Assessment of Drug History Information in Referral Letters to the Antiretroviral Therapy Outpatient Specialist Clinic of a Federal Teaching Hospital in Ilorin.

BACKGROUND: The drug use history of a patient is an essential component of a referral letter to a specialist clinic. It guides and enables appropriate patient management while improving the quality of care rendered. There is insufficient data regarding the quality of drug history information in referral letters in this setting. OBJECTIVE: To assess the adequacy of the information on drug history in referral letters received at the antiretroviral therapy (ART) specialist outpatient clinic at the University of Ilorin Teaching Hospital, Ilorin. METHODS: In a retrospective study conducted between January and June 2022, all referral letters received at the ART clinic on clinic days were reviewed for drug history information provided using a data capture form. RESULTS: A total of 142 referrals were reviewed and analyzed. The majority (99.3%) of the referral provided information on patients' socio-demographic characteristics. Most of the referrals (47.2%) were from Family medicine department of the hospital and information on drug history was only provided in 43.0% of the referral letters. CONCLUSION: This study concluded that drug history information was infrequently and incompletely documented in referral letters to an ART outpatient clinic. The use of a structured referral form may be useful and may help to improve the documentation of information on drug history by the referring doctor.

CONTEXTE: L'historique de la consommation de médicamenteux d'un patient est un élément essentiel d'une lettre d'orientation vers une clinique spécialisée. Il guide et permet une prise en charge appropriée du patient tout en améliorant la qualité des soins prodigués. On ne dispose pas de données suffisantes sur la qualité des informations relatives aux antécédents médicamenteux figurant dans les lettres d'orientation dans ce contexte. OBJECTIF: Évaluer l'adéquation des informations sur les antécédents médicamenteux dans les lettres d'orientation reçues par la clinique externe spécialisée dans la thérapie antirétrovirale (ART) de l'hôpital universitaire de l'Université d'Ilorin, Ilorin. MÉTHODES: Dans le cadre d'une étude rétrospective menée entre janvier et juin 2022, toutes les lettres d'orientation reçues à la clinique ART les jours de clinique ont été examinées pour vérifier les informations sur les antécédents médicamenteux fournies à l'aide d'un formulaire de saisie de données. RÉSULTATS: Au total, 142 références ont été examinées et analysées. La majorité (99,3 %) des lettres de recommandation contenaient des informations sur les caractéristiques sociodémographiques des patients. La plupart des références (47,2 %) provenaient du service de médecine familiale de l'hôpital et les informations sur les antécédents médicamenteux n'ont été fournies que dans 43,0 % des lettres de référence. CONCLUSION: Cette étude a conclu que les informations sur les antécédents médicamenteux étaient rarement et incomplètement documentées dans les lettres de recommandation adressées à un centre de soins ambulatoires pour le traitement antirétroviral. L'utilisation d'un formulaire de référence structuré peut être utile et peut aider à améliorer la documentation des informations sur les antécédents médicamenteux par le médecin référent. Mots clés: Médicament, Information, Antirétroviral, Nigeria.

Smartphone Ownership and the Willingness to receive Mobile Health Services among Patients with Hypertension in Nigeria.

BACKGROUND: There are traditional barriers to accessing quality hypertension care in sub-Saharan Africa. Mobile phone technology is increasingly being used to overcome these barriers. This study assessed smartphone ownership and the willingness to receive mobile health services among patients with hypertension in Nigeria. METHODS: Four hundred and twenty-seven (427) patients with hypertension were recruited from two tertiary health institutions in Ekiti State, Nigeria. Questionnaires were fed into the Open Data Kit form, which was used to take data on mobile phone ownership, the willingness to receive and the preferred type of mobile phone-based hypertension health care services. RESULTS: Males were 37.2%. Mean age was 60.6 ± 15.3 years. Of the participants, 48.7% owned smartphones, 21.1% had regular internet subscription on their phones, 94.8% were willing to receive and pay mobile health services. Phone calls (48.0%) and text messages (31.6%) were the most preferred modes of receiving hypertension-related health education. Age category of 45-64 years was the only predictor of willingness to receive mobile health services. CONCLUSION: All our participants owned mobile phones, with 48.7% being smartphones and almost all the participants were willing to receive and pay for mobile health services for prevention, treatment and information on hypertension. Middle age was the only predictor of willingness to receive mobile health, and the most preferred choices were through phone calls and text messages. The above information will guide in the design of favourable mHealth interventions that will be ideal for our study population.

