HIV positive status disclosure and associated factor among HIV infected children in pediatric ART clinics in Gondar town public health facilities, North West Ethiopia, 2018

Abegaz, Beletech Fentie; Walle, Tarkie Abebe; Tilahun, Ambaye Dejen

doi:10.1016/j.jiph.2019.05.018

Cited by 18 publications

(48 citation statements)

References 21 publications

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“…In our study, children aged older than 10 years were 22 times more likely to be disclosed as knew their HIV positive status compared to their counterparts. is this finding supported by studies conducted in Addis Ababa in 2012, Gonder 2019, East Gojjam, Ghana, South Africa, and Uganda [ 14 , 16 , 18 , 27 , 30 ]. The possible justification might be thatthe caregivers believed that the child was mature enough to understand the illness.…”

Section: Discussionsupporting

confidence: 62%

“…However, this finding is higher than studies conducted in South Africa, Ghana, CotedIvoire, and Kenya showed that the disclosure rates were 34%, 21%, 32.6%, 56%, and 10.2%, respectively [ 26 – 29 ]. Similarly, this finding is higher than studies conducted in three cities in Gondar in 2012 and 2018, Bahir Dar and Debre Markos, which were 39.5%, 44, 31.5%, and 33.3%, respectively [ 12 – 14 , 18 ]. This difference might be due to the caregivers believed that disclosing the HIV-positive status to the child has an advantage and children have to disclose their status to have a long-term medical follow-up.…”

Section: Discussionmentioning

confidence: 56%

Section: Discussionmentioning

confidence: 82%

“…According to one systematic review,in low-and middle-income countries the overall rate of HIV-positive status disclosure to HIV-infected children was low, which ranges from 1.7% to 41% [11]. Fewer studies, conducted in different cities of Ethiopia, showed that children who knew their HIV positive status were low, which ranges from 16.3% to49% [12][13][14][15][16][17][18]. As children mature, however, lack of disclosure may lead to accidental disclosure.…”

Section: Introductionmentioning

confidence: 99%

“…There are many barriers to timely disclosure of HIV-positive status to children, such as fear the child reacts to the news of the diagnosis, the age of the child, lack of caregiver readiness to discuss how the child got infected, and fear of the child on keeping secret [18].…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

HIV-positive status disclosure and associated factors among children in public health facilities in Dire Dawa, Eastern Ethiopia: A cross-sectional study

et al. 2020

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Introduction HIV status disclosure in children is one of acontroversial issue in current health. Over 44,000 children in Ethiopia were living with HIV in the year 2019 with a variable level of disclosure, which ranges from 16.3% to 49%. Therefore, this study aimed to assess HIV-positive status disclosure and associated factors among HIV-infected children. Methods A cross-sectional study was conducted in ten public health facilities providing pediatric antiretroviral therapy services. Systematic random sampling was used to select 221 caregivers of children aged 6-15 years. Face-to-face interviews were employed to generate the data. Binary logistic regression was used to analyze the association between HIV-positive status disclosure to children and independent variables with statistical significance set at p-value <0.05. Results Out of the total, 134 (60.6%) of HIV-infected children knew about their HIV status. The mean age at disclosure was 10.71 years. Children aged older than 10 years [AOR = 22, 95% CI: 5.3-79.2], female children [AOR = 3; 95% CI = 1.2-8.7], children lost their family member by HIV [AOR = 3.5, 95% CI: 1.2-10], caregiver's perception of child did not get stigmatized [AOR = 4, 95% CI: 1.6-11], and children's responsible for anti-retroviral therapy [AOR = 16, 95% CI: 5-50] were significantly associated with HIV positive status disclosure compared to their counterpart respectively. Children who stayed on anti-retroviral for 10-15 years were [AOR = 7; 95% CI: 2-27] more likely to know their HIV positive status compared to those staying on anti-retroviral therapy for <6 years. Conclusion The proportion of disclosure of HIV-positive status among HIV-infected children was low. Factors associated were the age of the child, sex, existence of parent, stigma, ART duration,

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Section: Discussionsupporting

confidence: 62%