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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Exploring socio-economic conditions and poor follow-up rates of HIV-exposed infants in Johannesburg, South Africa
AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV, Volume 17, No. 4, Year 2005
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Description
In 2002, more than 280,000 HIV-exposed babies were born in South Africa. According to international PMTCT guidelines, these children require follow-up to 12 months of age. Worldwide, the high loss to follow-up rates experienced by PMTCT programs precludes them from identifying and managing HIV-infected children. Socio-economic factors have been identified as potential contributors to poor follow-up. A small descriptive study to examine socio-economic circumstances of women attending the Coronation Women and Children's Hospital PMTCT program was undertaken. Cross-sectional data from 176 women, interviewed at their infants' 12-month visit, was collected using a semi-structured questionnaire. Socio-economic factors such as poverty, geographical relocation and a lack of paternal support may affect the capacity of families to comply with the PMTCT follow-up program. Fifty-seven percent of mothers were unemployed, 25% of fathers did not support their children and only 58% of children remained resident in Johannesburg at the 12-month visit. The lack of follow-up of HIV-infected children denies them access to adequate medical care. Understanding the socio-economic factors that affect the ability of communities to comply with PMTCT programs will assist resource-poor countries in devising strategies to achieve follow-up of HIV-exposed infants. © 2005 Taylor & Francis Group Ltd.
Authors & Co-Authors
Jones, Stephanie A.
South Africa, Johannesburg
University of the Witwatersrand
Sherman, Gayle Gillian
South Africa, Johannesburg
National Health Laboratory Service
Varga, Christine A.
United States, Chicago
Macarthur Foundation
Statistics
Citations: 119
Authors: 3
Affiliations: 3
Identifiers
Doi:
10.1080/09540120412331319723
ISSN:
09540121
Research Areas
Health System And Policy
Infectious Diseases
Maternal And Child Health
Study Design
Cross Sectional Study
Cohort Study
Study Locations
South Africa
Participants Gender
Female