CONTEXTE: Il existe des obstacles traditionnels à l'accès à dessoins de qualité pour l'hypertension en Afrique subsaharienne. La technologie de la téléphonie mobile est de plus en plus utilisée pour surmonter ces obstacles. Cette étude a évalué la possession d'un smartphone et la volonté de recevoir des services de santé mobiles chez les patients souffrant d'hypertension au Nigeria. MÉTHODES: Quatre cent vingt-sept (427) patients hypertendus ont été recrutés dans deux établissements de santé tertiaires de l'État d'Ekiti, au Nigeria. Des questionnaires ont été introduits dans le formulaire Open Data Kit, qui a été utilisé pour recueillir des données sur la possession d'un téléphone mobile, la volonté de recevoir et le type préféré de services de soins de santé contre l'hypertension basés sur le téléphone mobile. RÉSULTATS: Les hommes représentaient 37,2 %. L'âge moyen était de 60,6 ± 15,3 ans. Parmi les participants, 48,7 % possédaient des smartphones, 21,1 % avaient un abonnement Internet régulier sur leurs téléphones, 94,8 % étaient disposés à recevoir et à payer des services de santé mobiles. Les appels téléphoniques (48,0 %) et les SMS (31,6 %) étaient les modes les plus privilégiés pour recevoir une éducation à la santé liée à l'hypertension. La catégorie d'âge de 45 à 64 ans était le seul prédicteur de la volonté de recevoir des services de santé mobiles. CONCLUSION: Tous nos participants possédaient des téléphones portables, 48,7 % étant des smartphones et presque tous les participants étaient disposés à recevoir et à payer des services de santé mobiles pour la prévention, le traitement et l'information sur l'hypertension. L'âge moyen était le seul prédicteur de la volonté de recevoir des soins de santé mobiles, et les choix les plus préférés étaient les appels téléphoniques et les SMS. Les informations cidessus guideront la conception d'interventions mHealth favorables qui seront idéales pour notre population d'étude. Mots clés: Smartphones, Volonté, Santé mobile, Âge moyen, Hypertension, Nigeria.

The Indirect Victims of COVID-19: Perception of Non-COVID-19 Patients about the Effect of Closure of the Medical Outpatient Services on their Health.

BACKGROUND: In order to reduce COVID-19 transmission and protect healthcare workers, the outpatient departments (OPDs) in many hospitals worldwide were closed down in the early days of the pandemic. Patients being managed for chronic medical illnesses who subsequently suffered reduced access to healthcare have been described as "the patients left behind". AIM: The study aimed at assessing the impact of the closure of the Medical OPD in University of Ilorin Teaching Hospital (UITH) on the health and perceived well-being of patients with chronic medical illnesses. METHODS: A cross-sectional study of 180 patients with chronic medical illnesses attending the MOPD in UITH. RESULTS: Mean age of participants was 50.2±18.2years, 92 (51.1%) were male, median duration of attending MOPD was 21 months (IQR 12-36). 92 patients (51.1%) perceived a negative affectation of their well-being by the closure of MOPD. Being >50 years was associated with a perception of negative affectation of well-being (P=0.042). 140 patients (77.8%) had clinic appointments that fell within the period under review. 67(69.3%) of the 97 patients who had medical complaints during the period could not reach a doctor and this was associated with a perception of negative affectation of their wellbeing. The commonest action they took was to do nothing (28.3%), three (4.5%) resorted to herbal concoctions. 19 (29.9%) felt their complaints were urgent. CONCLUSION: Our study identifies that patients with chronic medical illness are potential victims of COVID-19 related disruption of healthcare services. Healthcare managers in Nigeria must develop alternatives such as telemedicine that sustain face-to-face medical interaction during eventualities.

