Factors affecting disclosure of serostatus to children attending Jinja Hospital Paediatric HIV clinic, Uganda.

نویسندگان

  • Sophie Namasopo-Oleja M
  • Danstan Bagenda
  • Elizabeth Ekirapa-Kiracho
چکیده

BACKGROUND Disclosure of HIV status is important for optimal adherence to antiretroviral therapy in children. Identifying factors that affect disclosure of sero-status to children will help improve the process of disclosure. The purpose of the study was to determine the rate of HIV disclosure by the parents/caretakers to their children and other factors affecting disclosure. METHODS A cross sectional study among 174 caretakers of children age 5-8 years, twenty children and all (ten) health workers at Jinja Hospital paediatric HIV clinic. Data was collected with standardized questionnaires on socio-demographic factors, disclosure status, health facility factors, fears and perceived benefits of disclosure. RESULTS We found disclosure rates in 56% of the children. Among those not disclosed to, non-disclosure was 19% and deception 25%. Factors associated with disclosure of sero-status to a child were age of child (X2 37.4 df 1 p< 0.001), child being on antiretroviral therapy (OR 2.0 CI 1.1-3.6 p=0.024) and child attending psychosocial support group (OR 7.4 CI 3.6-15.3 p < 0.001). There were no appropriate guidelines on disclosure and only half of health providers had training on disclosure of HIV serostatus to children. CONCLUSION The overall prevalence of disclosure was low. Psychosocial support groups promoted disclosure.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Predictors and Patterns of HIV Status Disclosure among HIV Positive Pregnant Women at Mbarara Regional Referral Hospital, South-Western Uganda

Background: Disclosure of HIV positive serostatus to sexual partners and other persons is useful for prevention and care. One of the contextual factors driving the HIV epidemic in Uganda is non-disclosure. Disclosure of HIV positive serostatus to sexual partners and, or close relatives and friends is a very vital public health strategy as it gives many benefits to the individual and the community.

متن کامل

HIV serostatus disclosure among people living with HIV/AIDS in Mwanza, Tanzania

BACKGROUND Disclosing HIV serostatus is important for HIV prevention and maintenance of health for people living with HIV their spouses and the community, it plays a role in the social relation which is critical in reducing HIV transmission. The process may have positive and negative effects to the HIV infected people who disclose their status. The present study was undertaken to describe HIV s...

متن کامل

Prevalence, barriers and factors associated with parental disclosure of their HIV positive status to children: a cross-sectional study in an urban clinic in Kampala, Uganda

BACKGROUND Disclosure of parental HIV status is associated with a number of positive outcomes such as improved adherence to clinic appointments, lower levels of parental anxiety and depression, and mutual emotional support between parents and their children. Very few studies in low-resource settings have addressed the issues of parental disclosure of their HIV status to their children. METHOD...

متن کامل

“Telling my husband I have HIV is too heavy to come out of my mouth”: pregnant women's disclosure experiences and support needs following antenatal HIV testing in eastern Uganda

INTRODUCTION Disclosure of HIV serostatus by women to their sexual partners is critical for the success of the prevention of mother-to-child transmission of HIV (PMTCT) programme as an integrated service in antenatal care. We explored pregnant HIV-positive and HIV-negative women's partner disclosure experiences and support needs in eastern Uganda. METHODS This was a qualitative study conducte...

متن کامل

Travelers’ Reported Preventive Health Behavior in Jinja, Uganda

Introduction: Increasing international travel to low-income areas is confronting travelers with new health threats. This study investigated international travelers’ health advice, behavior, and information needs in a low-income setting.Methods: This is a descriptive and cross-sectional study. Between October 27–31, 2014, 127 semi-structured surveys were c...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • African health sciences

دوره 15 2  شماره 

صفحات  -

تاریخ انتشار 2015