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. 2020 Jun 16:13:507-517.
doi: 10.2147/JMDH.S258851. eCollection 2020.

HIV Positive Status Disclosure and Its Associated Factors Among Children on Antiretroviral Therapy in West Shoa Zone, Western Ethiopia, 2019: A Mixed Method Cross-Sectional Study

Seifadin Ahmed Shallo  1 , Mesfin Tassew  2
Affiliations

HIV Positive Status Disclosure and Its Associated Factors Among Children on Antiretroviral Therapy in West Shoa Zone, Western Ethiopia, 2019: A Mixed Method Cross-Sectional Study

Seifadin Ahmed Shallo et al. J Multidiscip Healthc. .

Abstract

Background: Evidence from previous studies supports the idea that informing children about their HIV status has long-term positive implications in HIV disease management, children's quality of life, and ART drug adherence. However, in sub-Saharan African Countries, the HIV status disclosure among children ranges from 0% to 69.2%. So it is important to investigate the up to date evidence that will help in designing contextualized approaches for disclosure. Therefore, this study aimed to assess the HIV status disclosure and its associated factors among children on ART in West Shoa Zone, Ethiopia.

Materials and methods: Institutional-based observational study was conducted from February to April 2019. Quantitative data were collected from a randomly selected sample of 247 HIV positive children on ART for the last six months, and the qualitative data were collected from caregivers and health care professionals.

Results: The mean age of the children was 11.11±SD2.8, and 43.6%, (95% CI: 37, 50.9) of the children were fully disclosed. The average age at disclosure was 11±SD2.12. The main reasons for the disclosure were for drug adherence and better self-care while being underage was the commonest reason for non-disclosure. Compared to the age 10-15 years, the child in the age 6-9 was 97% [AOR: 0.027, 95% CI: 0.003, 0.22, P<0.001] less likely to be disclosed. Female children were 2.7 times more likely to be disclosed compared with male children [AOR: 2.73, 95% CI: 1.24, 6, P<0.013].

Conclusion: This finding reveals that HIV status disclosure is generally low, and the decision to disclose or not is affected by factors like child-related, caregivers, and health institution-related factors. This may affect the child's drug adherence, treatment outcome, and disease transmission. Updating health care providers' knowledge and skills and working on caregivers' attitude are needed to manage disclosure and challenges following it.

Keywords: West Shoa; children; disclosure.

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Conflict of interest statement

The authors declare that they have no competing interests in this section.

References

    1. UNAIDS. Global and Regional HIV Statistics; 2017.
    1. Wang H. Estimates of global, regional, and national incidence, prevalence, and mortality of HIV, 1980–2015: the Global Burden of Disease Study 2015. Lancet HIV. 2016;3:361–387. doi:10.1016/S2352-3018(16)30087-X - DOI - PMC - PubMed
    1. WHO. Ethiopia Country Profile; 2017:59
    1. Vreeman RC, Gramelspacher AM, Gisore PO, et al. Disclosure of HIV status to children in resource-limited settings: a systematic review. J Int AIDS Soc. 2013;16:18466. doi:10.7448/IAS.16.1.18466 - DOI - PMC - PubMed
    1. Regina EB, Stephen MK, Bonaventura CTM. Factors associated with HIV status disclosure and its effect on treatment adherence and quality of life among children 6–17 Years on antiretroviral therapy in southern highlands zone, Tanzania: unmatched Case-Control Study. Int J Pediatr. 2017;2018 ID 8058291:10. - PMC - PubMed