CONTEXTE: Afin de réduire la transmission de la COVID-19 et protéger les travailleurs de la santé, les services ambulatoires (OPD) dans de nombreux hôpitaux dans le monde ont été fermés dans les premiers jours de l'Pandémie. Patients pris en charge pour des maladies chroniques quipar la suite souffert d'un accès réduit aux soins de santé ont été décrit comme "les patients laissés pour compte". OBJECTIF: L'étude visait à évaluer l'impact de la fermeture de l'OPD médical à l'hôpital universitaire d'Ilorin (UITH) la santé et le bien-être perçu des patients atteints de chroniquesMaladies. MÉTHODES: Une étude transversale de 180 patients atteints de chroniques maladies médicales fréquentant le MOPD à l'UITH. RÉSULTATS: L'âge moyen des participants était de 50.2 ±18.2 ans, 92 ans(51.1 %) étaient des hommes, la durée médiane de la participation au MOPD était de 21mois (IQR 12-36). 92 patients (51.1 %) ont perçu un résultat negative l'affectation de leur bien-être par la fermeture du MOPD. Être >50ans était associée à une perception d'affectation négative de bien-être (P= 0.042). 140 patients (77.8 %) avaient des rendez-vous à la clinique qui s'inscrivait dans la période considérée. 67 (69.3 %) des 97 patients qui ont eu des problèmes médicaux au cours de la période n'ont pas pu atteindre un et cela était associé à une perception d'affectation negative de leur bien-être. L'action la plus courante qu'ils ont prise était de ne rien faire (28.3%), deux (4.5%) ont eu recours à des concoctions à base de plantes. 19 (29.9 %) ont ressenti leurs plaintes étaient urgentes. CONCLUSION: Notre étude identifie que les patients atteints demaladie chronique les maladies médicales sont des victimes potentielles des perturbations liées à la COVID-19des services de santé. Les gestionnaires de soins de santé au Nigeria doivent se developper des solutions de rechange comme la télémédecine qui soutiennent la médecine en personne interaction lors d'éventualités. Mots-clés: Maladie COVID-19, Maladies chroniques, COVID-19 fermeture connexe des services médicaux ambulatoires, perception.

Effect of spinal anesthesia on QT interval: Comparative study of severe pre-eclamptic and normotensive parturients undergoing cesarean section.

Aim: This study aimed to compare the effect of spinal anesthesia on QT interval in severe pre-eclamptic and normotensive parturients who underwent cesarean section in a Nigerian tertiary hospital. Patients and Methods: Twelve-lead electrocardiogram (ECG) was obtained before, and at intervals after spinal anaesthesia on fifty severe pre-eclamptic (Group A) and fifty normotensive parturients (Group B) who underwent caesarean section. The effect of spinal anaesthesia on QT interval was compared. Results: The preoperative (baseline) mean QT interval was longer in group A than in group B; 453.10 ± 34.11 ms versus 399 ± 18.79 ms, P < 0.001. The prevalence of prolonged QT interval in the severe pre-eclamptic group before spinal anesthesia was 80% while in the normotensive group it was 0%, P < 0.001. At 5, 30, 60, and 120 min after the establishment of spinal anesthesia, the mean QT interval in the severe pre-eclamptic group was shortened and maintained within normal limits; 414.74 ± 28.05, 418.28 ± 30.95, 411.18 ± 19.21 and 401.36 ± 17.52 ms with P < 0.001 throughout. In the normotensive group, there was no significant change in the mean QT interval. Conclusions: This study demonstrated that the QT interval was more prolonged among the severe pre-eclamptic parturients. Spinal anesthesia using 0.5% hyperbaric bupivacaine normalized the QT interval and maintained it within normal limits during the study period.

Benefits, disadvantages and challenges of virtual conferencing in the COVID-19 era: Adjusting to the new normal

Objective: The COVID-19 pandemic has had tremendous effect on the medical and scientific community. Measures instituted to curb the spread of the disease such as physical distancing and ban on large gatherings have significantly altered conferencing activities of medical professional associations. With no end in sight to the pandemic, it is certain that medical professional associations may have to make do with purely virtual or hybrid conferencing for some time to come. The objective of this paper is to highlight the benefits, disadvantages and challenges of virtual conferencing Methods: We searched Pubmed, Embase, Scopus, and AJOL databases from January 1, 2021 to December 31, 2021 for publications describing the benefits, disadvantages and challenges of virtual conferencing during the pandemic. This, together with authors' experience formed the resource base for this work. Conclusion: We propose ways the scientific community in Nigeria can maximize the virtual conferencing while the pandemic lasts. We also advocate increased discussion about how to improve the virtual conferencing culture and the development of guidelines for purely virtual or hybrid scientific conferences

