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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Implementation of a comprehensive program including psycho-social and treatment literacy activities to improve adherence to HIV care and treatment for a pediatric population in Kenya
BMC Pediatrics, Volume 8, Article 52, Year 2008
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Description
Background: To achieve good clinical outcomes with HAART, patient adherence to treatment and care is a key factor. Since the literature on how to care for pediatric HIV patients is limited, we describe here adherence interventions implemented in our comprehensive care program in a resource-limited setting in Kenya. Methods: We based our program on factors reported to influence adherence to HIV care and treatment. We describe, in detail, our program with respect to how we adapted our clinical settings, implemented psycho-social support activities for children and their caregivers and developed treatment literacy for children and teenagers living with HIV/ AIDS. Results: This paper focused on the details of the program, with the treatment outcomes as secondary. However, our program appeared to have been effective; for 648 children under 15 years of age who were started on HAART, the Kaplan-Meier mortality survival estimate was 95.27% (95%CI 93.16-96.74) at 12 months after the time of initiation of HAART. Conclusion: Our model of pediatric HIV/AIDS care, focused on a child-centered approach with inclusion of caregivers and extended family, addressed the main factors influencing treatment adherence. It appeared to produce good results and is replicable in resource-limited settings. © 2008 Van Winghem et al; licensee BioMed Central Ltd.
Available Materials
https://efashare.b-cdn.net/share/pmc/articles/PMC2613143/bin/1471-2431-8-52-S1.pdf
https://efashare.b-cdn.net/share/pmc/articles/PMC2613143/bin/1471-2431-8-52-S2.zip
Authors & Co-Authors
Van Winghem, Joelle
Switzerland, Geneva
Medecins Sans Frontieres
Telfer, Barbara L.
Switzerland, Geneva
Medecins Sans Frontieres
Reid, Tony
Belgium, Brussels
Medecins Sans Frontieres, Brussels
Ouko, Judith
Switzerland, Geneva
Medecins Sans Frontieres
Mutunga, Angela
Switzerland, Geneva
Medecins Sans Frontieres
Jama, Zaina
Switzerland, Geneva
Medecins Sans Frontieres
Vakil, Shobha
Kenya, Nairobi
Ministry of Health Nairobi
Statistics
Citations: 31
Authors: 7
Affiliations: 3
Identifiers
Doi:
10.1186/1471-2431-8-52
e-ISSN:
14712431
Research Areas
Health System And Policy
Infectious Diseases
Maternal And Child Health
Study Design
Cross Sectional Study
Study Locations
Kenya