIV) infection in developing countries. Bull Acad Natl Med. 1990; 174(8):1209-19.

Musick K, Meier A. Are both parents always better than one? parental conflict and young adult wellbeing. Soc Sci Res. 2010;39(5):814-30.






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