Objectif de l'étude: La pandémie de COVID-19 a eu un effet considérable sur la communauté médicale et scientifique. Les mesures instituées pour freiner la propagation de la maladie, telles que l'éloignement physique et l'interdiction des grands rassemblements, ont considérablement modifié les activités de conférence des associations professionnelles médicales. Sans fin en vue de la pandémie, il est certain que les associations professionnelles médicales devront se contenter de conférences purement virtuelles ou hybrides pendant un certain temps encore. L'objectif de cet article est de mettre en évidence les avantages, les inconvénients et les défis de la conférence virtuelle. Méthodes de l'étude : Nous avons effectué des recherches dans les bases de données Pubmed, Embase, Scopus et AJOL du 1er janvier 2021 au 31 décembre 2021 pour trouver des publications décrivant les avantages, les inconvénients et les défis des conférences virtuelles pendant la pandémie. Ceci, combiné à l'expérience des auteurs, a constitué la base de ressources pour ce travail. Conclusion : Nous proposons des moyens pour que la communauté scientifique du Nigéria puisse maximiser les conférences virtuelles pendant la durée de la pandémie. Nous préconisons également une discussion accrue sur la manière d'améliorer la culture des conférences virtuelles et l'élaboration de lignes directrices pour les conférences scientifiques purement virtuelles ou hybrides

Prognostic Significance of Pre-Discharge Plasma BNP among Heart Failure Patients in Ilorin, Nigeria.

INTRODUCTION: Although the usefulness of plasma brain natriuretic peptide (BNP) in early diagnosis of heart failure has been extensively studied, its value in predicting outcome of these patients has not been fully determined, particularly among African patients. OBJECTIVE: This study was aimed to evaluating the prognostic implications of pre-discharge BNP among hospitalized heart failure patients in Nigeria. METHODS: One hundred consecutive acutely decompensated heart failure patients managed in our center were recruited into the study. All subjects had clinical and echocardiographic evaluation. All had BNP assayed and were followed-up for six months. RESULTS: Fifteen patients (out of 91 who completed the study) died at the end of the study, giving a 6-month mortality rate of 16.5%. The mean BNP among non-survivors (655.0 ± 142.3pg/ml) was higher than survivors (409.7±178.2pg/ml) P <0.001. A plasma BNP level >525pg/ml was 87% sensitive and 75% specific for predicting death within 6-months (AUC0.854,95% CI 0.756-0.951, p<0.001). Kaplan-Meier survival curve also showed six-month survival to be significantly reduced in patients discharged with BNP levels >525pg/ml (57.6%) than in those with levels <525pg/ml (98.3%), p<0.001. CONCLUSION: Pre-discharge plasma BNP>525pg/ml in heart failure patients is predictive of early death within six months.

INTRODUCTION: Bien que l'utilité du peptide natriurétique plasma-cerveau (BNP) dans le diagnostic précoce de l'insuffisance cardiaque ait été largement étudiée, sa valeur pour prédire l'issue de ces patients n'a pas été entièrement déterminée, en particulier chez les patients africains. OBJECTIF: Cette étude visait à évaluer les implications pronostiques du BNP avant la sortie chez les patients hospitalisés pour insuffisance cardiaque au Nigeria. MÉTHODES: Cent patients consécutifs atteints d'insuffisance cardiaque en décompensation aiguë, pris en charge dans notre centre, ont été recrutés dans l'étude. Tous les sujets ont eu une évaluation clinique et échocardiographique. Tous avaient un dosage du BNP et ont été suivis pendant six mois. RÉSULTATS: Quinze patients (sur 91 ayant terminé l'étude) sont décédés à la fin de l'étude, ce qui donne un taux de mortalité à 6 mois de 16,5 %. Le BNP moyen parmi les non-survivants (655,0 ± 142,3 pg/ml) était supérieur à celui des survivants (409,7± 178,2 pg/ml) P < 0,001. Un taux plasmatique de BNP > 525 pg/ml était sensible à 87 % et spécifique à 75 % pour prédire le décès dans les 6 mois (ASC 0,854, IC à 95 % 0,756-0,951, p <0,001). La courbe de survie de Kaplan-Meier a également montré que la survie à six mois était significativement réduite chez les patients sortis avec des taux de BNP > 525 pg/ml (57,6 %) que chez ceux avec des taux < 525 pg/ml (98,3 %), p < 0,001. CONCLUSION: Le BNP plasmatique avant la sortie > 525 pg/ml chez les patients insuffisants cardiaques est prédictif d'un décès précoce dans les six mois. Mots clés: Insuffisance cardiaque décompensée aiguë, pronostic, peptide natriurétique cérébral, mortalité, Nigérians.

