Knowledge, Attitude and Practice of HIV Counselling and testing (HCT) among Undergraduate Students of University of Abuja, Nigeria

Adewale Samuel ADELEYE, Ramsey Msheliza Yalma


Introduction: HIV infection remains an important public health problem globally and especially in Africa. Despite numerous campaigns for HIV counselling and testing (HCT) in Nigeria, only few young people utilize these services. The objective of this study is to assess the knowledge, attitude and practice of undergraduate students towards HIV counselling and testing at the University of Abuja.

Methods: We conducted a cross sectional study using a multi-stage sampling method to enrol undergraduate students from selected faculties into the study. A total of 363 university students completed a self-administered questionnaire. Main outcome measures include knowledge, attitude and practice of HCT. A Chi-square test was used to determine the association between variables at 5% significance level.

Result: Study findings revealed that 80.4% of the students had good knowledge of HIV counselling and testing, however only 43.5% respondents had good practice of HCT. Also 71.6% of respondents had a positive attitude towards HIV counselling and testing. Our study also revealed a statistically significant association between knowledge of HCT and the practice of HCT (p < 0.05).

Conclusion: The study showed good knowledge and attitude to HIV counselling and testing services, however the utilisation of these services among the respondents was poor. Therefore campus-based HCT services are recommended including a sensitization programme. Such services should improve the uptake of HCT services in this setting.


Knowledge, Attitude, Practice, HIV, Counselling, Testing, Students

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Cotran, Kumar, Collins. Robbins’s pathological basis of disease. 9th Edition. W.B. Sanders Company. 2014; 236 – 250.

Olisah VO, Baiyewu O, Sheikh TL. Adherence to highly active antiretroviral therapy in depressed patients with HIV/AIDS attending a Nigerian university teaching hospital clinic. African journal of psychiatry. 2010 sep; 13:275-279.

National Agency for the Control of AIDS, Nigeria. Global AIDS Response Country Progress Report. National Agency for the Control of AIDS; 2019.

Mukoro GD, Ogbuku U, Tabowei B. Pattern of Risk Behaviour for HIV Infections among Undergraduates in a University. The Internet Journal of Health. 2013; 14:1.

World Health Organization. Increasing access to HIV testing and counselling: Report of World Health Organization consultation; 2002.

Jeffrey E Korte, Michael Strauss, Aissatou Ba, Esther Buregyeya, Joseph KB Matovu, Rose Kisa, William Musoke, Harriet Chemusto, Caroline J Vrana-Diaz, Angela M Malek, Rhoda K Wanyenze & Gavin George (2019) HIV testing preferences among pregnant women attending antenatal care and their male partners: a discrete choice experiment in Uganda, African Journal of AIDS Research, 18:4, 332-340, DOI: 10.2989/16085906.2019.1686032

Londeka Mbewe & Eliza Govender (2020) Male partners’ influence on women’s acceptance and use of PrEP products across two high HIV-burdened districts in South Africa, African Journal of AIDS Research, 19:2, 93-100, DOI: 10.2989/16085906.2020.1727932

Philip J Kitchen, Kate Bärnighausen, Lenhle Dube, Zandi Mnisi, Sithembile Dlamini-Nqeketo, Cheryl C Johnson, Till Bärnighausen, Jan Walter De Neve & Shannon A McMahon (2020) Expansion of HIV testing in Eswatini: stakeholder perspectives on reaching the first 90, African Journal of AIDS Research, DOI: 10.2989/16085906.2020.1790399

Luyeye Sostenes Buhulula, Fatma Aziz Mohammed, Bernard Njau. Level of knowledge, acceptability, and willingness to use oral fluid HIV self-testing among medical students in Kilimanjaro region, Tanzania: a descriptive cross-sectional study. AIDS Research and Therapy volume 17, Article number: 56 (2020)

Caroline A Bulstra, Jan AC Hontelez, Osondu Ogbuoji & Till Bärnighausen (2019) Which delivery model innovations can support sustainable HIV treatment?, African Journal of AIDS Research, 18:4, 315-323, DOI: 10.2989/16085906.2019.1686033

Nigeria, National Universities Commission: htt://

The University of Abuja Nigeria:

Singha P. An Introductory Text on Biostatistics. 3rd Edition. Dabco Investments. 2002; 204-205

Abiodun O, Sotunsa J, Ani F, Jaiyesimi E. Knowledge of HIV/AIDS and predictors of uptake of HIV counseling and testing among undergraduate students of a privately owned university in Nigeria. BMC Research Notes. 2014; 7:639.

