Background: Human Immunodeficiency Virus (HIV) post-exposure prophylaxis (PEP) has been documented to be effective in preventing HIV in exposed individuals. World Health Organization (WHO) recommends that every individual exposed should be treated within 72hours. We aimed to assess the utilization of PEP among clients in a tertiary facility in Northwest, Nigeria.
Methods: A retrospective study was conducted in Barau Dikko Teaching Hospital (BDTH), a tertiary hospital in Kaduna, Nigeria involving all clients who assessed HIV PEP between January 2016 - December 2019. Data collection sheet was used to document the sociodemographic parameters of clients, sources/circumstances of infection, client HIV status, source HIV status and the interval between exposure and commencement of PEP. Analysis of data was done using IBM SPSS version 23.
Results: Analysis of 136 complete records was done, mean age was 31.97± 10.24 years, 77 (56.6%) were females, 102 (75%) were due to occupational exposures involving mostly nurses and medical and nursing students while 26 (76.5%) of non-occupational exposures were attributed to rape. The PEP service was assessed by 119 (87.5%) under 72hours but 120 (88.2%) never returned for follow-up. Source of exposure and HIV status of source were significantly associated with the time of assessing PEP. Statistical significance is determined by a p value of < 0.05.
Conclusion: A major proportion of those that assessed PEP did so in less than 72 hours which is the recommended time by WHO but follow-up and rescreening was poor. There is need for active follow-up of clients that assess the service and increased public health enlightenment on availability and effect of PEP when assessed at the appropriate time.
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