Knowledge and Prevalence of Heart Disease Risk Factors Among Staff of a Tertiary Institution in Nigeria.

BACKGROUND: Cardiovascular disease is the most common cause of mortality worldwide. Hence, awareness of cardiovascular risk factors is an essential step towards effective reduction of the disease burden. This study determined the knowledge and prevalence of cardiovascular risk factors among Staff of Ekiti State University. Ado-Ekiti, Nigeria. METHODS: A cross-sectional study which comprised of 223 members of staff. RESULTS: There were 103 males (46.2%). Low knowledge of heart disease risk factors was found in 68.6% of the respondents. The prevalence of hypertension, diabetes mellitus, overweight, obesity, physical inactivity was 35.4%, 12.1%, 31.8%, 23.3%, and 83% respectively. Family history of hypertension was a predictor of a high level of knowledge. CONCLUSION: A low level of knowledge and increasing prevalence of cardiovascular risk factors existed among staff of Ekiti State University, Nigeria. Hence, there should be a step-up of awareness campaigns and promotion of healthy lifestyle among this category of people.

Structural echocardiographic abnormalities seen in HIV/AIDS patients are independent of cd4 count.

INTRODUCTION: The human immunodeficiency virus (HIV) infection remains one of the most daunting public health challenges today. Cardiac involvement in HIV/acquired immune deficiency syndrome (AIDS) is frequent and has been recognized on autopsy since the emergence of the pandemic. The objective of the study was to assess the pattern of structural echocardiographic (echo) findings in HIV/AIDS patients and compare this to the echo findings in apparently healthy HIV-negative controls. MATERIALS AND METHODS: One hundred and fifty HIV-positive patients were recruited consecutively from the HIV patients attending the University of Ilorin Teaching Hospital, Ilorin, North Central, Nigeria. One hundred and fifty age- and sex-matched controls were also recruited from the surrounding community. All the individuals had clinical examination, electrocardiography (ECG) and echocardiography (echo) done. RESULTS: ECG abnormalities were seen in 55.3% of the HIV-positive patients compared with 2.7% of controls (P < 0.001). The overall prevalence of echo abnormalities among the patients was 54%, against 15.3% (P < 0.001) of the controls. All the structural dimensions of the cardiac chambers were significantly greater than the cardiac chamber dimensions in the controls except for left atrial dimension (LAD). When the patients were considered in two groups of those with CD4 count less than 200 cells/mm3 than those with CD4 count more than 200 cells/mm3, the structural chamber dimensions were similar between both groups. CONCLUSIONS: Echo is an important tool for detecting cardiac abnormalities in HIV/AIDS patients. There is a high prevalence of echo abnormalities among HIV patients seen in our centre. The HIV infection was associated with increased structural dimensions of cardiac chambers compared with HIV-negative controls. This however did not seem to be related to disease severity as the chamber dimensions were similar between those with CD4 count below and above 200 cells/mm3.

Relationship between Age; Radiographic Normal Heart Size and Cardio-Thoracic Ratio in a Nigerian Population

Background: Cardio-vascular disease (CVD) is now on the increase. The precise diagnosis of CVD is of immense clinical importance to the cardiac surgeons; pathologist and also for cardiologists. However; information on normal values for various cardio-vascular structures in Nigeria; a country with the highest population of blacks in the world is sparse. In this regard the age-related radiographic sizes of a Nigerian cohort of patients with non-cardiogenic complaints or consultations were therefore assessed.Objectives: To evaluate the limits of normal cardiac size in our environment ; determine if there was a relationship between the age and size of the heart and to evaluate the relationship between sex and cardiac size and cardio-thoracic ratio.Design: A cross-sectional study.Setting: The Radiology department of University of Ilorin Teaching Hospital; Ilorin; North Central Nigeria between January to June 2012.Subjects: One Hundred patients were consecutively recruited and their chest radiographs examined after fulfilling the inclusion criteria.Results: Males accounted for 55% of the study population. The age range was 1 month to 73 years; (Mean = 29.3; SD =2.41668). The mean cardiac size was 11.7cm. The average cardiac size for adult males and females; were 11.6cm and 11.5cm respectively while that of thoracic size was 29.0cm and 26.8cm respectively. Correlation between age and cardiac size was 0.66; age and thoracic size was 0.64 and between cardiac size and thoracic size was 0.89. The paired sample t-test for age and cardiac size was less than 0.05 (p value 0.05).Conclusion: knowing the average values of cardiac size for adult males and females (11.6cm and 11.5cm) and thoracic size (29.0cm and 26.8cm) respectively from this study presents a base line for early detection of variation from normal cardiac measurements in this environment

Changing trend in the incidence of myocardial infarction among medical admissions in Ilorin, north-central Nigeria.