Ikechebelu J, Udigwe G, Ikechebelu N, Imoh L. The knowledge, attitude and practice of voluntary counselling and testing (VCT) for HIV/AIDS among undergraduates in a polytechnic in Southeast, Nigeria. Nigerian journal of medicine: journal of the National Association of Resident Doctors of Nigeria. 2007; 15: 245-9. 10.4314/njm. v15i3.37222.

Ngige E. Development of National HCT Logo and Campaign. International HIV Counseling and Testing Workshop. Presentation XX January 2008. Lusaka, Zambia. Accessed 14 April 2008.

Mukaire PJ, Kisitu DK, Ssekamatte-Ssebuliba JB. LQAS Monitoring Report: Assessment of HIV/AIDS Related Knowledge, Practices and Coverage in 19 Districts of Uganda. October-November 2003. Uganda AIDS Commission & Uganda HIV/AIDS Control Project, Kampala, Uganda.

Gage AJ, Ali D. Factors associated with self-reported HIV testing among men in Uganda. AIDS Care. 2005; 17: 153-165.

Addis Z, Yalew A, Shiferaw Y. Knowledge, attitude and practice towards voluntary counseling and testing among university students in North West Ethiopia: a cross sectional study. BMC Public Health. 2013; 13:714. Published 2013 Aug 2. doi:10.1186/1471-2458-13-714

Matovu JK, Makumba F. Expanding access to voluntary HIV counseling and testing in sub-Saharan Africa: alternative approaches for improving uptake. Tropical Medicine and International Health. 2007; 12: 1315-1322.

Akodu, Olufemi. Awareness and Knowledge of HIV Counselling and Testing among Undergraduate University Students in Lagos, Nigeria. International Journal of TROPICAL DISEASE & Health. 2014; 4: 896-904. 10.9734/IJTDH/2014/10903.

Okafor NA, Anyasor CO, Akabuogu JC. “Knowledge, attitude and practices of undergraduate students towards HIV counselling and testing in a private university at Ogun State, Nigeria.” IOSR Journal of Nursing and Health Science (IOSR-JNHS). 2017; 6: 72–75.

Nsabagasani X, Yoder PS. Social Dynamics of VCT and Disclosure in Uganda. DHS Qualitative Research Studies. 2006; 13. Kampala, Uganda: UPHOLD Project and Calverton, Maryland, USA: Macro International Inc.

Chen HT, Liang S, Liao Q. HIV Voluntary Counselling and Testing among injection drug users in China: A study of a non-governmental organization based program. AIDS Behav. 2007; 11:778-88

Mwangi R, Ngure P, Thiga M, Ngure J. Factors Influencing the Utilization of Voluntary Counselling and Testing Services among University Students in Kenya. Global Journal of Health Science. 2014; 6:84-93. doi:10.5539/gjhs. v6n4p84.

Sigma Research (2008) Multiple Chances: Findings from the United Kingdom gay men’s sex survey 2006,

Meiberg AE, Bos AER, Onya HE, Schaamal HP. Stigmatization as barrier to voluntary HIV counselling and testing. East African Journal of Public Health. 2008; 5:49–66.

HEAIDS. (2010) HIV prevalence and related factors – higher education sector study, South Africa, 2008–2009. Pretoria: Higher Education South Africa.

Titilope Badru et al. HIV comprehensive knowledge andprevalence among young adolescents inNigeria: evidence from Akwa Ibom AIDS indicator survey, 2017. BMC Public Health (2020) 20:45

Mwangi R, Ngure P, Thiga M, Ngure J. Factors Influencing the Utilization of Voluntary Counselling and Testing Services among University Students in Kenya. Global Journal of Health Science. 2014; 6:84-93. doi:10.5539/gjhs.v6n4p84.

Onyeonoro, Ugochukwu&Onwukwe, Nkiru&Uwakeme, Chidinma&Ndukwe, Emmanuel &Emelumadu, Obiageli&Chuku, et al. Knowledge and utilization of HIV counseling and testing services among students of a tertiary institution in Abia State, South East Nigeria. Journal of HIV and Human Reproduction. 2014; 2: 10.4103/2321-9157.135743.

Madehwe V, Madehwe C, Pazvakavambwa L, Muringanidza KC. Taking the test: voluntary counselling and testing (VCT) among midlands state university students. Education Research Journal. 2012; 2: 7-13

Uganda Ministry of Health & ORC Macro (2006) Uganda HIV/AIDS Sero-Behavioural Survey 2004-2005. Ministry of Health and ORC Macro, Calverton, Maryland, USA.


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