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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Dynamics and constraints of early infant diagnosis of HIV infection in rural Kenya
AIDS and Behavior, Volume 16, No. 1, Year 2012
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Description
A cohort design was used to determine uptake and drop out of 213 HIV-exposed infants eligible for Early Infant Diagnosis (EID) of HIV. To explore service providers and care givers knowledge, attitudes and perceptions of the EID process, observations and in-depth interviews were conducted. 145 (68%) infants enrolled after 2 months of age. 139 (65%) dropped out before follow up to 18 months old. 60 (43%) drop outs occurred within 2 months of enrolment. Maternal factors associated with infant drop out were maternal loss to follow up (48 [68%] vs. 8 [20%], P\0.001) and younger maternal age (27.2 vs. 30.1 years, P = 0.033). Service providers and caregivers had inadequate training, knowledge and understanding of EID. Poverty and lack of social support were challenges in accessing EID services. EID should be more closely aligned within PMTCT services, integrated with routine mother and child health (MCH) activities and its implementation more closely monitored. © 2011. The Author (s).
Authors & Co-Authors
Hassan, Amin Shaban
Kenya, Kilifi
Centre for Geographic Medicine Research
Sakwa, Erick M.
Kenya, Kilifi
Centre for Geographic Medicine Research
Nabwera, Helen M.
Kenya, Kilifi
Centre for Geographic Medicine Research
Taegtmeyer, Miriam M.
Kenya, Kilifi
Kilifi District Hospital
United Kingdom, Liverpool
Liverpool School of Tropical Medicine
Kimutai, Robert M.
Kenya, Kilifi
Centre for Geographic Medicine Research
Sanders, Eduard Joachim
Kenya, Kilifi
Centre for Geographic Medicine Research
United Kingdom, Oxford
University of Oxford
Awuondo, Ken O.
Kenya, Kilifi
Centre for Geographic Medicine Research
Mutinda, Maureen
Kenya, Kilifi
Kilifi District Hospital
Molyneux, Catherine S.
Kenya, Kilifi
Centre for Geographic Medicine Research
United Kingdom, Oxford
University of Oxford
Berkley, James A.
Kenya, Kilifi
Centre for Geographic Medicine Research
United Kingdom, Oxford
University of Oxford
Statistics
Citations: 126
Authors: 10
Affiliations: 4
Identifiers
Doi:
10.1007/s10461-010-9877-7
ISSN:
10907165
Research Areas
Infectious Diseases
Maternal And Child Health
Study Design
Cohort Study
Study Approach
Qualitative
Study Locations
Kenya