AIMS AND OBJECTIVES: This study aimed at reviewing cases of myocardial infarction managed between January 2006 and June 2009. MATERIALS AND METHODS: Records of all patients managed for acute MI during the period were studied. Diagnosis was based on presence of ischemic type of chest discomfort, serial electrocardiographic (ECG) changes compatible with MI, a rise in troponin I level and echocardiographic abnormalities. RESULTS: Fourteen patients consisting of 13 (92.9%) males and 1 (7.1%) female had MI. They were all Nigerians, their ages ranged from 40 to 82 years with a mean of 55.6±12.7 years; and 85.7% of them belonged to social class 1. MI accounted for 0.21% of the total 6647 admissions during the period. Present hospital incidence (0.21%) is significantly higher (Chi2=6.8, p=0.01) than previously reported incidence of 0.075%. Twelve patients had systemic hypertension, 8 had high body mass index, 6 had dyslipidaemia, 5 smoked cigarette and 2 had diabetes mellitus. Three patients died giving a case fatality rate of 21.4% and another 3 developed chronic left ventricular systolic failure. CONCLUSION: Incidence of MI is increasing among hospital admissions in Ilorin and there is an urgent need for community interventions targeted at early detection and treatment of hypertension, diabetes mellitus, dyslipidaemia and obesity. Campaigns against cigarette smoking should be sustained.

Left ventricular hypertrophy is associated with diastolic filling alterations in normotensive offspring of hypertensive nigerians.

Contribution of left ventricular diastolic dysfunction to adverse events in patients with cardiovascular diseases is increasingly being recognized and individuals with pedigree for hypertension are thought to exhibit anatomic and or functional changes in their left ventricle before they become hypertensive. This study aimed at characterizing left ventricular diastolic function in normotensive offspring of hypertensive Nigerians. Sixty-five offspring of hypertensive parents aged 15-25 years (subjects) with 65-age and sex-matched offspring of normotensive parents (controls) were studied for early makers of hypertensive cardiovascular disease using Doppler echocardiogram. Mean mitral E velocity was reduced (P = 0.01) in the subjects (73.3 ± 12.6 cm/s) compared with the controls (80.2 ± 22.5 cm/s). Similarly, mean S velocity of pulmonary venous flow was lower (P = 0.01) in the subjects than in the controls. Left atrial dimension and mitral E/A ratio in the subjects with left ventricular hypertrophy were higher (P = 0.002, 0.004 respectively) than in the subjects without this abnormality. We concluded that normotensive offspring of hypertensive Nigerians showed early alterations in indexes of left ventricular diastolic filling and these abnormalities were exaggerated in the presence of left ventricular hypertrophy.

Status disclosure among People Living with HIV/AIDS in Ilorin, Nigeria.

BACKGROUND: HIV/AIDS is a disease that is characterised by discrimination and stigmatisation particularly in Africa. OBJECTIVE: To determine rate of disclosure of HIV status among People Living with HIV/AIDS (PLWHA) in Ilorin, Nigeria. METHODS: A semi-structured, interviewer administered questionnaire containing 40 items was used to collect information from persons living with HIV/AIDS accessing treatment at the University of Ilorin Teaching Hospital, Ilorin, Nigeria. Information on patients' socio-demography and life-style history, HIV medical history and HIV status disclosure was obtained from the patients. RESULTS: A total of 253 patients participated in the study. Their ages ranged between 26 and 58 years. Majority were females, 58.5% and 41.5% were males. The disclosure rate was 39.5%. As many as 60.5% of the respondents had not disclosed their HIV status to anybody. The disclosure was to the spouses, in 18.6% of the instances and to relatives or friends or co workers in another 20.6% of cases. There was a significant difference. The knowledge of their spouses on HIV/AIDS status correlated with disclosure rate, r=0.237, p=0.02. Female sex, intact family and monogamy correlated well with high disclosure rate. CONCLUSION: HIV status disclosure rate among PLWHA in Ilorin is low. Female sex and monogamous marital status are positive predictors of disclosure. There is need to ensure effective disclosure counselling for the unmarried; single/ separated, patients in polygamous marriages and males member of the society.