Prevention and care of paediatric HIV infection in Ouagadougou, Burkina Faso: knowledge, attitudes and practices of the caregivers

Abstract

BackgroundThe paediatric Human Immunodeficiency Virus (HIV) epidemic still progresses because of operational challenges in implementing prevention of mother-to-child HIV transmission (PMCT) programs. We assessed the knowledge, attitudes and practices (KAP) of children’s caregivers regarding mother-to-child transmission (MTCT) of HIV, paediatric HIV infection, early infant diagnosis (EID), and paediatric antiretroviral treatment in Ouagadougou, Burkina Faso.MethodsWe undertook a qualitative survey in the four public hospitals managing HIV exposed or infected children, in Ouagadougou in 2011. A sociologist used a semi-structured questionnaire to interview caregivers of children less than 5 years old attending the paediatrics wards on their KAP. Study participants were divided into four groups as follows:those who did not yet know their children’s HIV infection status, those who were waiting for their children’s HIV test results, those who were waiting for antiretroviral treatment, and those who were already on antiretroviral treatment.ResultsA total of 37 caregivers were interviewed. The mean age was 32.5 years, and 29 (78 %) were mothers. Twenty seven (73 %) caregivers had primary or higher level of education, and 15 (40 %) described their occupation as “housewife”. Overall, 36 (97 %) of caregivers knew that the main route of HIV transmission for infants was through MTCT and 14 (38 %) specified that it occurred during pregnancy or delivery. Five percent thought that MTCT of HIV occurred during conception. PMTCT interventions could help prevent infant HIV infection according to 32 (87 %) caregivers. Thirty five percent of caregivers stated EID as a prevention strategy. Fifty-four percent of the participants believed that replacement feeding option would prevent MTCT of HIV; 24 (65 %) stated that they would prefer medical practitioners seek caregivers’ consent before carrying out any HIV-test for their child, and that caregivers’ consent was not compulsory before antiretroviral treatment. All caregivers thought that it was necessary to treat HIV-infected children, although they did not know what interventions could be done.ConclusionsThis study highlighted the low level of caregivers’ knowledge on paediatric HIV prevention and care in Ouagadougou. Awareness programs targeting caregivers need to be strengthened in order to improve the uptake of HIV early infant diagnosis and care.Electronic supplementary materialThe online version of this article (doi:10.1186/s12887-016-0569-y) contains supplementary material, which is available to authorized users.

Male Partners Involvement in Prevention of Mother-to-Child Transmission of HIV Services in Southern Central Ethiopia: In Case of Lemo District, Hadiya Zone

“…In Ethiopia, lack of male partner involvement in PMTCT undermined the potential benefits of antenatal HIV preventive efforts [16], thus representing a missed opportunity to effectively prevent vertical HIV transmission [17]. However, the factors associated with poor male participation are not well known in Ethiopia and need to be investigated to help the country develop reasonable strategies to address these bottlenecks.…”

“…Among these only 25% were tested and the HIV prevalence was 6.5%. This can also increase the likelihood of HIV infection among the newborns [17, 20]. …”

Folder educativo para cuidadores de crianças com hiv/aids

“…The results showed a low level of knowledge of caregivers about pediatric prevention and care emphasizing the need for training of caregivers and thus improving the acceptance of early diagnosis and HIV care. 5 It was revealed in another result found in this review that the family and the specialized service constitute the main social networks of the caregiver evidencing the need to strengthen this fragile network with a familycentered approach to qualifying and effecting care for the child. 14 It was also highlighted the need to provide caregivers with the skills to recognize the timing of disclosure of the child's diagnosis as well as emotional and psychological support to manage it adequately.…”

“…Email: ednacam3@gmail.com ORCID iD: http://orcid.org/0000-0001-9658-0377; 4 PhD, State University of Ceará, Fortaleza (CE), Brazil. Email: anavaleska@uece.br ORCID iD: http://orcid.org/0000-0003-3664-5073; 5 PhD, Christus University Center. Fortaleza, Brazil.…”

Exercise-Based and Associated Factors Breastfeeding on HIV-Infected Mothers for Children Age 1-24 Months in Central Zone, Tigray, North Ethiopia, 2019.

“…Study in Botswana 20% (13), southwestern Nigeria 61% (14), Burkina Faso52.5% (15), Kenya40.6% (16), Southern Ethiopia 82.8% (17), in Bahir Dar75.2% (18), Gondar 89.5%(19) and west oromia72% (20) and central zone, Tigray about 90% (21) shows that mothers who are HIV positive breastfed were practiced exclusively breastfeeding for the first 6 months respectively.…”