Provider-initiated HIV testing for paediatric inpatients and their caretakers is feasible and acceptable

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dc.contributor.authorWanyenze, Rhoda K.
dc.contributor.authorNawavvu, Cecilia
dc.contributor.authorOuma, Joseph
dc.contributor.authorNamale, Alice
dc.contributor.authorColebunders, Robert
dc.contributor.authorKamya, Moses R.
dc.date.accessioned2022-01-08T10:24:24Z
dc.date.available2022-01-08T10:24:24Z
dc.date.issued2019
dc.description.abstractEarly 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 HIV- infected. 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.en_US
dc.identifier.citationWanyenze, 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 & International Health, 15(1), 113-119. doi:10.1111/j.1365-3156.2009.02417.xen_US
dc.identifier.other10.1111/j.1365-3156.2009.02417.x
dc.identifier.urihttps://nru.uncst.go.ug/xmlui/handle/123456789/1167
dc.language.isoenen_US
dc.publisherTropical Medicine & International Healthen_US
dc.subjectProvider initiated HIV testing and counselling (PITC)en_US
dc.subjectHospitalen_US
dc.subjectChildrenen_US
dc.subjectHIV prevalenceen_US
dc.subjectAfricaen_US
dc.titleProvider-initiated HIV testing for paediatric inpatients and their caretakers is feasible and acceptableen_US
dc.typeArticleen_US
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