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|Title: ||Provider-initiated HIV testing for paediatric inpatients and their caretakers is feasible and acceptable|
|Authors: ||Wanyenze, Rhoda K.|
Kamya, Moses R.
|Keywords: ||Provider initiated HIV testing and counselling|
HIV Counseling and Testing (HCT)
|Issue Date: ||Jan-2010 |
|Citation: ||Wanyenze, R.K, Nawavvu, C., Ouma, J., Namale, A., Colebunders, R., Kamya, M.R. (2010). Provider-initiated HIV testing for paediatric inpatients and their caretakers is feasible and acceptable. Tropical Medicine and International Health, 15(1)|
|Abstract: ||objectives Early diagnosis of HIV-infected children remains a major challenge in Africa. Children
who are hospitalised represent an opportunity for HIV diagnosis and appropriate treatment. We
introduced HIV Counselling and Testing (HCT) for hospitalised children and their caretakers in Mulago
teaching hospital in Uganda to assess its feasibility.
methods We analysed routine program data for children and caretakers who were tested between
February 2005 and February 2008 to assess the proportion of children and caretakers who were HIVinfected.
We also assessed the level of immune suppression (CD4 percentage) in a subset of HIV infected
children tested between January 2007 and December 2007.
results Caretakers agreed to HIV testing for 8990 (92.8%) of the 9687 children who were offered
HIV testing. Among the caretakers, 89.8% agreed to be tested. At the time of hospitalization, 41.3% of
the caretakers had previously tested for HIV. Although 313 parents (mothers and fathers) reported that
they had previously tested HIV positive, only 113 (36.3%) of these had tested their children prior to
hospitalization. Overall HIV prevalence among caretakers was 16.7%. HIV prevalence among children
was 12.4%, highest on the nutrition ward (30.8%). Of those children who underwent CD4 counts,
56.4% had a CD4 percentage of <20%.
conclusion HCT for hospitalized children and their caretakers identified a significant number of HIV
infected children and caretakers. More than half of the children had advanced HIV disease. More
intensive efforts are needed to ensure earlier diagnosis and linkage to care for HIV infected children.|
|Appears in Collections:||Research Articles (Health-Sciences)|
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