Retention of pediatric patients in care: a study of the Kibera Community Health Center HIV/AIDS Program.


Journal

African health sciences
ISSN: 1729-0503
Titre abrégé: Afr Health Sci
Pays: Uganda
ID NLM: 101149451

Informations de publication

Date de publication:
May 2021
Historique:
entrez: 27 8 2021
pubmed: 28 8 2021
medline: 16 9 2021
Statut: ppublish

Résumé

In 2011, 3.4 million children were living with HIV worldwide1. Describe the characteristics of pediatric patients enrolled into the HIV program at the Kibera community health center between January 2012 and March 2013. Determine the proportion of enrolled paediatric patients lost to follow up. Determine the correlates associated with retention and loss to follow up. The study was a retrospective cohort study of program data of all pediatric patients enrolled into the HIV program in the facility between January 2012 and March 2013. The data was analyzed using SPSS. Of the 100 pediatric patients enrolled during the study period, 79 and 21 were HIV negative and positive respectively. Only 4 (5%) of the HIV exposed Infants and 11 (52%) of the HIV positive children were started on ART within the study period. The retention rate of the children at 3 months was 87% while the retention at both 12 and 15 months was 79%. There was an association between the mother or guardian disclosing their status and the retention of the child (p-value 0.026). The disclosure of the HIV status by parent/guardian to the child was associated with better retention of the children in the program.

Sections du résumé

BACKGROUND BACKGROUND
In 2011, 3.4 million children were living with HIV worldwide1.
OBJECTIVES OBJECTIVE
Describe the characteristics of pediatric patients enrolled into the HIV program at the Kibera community health center between January 2012 and March 2013. Determine the proportion of enrolled paediatric patients lost to follow up. Determine the correlates associated with retention and loss to follow up.
METHODS METHODS
The study was a retrospective cohort study of program data of all pediatric patients enrolled into the HIV program in the facility between January 2012 and March 2013. The data was analyzed using SPSS.
RESULTS RESULTS
Of the 100 pediatric patients enrolled during the study period, 79 and 21 were HIV negative and positive respectively. Only 4 (5%) of the HIV exposed Infants and 11 (52%) of the HIV positive children were started on ART within the study period. The retention rate of the children at 3 months was 87% while the retention at both 12 and 15 months was 79%. There was an association between the mother or guardian disclosing their status and the retention of the child (p-value 0.026).
CONCLUSION CONCLUSIONS
The disclosure of the HIV status by parent/guardian to the child was associated with better retention of the children in the program.

Identifiants

pubmed: 34447422
doi: 10.4314/ahs.v21i1.7S
pii: jAFHS.v21.iSupplement.pg39
pmc: PMC8367313
doi:

Substances chimiques

Anti-HIV Agents 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

39-43

Informations de copyright

© 2021 Muli-Kinagwi SK et al.

Références

J Acquir Immune Defic Syndr. 2011 Jul 1;57(3):e40-6
pubmed: 21407085

Auteurs

Sara K Muli-Kinagwi (SK)

Amref Health Africa in Kenya.

Meshack Ndirangu (M)

Amref Health Africa in Kenya.

Onesmus Gachuno (O)

College of Health Sciences, University of Nairobi.

Samuel Muhula (S)

Amref Health Africa in Kenya.

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Classifications MeSH