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The scourge of HIV/AID has negative impact on human existence. Global trends in HIV prevalence are alarming despite the use of potent antiretroviral medications for many decades. The impact on individual in a society and communities at large is a public health concern and all hands should be on deck to curb this social menace. The big question is what more can we do to help get to Zero? The objective of this study was to reflect on the trends in HIV care in a tertiary health facility in South West Nigeria and compare with what is obtainable globally and elucidate what more can be done now, to safeguard the future of the next generation. Methods: In this study, secondary data was used. Monthly records of seropositive patient enrolled in ART care for 10 consecutive years were retrieved. Including routine clinic visits, and wards admissions. A review of monthly records of seropositive clients’ (adult, paediatric and antenatal clinics) enrolled in ART programs of Federal Medical Centre Owo Ondo Nigeria was conducted. Data analysis was done using SPSS version 22.0. Result: Total number of seropositive clients enrolled between the years 2006 to 2015 in the adult ART clinic is 3844 with a monthly average of 344.4 clients. Total number of male that attended ART clinic was 1782 (46.5%) while total number of female was 2058 (53.5%). Prevention of Mother to Child Transmission (PMTCT) the total of pregnant women tested from year 2008 to 2015 is 19,641 but only 3530 (17.97%) were seropositive. Highest enrollment occurred in year 2008 which was 857(22%), with lowest enrollment occurring in 2006 which was 251(6.5%). Therefore, showing decrease in enrolment over the years. A total of 225 clients were transferred out, 19.5% were lost to follow up. However, total pregnant women tested from year 2008 to 2015 is 19,641 out of which 3530 (18%) were seropositive. There is an appreciable decline in the incidence of HIV/AIDS among pregnant women from 2008 till 2015, from 884 (25%) to 173 (4.9%). The prevalence of seropositive pregnant women have reduced from 7.95% in 2008 to 0.9% in 2015. Conclusion: Early enrolment in ART programme will ensure access to drugs and help safeguard the future. Adequate counseling will help form good habits and thereby reduce the spread of HIV. The use of antiretroviral therapy is significant in reducing morbidity and mortality in HIV positive clients especially in developing countries.

Trends in Management of HIV/AIDS Clients in a Tertiary Health Facility in South West Nigeria