Kangaroo Mother Care should begin as soon as possible after birth, be applied as continuous skin-to-skin contact to the extent that this is possible and appropriate and continue for as long as appropriate.

Although skin-to-skin contact (or kangaroo mother care, KMC) for preterm infants is a practical alternative to incubator care, no studies have compared these methods using continuous ambulatory temperature monitoring. To compare thermal regulation in low birthweight infants (< 2000 g) managed by KMC alternating with conventional care (CC) and to determine the acceptability to mothers of KMC, an experimental study with a crossover design with observational and qualitative data collected on temperature patterns and mothers attitudes to skin-to-skin care was conducted in the neonatal wards of three hospitals in Lagos, Nigeria. Thirteen eligible infants were nursed by their mothers or surrogates in 38 4-hour sessions of KMC and the results compared with 38 sessions of incubator care. The risk of hypothermia was reduced by > 90% when nursed by KMC rather than conventional care, relative risk (RR) 0.09 (0.03-0.25). More cases of hyperthermia (> 37.5 degrees C) occurred with KMC, and coreperiphery temperature differences were widened, but the risk of hyperthermia > 37.9 degrees C (RR 1.3, 0.9-1.7) was not significant. Micro-ambient temperatures were higher during KMC, although the average room temperatures during both procedures did not differ significantly. Mothers felt that KMC was safe, and preferred the method to CC because it did not separate them from their infants, although some had problems adjusting to this method of care. Where equipment for thermal regulation is lacking or unreliable, KMC is a preferable method for managing stable low birthweight infants.

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Background: Human immunodeficiency virus (HIV) and the associated acquired immune deficiency syndrome (AIDS) have remained a serious scourge and a major public health concern, affecting millions in sub-Saharan Africa despite awareness campaigns, preventive measures and promotion of antiretroviral regimens. This study determined the prevalence of HIV among newly admitted students of Ebonyi State University as a measure of the impact of awareness campaign towards prevention of HIV transmission. Methods: Newly admitted students of Ebonyi State University totalling 2,736 who voluntarily enrolled for the study were screened for HIV infection using the national HIV testing algorithm after information relating to their personal lifestyle, knowledge of safer sex and preventive measures have been obtained with the use of a client intake form. Results: Of the 2,736 subjects screened, 6 were positive for HIV, giving a prevalence rate of 0.22%, with prevalence rate of 0.29% (4 of 1344) in females and 0.14% (2 of 1392) in males (X 2 =0.2041, p=0.6514). The positive subjects were spread across age groups 15-19 years (1), 20-24 years (4) and 25-29 years (1). Males and females who have had sex were 801 and 579 out of which 239 and 209 respectively acknowledged to have had unprotected sex within three months of the study. Conclusion: The low HIV prevalence rate of 0.22% among school age and young adults in this study may indicate that awareness and safe sex campaigns in Ebonyi State have positive impact in HIV prevention amongst these groups of people.