HIV testing coverage of family members of adult antiretroviral therapy patients in Malawi

Many children in sub-Saharan Africa die from AIDS, not having accessed HIV testing and care. Children of adult antiretroviral therapy (ART) patients are a target group for HIV testing in order to increase access to care, but the HIV test coverage of this group in Malawi is unknown. In a cross-sectional survey of 832 patients at a large urban ART clinic in Blantyre, we found that 81.2% of 1223 children and 37.7% of 488 spouses of adult ART patients were reportedly not HIV tested. Wives of male patients were significantly less frequently HIV tested than husbands of female patients (53.0% vs. 72.4%, p<0.0001). Children under the age of 8 years (adjusted odds ratios [aOR] 2.76), children of female patients (aOR 2.53) and of patients whose partner had been HIV tested (aOR 2.87) were significantly more likely to have been tested for HIV. More attention needs to be given to provider initiated testing of children and spouses of ART patients

Antiretroviral therapy · Cross-sectional study · Family medicine · Logistic regression · Odds · Odds ratio · Viral load · HIV Research and Treatment · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Internal Medicine · Pediatrics

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  Ute Feucht, Ute D Feucht et al.•AIDS Care•2016

  Incluir item

• Squaring the Circle

  Open Access•Peter Piot, Robert Greener et al.•PLoS Medicine•2007

  Incluir item

• Perception of voluntary screening for paediatric HIV and response to post-test counselling by Nigerian parents

  George O Akpede, R S Lawal et al.•AIDS Care•2002

  Incluir item

• Couple counselling and testing for HIV at antenatal clinics

  Rose Mlay, Helen Lugina et al.•AIDS Care•2008

  Incluir item

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  Open Access•Jude T Rwemisisi, J Rwemisisi et al.•Health Policy and Planning•2007

  Incluir item

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  A Castro, Paul Farmer•American Journal of Public Health•2005

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  Landon Myers, Miriam Rabkin et al.•Reproductive Health Matters•2005

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  Open Access•Jayati Ghosh, Ezekiel Kalipeni•SAHARA-J Journal of Social…•2005

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