Özet:

Anambra and Imo states in South-east Nigeria have high burdens of HIV and AIDS. The 2014 National HIV Sero-prevalence sentinel survey reported 9.7% for Anambra and 7.5% prevalence for Imo compared to a national average of 3.1%. Both states also have high burdens of Orphans and Vulnerable Children (OVC). This study assessed how HIV/AIDS Knowledge among OVC has shaped their attitude and perceptions towards the pandemic and affected their decisions on their first sexual experience. A multi-stage sampling technique was used to select survey respondents. A cross-sectional mixed research method using structured questionnaires and focus group guidelines was used to collect data from 1362 adolescents. Data were analyzed using the SPSS. Orphans and vulnerable children were at an increased risk of early sexual debut and greater chances of HIV infection despite high levels of HIV/AIDS awareness and knowledge. Qualitative data showed that many vulnerable adolescents had sexual intercourse as early as age 10. Their sex partners were neighbors and friends aged 19 years and below. Although adolescent OVC have high knowledge about HIV and AIDS, this knowledge has not led to delay in timing of first sexual experience. We recommend that OVC programs should include comprehensive reproductive health education and reward-based cash transfers to enable adolescents take care of some immediate vital needs and reduce the chances of sexual networking for survival. Keywords:Knowledge, HIV, Sexual Experience, Orphans, Nigeria.

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