Background: Considering HIV pandemic among uniform service personnel (UPS), a lot of HIV intervention programmes designed to mitigate the spread have not been very successful thus the introduction of the HIV minimum prevention package intervention (MPPI). This paper therefore presents the achievements of HIV prevention programme among UPS in Kogi State, Nigeria including its implications for programming. Methods: This project was implemented among uniform service personnel who are in army, police, custom and prison in Kogi State. A total of 2676 was an estimated sample size for this intervention and MPPI was used for implementation of project activities. Data were entered on DHIS2 platform and later exported and analyzed using Microsoft Excel. Results: Out of the total number of 67 community dialogues/advocacies carried out during the project period, 56.7% were done in 2014 and a total of 187 participants participated with a participating rate of 62.0% and 38.0% in 2014 and 2015 respectively. The total number of condoms distributed during the entire project was 7,387 and 3038 peers were registered during the project. A total of 82.6% and 71.6% were reached with HIV counselling and testing and MPPI respectively while the prevalence of HIV was 5.3%. Conclusions: This intervention successfully scaled-up demand creation for condoms and HIV counselling and testing among uniform service personnel. More engagement at all levels to engender political commitment and ownership of the HIV response with a view of ensuring sustainability through increased funding should therefore be encouraged.

Background: Kogi State recognizes the necessity of meeting the needs of orphans and vulnerable children (OVC) with compassionate care as a result broad range vulnerabilities faced by these children and their families. This paper therefore presents achievements and implications of care and support programme among OVC in Kogi State, Nigeria Methods: Five civil society organizations were engaged by Kogi State Agency for the Control of AIDS under HIV/AIDS fund (HAF) II project to provide care and support services for OVC. A total of 3700 OVC were reached with this intervention and selection of participants was done using purposive sampling. Data collected using data collection and reporting tools were entered on DHIS2 platform and later exported into and analyzed using Microsoft Excel. Results: Out of the total of 3700 OVC enrolled in this project, 114 (3.1%) were lost to follow up, 138 (3.7%) voluntary withdrawn from the project and 295 (8.0%) died. The number of household heads provided with economic support was 760. Among these, 60.9% were supported in 2015. A total of 192 children were also provided with economy strengthening services, 3367 were provided with educational access. In 2015 alone, a total of 1920 representing 51.9% of the total population were provided with nutritional support, 808 children were provided with protection services while 116 were provided shelter. Conclusion: Programming for children orphaned and made vulnerable by HIV/AIDS will contribute to the achievement of an AIDS-free generation by responding to the social (including economic) and emotional consequences of the disease on children, their families, and communities that support them. Scale-up of this intervention is therefore recommended.

International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties.Aim of IJCRI is to encourage the publication of new information by providing a platform for reporting of unique, unusual and rare cases which enhance understanding of disease process, its diagnosis, management and clinico-pathologic correlations.IJCRI publishes Review Articles, Case Series, Case Reports, Case in Images, Clinical Images and Letters to Editor. Website: www.ijcasereportsandimages.comSyphilitic paroxysmal cold hemoglobinuria associated with peripheral gangrene: A diagnostic dilemma Segun P Adeoye, Seema Tayal, Apar Bains, Prabhjot Manes ABSTRACT Introduction: Paroxysmal cold hemoglobinuria is a rare clinical entity; syphilitic association is even rarer. The lack of awareness amongst healthcare providers, and its fleeting course often mean that many a time, paroxysmal cold hemoglobinuria is not diagnosed. Case Report: Herein, we present a case of syphilitic paroxysmal cold hemoglobinuria with peripheral gangrene that necessitated amputation. We describe the atypical presentation, emphasize or diagnostic dilemma and report our therapeutic considerations. Conclusion:The report raises two important points (i) the lack of awareness of the clinical entity amongst healthcare providers (ii) the sub-optimal work-up done for late-onset dementia. We conclude by making the case for including the screen for syphilis in their work-up of patients presenting with aortic valvular disease, chronic dementia (especially of the early-onset type) and hemolytic anemia of the cold antibody variety.

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