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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Burden of HIV infection among children aged 18 months to 14 years in Kenya: Results from a nationally representative population-based cross-sectional survey
Journal of Acquired Immune Deficiency Syndromes, Volume 66, No. SUPPL. 1, Year 2014
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Description
Background: In Kenya, mathematical models estimate that there are approximately 220,000 children aged less than 15 years infected with HIV. We analyzed data from the second Kenya AIDS Indicator Survey (KAIS 2012) to estimate the prevalence of HIV infection among children aged 18 months to 14 years. Methods: KAIS 2012 was a nationally representative 2-stage cluster sample household survey. We studied children aged 18 months to 14 years whose parents or guardians answered questions pertaining to their children by interview. Blood specimens were collected for HIV serology and viral load measurement. Results: We identified 5162 children who were eligible for the study. Blood was obtained for 3681 (71.3%) children. Among child participants, 16.4% had been tested for HIV infection in the past, and among children with parents or guardians who self-reported HIV-positive status, 52.9% had been tested for HIV infection. Twenty-eight (0.9%) children tested HIV-positive in the survey. Of these, 11 had been previously diagnosed with HIV infection before the survey. All 11 children were in HIV care and receiving cotrimoxazole; 8 were on antiretorivral therapy (ART). Among those on ART, 4 were virologically suppressed. Conclusions: HIV causes a substantial burden of disease in the Kenyan pediatric population. Although most children who had been diagnosed with HIV before the survey were engaged in care and treatment, they represented less than half of HIV-infected children identified in the survey. Future efforts should focus on identifying infected children and getting them into care and on suppressive ART as early as possible. Copyright © 2014 by Lippincott Williams & Wilkins.
Authors & Co-Authors
Ng’eno, Bernadette N.
United States, Atlanta
Centers for Disease Control and Prevention
Mwangi, Ann W.
Kenya, Nairobi
Ministry of Health Nairobi
Ng'Ang'A, Lucy W.
United States, Atlanta
Centers for Disease Control and Prevention
Kim, Andrea A.
United States, Atlanta
Centers for Disease Control and Prevention
Waruru, Anthony K.
United States, Atlanta
Centers for Disease Control and Prevention
Mukui, Irene Njahira
Kenya, Nairobi
Ministry of Health Nairobi
Ngugi, Evelyn W.
United States, Atlanta
Centers for Disease Control and Prevention
Rutherford, George Williams
United States, San Francisco
University of California, San Francisco
Statistics
Citations: 26
Authors: 8
Affiliations: 3
Identifiers
Doi:
10.1097/QAI.0000000000000118
ISSN:
15254135
Research Areas
Infectious Diseases
Maternal And Child Health
Study Design
Cross Sectional Study
Study Approach
Quantitative
Study Locations
Kenya