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Background: HIV infection significantly increases depression risk in the caregivers of HIV-infected children. Our study is aimed at determining the depression prevalence and severity in caregivers of children who are infected with HIV. Materials and Methods: This was a hospital-based, cross-sectional, and comparative study. Study participants who met the inclusion criteria were enrolled consecutively to achieve the calculated sample size. Their sociodemographic variables were obtained, and the Zung Self-rating Depression Scale was used to assess the prevalence and severity of depression in the caregivers. Results: There were 352 study participants which comprised 176 caregivers of children infected with HIV, who served as cases and 176 caregivers of HIV-negative children, who served as controls. One hundred and fifty-five (88.1%) of the cases were the biologic caregivers, whereas the biologic caregivers comprised of 133 (75.6%) for the controls. Furthermore, 43 (24.4%) and 133 (75.6%) of the cases were males and females, respectively, whereas 47 (26.7%) and 129 (73.3%) of the controls were, respectively, males and females. The prevalence of depression among the cases and controls was 43.2% and 6.8%, respectively (P < 0.001; odds ratio [OR]: 10.39). Among the cases with depression, 73 (47.1%) were the biological caregivers, whereas 3 (14.3%) were the nonbiological caregivers. This was statistically significant (P = 0.009; OR = 5.341). The severity of depression among the cases was mild depression (52.6%), moderate depression (30.3%), and severe depression (17.1%). Conclusions: There is a high prevalence of depression among the caregivers of children infected with HIV and the biologic caregivers of these children tend to have a higher depression burden than their nonbiologic counterparts.

Background: Skin disorders are often not regarded as major health problems although they may be an early sign of a serious disease. This attitude may affect the healthcare-seeking behavior of either the parents or guardians of school children that have skin diseases. Knowledge of the source of treatment and care for diseases of the skin will assist in the implementation of important skin health education programs and appropriate measures for the prevention of their diseases. Objective: To identify the source of accessing health care and the factors influencing healthcare-seeking behavior of parents/guardians of primary school children with diseases of the skin in Umuahia, South-East, of Nigeria. Subjects and Methods: This was a descriptive cross-sectional study carried out over a four-month period. To select the school children multistage sampling was used. A structured questionnaire administered by the interviewer was used to obtain relevant information. Diagnosis of skin disorder was by clinical examination and laboratory investigations. Analysis of the data was done using SPSS version 20. Results: Skin diseases were identified in 627 (40.2%) out of the 1560 primary school pupils aged 5–15 years. Of the 627 children with skin diseases 423 (67.4%) sought health care outside the hospital while only 204 (32.6%) sought medical care in the hospital. Long waiting time (31.0%) and cost of hospital care (26.6%) were observed to be the most frequent reasons for not seeking medical care from the hospital. Conclusion: About two-third of parents/guardians of school children with skin diseases access health care outside the hospital. Cost of care and waiting time should be reduced to enable access to hospital care.