Factors underlying taking a child to HIV care
Implications for reducing loss to follow-up among HIV-infected and -exposed children
Datos Bibliográficos
| ID | 2177643 |
|---|---|
| Autores | Juddy Wachira (0000-0002-3654-5788, Indiana University Bloomington, autor de correspondencia), Susan E Middlestadt (0000-0002-9391-1625), Rachel Vreeman (0000-0001-5460-8204), Paula Braitstein (0000-0003-0541-2955) |
| Año | 2012 |
| Volumen | 9 |
| Número | 1 |
| Páginas | 20-29 |
| Fecha de publicación | 2012-03-01 |
| Peer Reviewed | Sí |
| Open Access | Sí |
| Tipo | ARTICLE |
| Revista | SAHARA-J Journal of Social Aspects of HIV/AIDS (JOURNAL) |
| Identificadores de la revista | ISSN: 1729-0376 • E-ISSN: 1813-4424 |
| Editorial | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/17290376.2012.665255 |
| PMID | 23237018 |
| OpenAlex | W2171165497 |
| Idioma | EN |
| Citas recibidas | 14 |
| Referencias citadas | 25 |
OBJECTIVE: With the aim of reducing pediatric loss to follow-up (LTFU) from HIV clinical care programs in sub-Saharan Africa, we sought to understand the personal and socio-cultural factors associated with the behavior of caregivers taking HIV-infected and -exposed children for care in western Kenya. METHODS: Between May and August, 2010, in-depth interviews were conducted with 26 purposively sampled caregivers caring for HIV-infected (7), HIV-exposed (17) and HIV-unknown status (2) children, documented as LTFU from an urban and rural HIV care clinic. All were women with a majority (77%) being biological parents. Interviews were audio-recorded, transcribed and content analyzed. RESULTS: Thematic content analysis of the women's perceptions revealed that their decision about routinely taking their children to HIV care involved multiple levels of factors including: (1) intrapersonal: transport costs, food availability, time constraints due to work commitment, disclosure of HIV status for both mother and child, perception that child is healthy and religious beliefs; (2) interpersonal: unsupportive male partner, stigma by the family and family conflicts; (3) community: cultural norms, changing community dynamics and perceived stigma; (4) health care system: clinic location, lack of patient-centered care, delays at the clinic and different appointment schedules (mother and child). Furthermore, the factors across these different levels interacted with each other in a complex way, illustrating the challenges women face in taking their children to HIV care. CONCLUSION: The complexity and interconnectedness of the factors underlying retention of children in HIV care perceived by these women caregivers suggests that interventions to reduce pediatric LTFU need to be holistic and address multiple socio-ecological levels. Patient-centered care that integrates a family-centered approach to HIV pediatric care is recommended
Family medicine · Interpersonal communication · Intrapersonal communication · Psychiatry · Psychological intervention · Qualitative research · Thematic analysis · Adolescent Sexual and Reproductive Health · HIV/AIDS Research and Interventions · Medicine · Nursing · Poverty, Education, and Child Welfare · Psychology · Social Psychology
Identifying common barriers and facilitators to linkage and retention in chronic disease care in western Kenya
Manuscript title
Rates and Determinants of Retention on ART Among Orphans and Vulnerable Children Living With HIV in Tanzania
Domestic stigmatisation
Barriers to antiretroviral therapy initiation for HIV-positive children aged 2–18 months in Swaziland
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An Ecological Perspective on Health Promotion Programs
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Longitudinal Antiretroviral Adherence in HIV+ Ugandan Parents and Their Children Initiating Haart in the MTCT-Plus Family Treatment Model
Disclosure of HIV Status and Adherence to Daily Drug Regimens Among HIV-infected Children in Uganda
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Assessment of knowledge, attitudes and practices of infant feeding in the context of HIV
| Obras citantes distintas | 14 |
|---|---|
| Citas por año | 1,17 |
| Intervalo de citas | 2014 - 2023 (10) |
| Velocidad de citación | historical |
| Altamente citado | No |
| Tipos de cita | Neutras: 14 |