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Dynamics and Constraints of Early Infant Diagnosis of HIV Infection in Rural Kenya

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Hassan, Amin S., Sakwa, Erick M., Nabwera, Helen M., Taegtmeyer, Miriam ORCID: https://orcid.org/0000-0002-5377-2536, Kimutai, Robert M., Sanders, Eduard J., Awuondo, Ken K., Mutinda, Maureen N., Molyneux, Catherine S. and Berkley, James A. (2012) 'Dynamics and Constraints of Early Infant Diagnosis of HIV Infection in Rural Kenya'. AIDS and Behavior, Vol 16, Issue 1, pp. 5-12.

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Abstract

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.

Item Type: Article
Subjects: WA Public Health > WA 30 Socioeconomic factors in public health (General)
WA Public Health > Health Administration and Organization > WA 590 Health education, Health communication
WC Communicable Diseases > Virus Diseases > Acquired Immunodeficiency Syndrome. HIV Infections > WC 503 Acquired immunodeficiency syndrome. HIV infections
WS Pediatrics > By Age Groups > WS 430 Infancy
Faculty: Department: Groups (2002 - 2012) > International Health Group
Digital Object Identifer (DOI): https://doi.org/10.1007/s10461-010-9877-7
Depositing User: Lynn Roberts-Maloney
Date Deposited: 14 Jan 2015 11:16
Last Modified: 06 Feb 2018 13:08
URI: http://archive.lstmed.ac.uk/id/eprint/4732

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