This examination was carried out to enumerate the prevalence of HIV among pregnant women attending the State Specialist Hospital, Akure, Nigeria. Blood samples were collected from 520 pregnant women and screened for antibodies to HIV using Determine HIV-1/2 kit and Determine HIV-1/2 kit. The overall prevalence of HIV was found to be 2.88% (n=15). Higher prevalence of 3.81% was found among age-groups 25-34 years compared to 1.43% recorded for 15-24 years and 1.48% for >35 years. Participant who had tertiary education had the highest prevalence of HIV 7 (2.58%), primary education 5 (6.49%), followed by secondary education 3 (2.56%) while those who had no formal education had zero prevalence 0 (0.00%). Higher prevalence was found among artessian 6 (2.86%), traders 6 (4.26%), others 1 (1.89%), civil servant 2 (1.72%) and farmer 0(0.00%). Also prevalence was found to be higher in Muslims (2.90%) compared to Christians, free thinkers and traditional worshippers. HIV seropositivity significantly associated with behavioral variables such as those who had sex for commercial purpose before (2.88%), no HIV screening (3.64%), no awareness of non-sexual route of HIV transmission (3.73%), no condom use (3.43%), no awareness of general information about HIV (0.00%) and no transmission through sex with an infected person (0.00%). (Also, 520 (100.0%) of the participants recognized monitoring the reality of the infection. All (100.0%) agreed that to have sex with an infected partner could transmit the virus. However, 78.85% acknowledged being tested for HIV before). (74.23%) of the participants were aware of other routes of transmission of the virus aside sex; they admitted sharing sharp unsterilized objects such as razor blades could be a risk factor and (38.46%) of participants admitted of using condom. This study has further confirmed the low prevalence of HIV among pregnant women in Akure, Nigeria.

Keywords: Mother-to-child transmission, Prevalence, HIV, Pregnant women