Implementation of a comprehensive program including psycho-social and treatment literacy activities to improve adherence to HIV care and treatment for a pediatric population in Kenya.

Hdl Handle:
http://hdl.handle.net/10144/48834
Title:
Implementation of a comprehensive program including psycho-social and treatment literacy activities to improve adherence to HIV care and treatment for a pediatric population in Kenya.
Authors:
Van Winghem, J; Telfer, B; Reid, T; Ouko, J; Mutunga, A; Jama, Z; Vakil, S
Journal:
BMC Pediatrics
Abstract:
BACKGROUND: To achieve good clinical outcomes with HAART, patient adherence to treatment and care is a key factor. Since the literature on how to care for pediatric HIV patients is limited, we describe here adherence interventions implemented in our comprehensive care program in a resource-limited setting in Kenya. METHODS: We based our program on factors reported to influence adherence to HIV care and treatment. We describe, in detail, our program with respect to how we adapted our clinical settings, implemented psycho-social support activities for children and their caregivers and developed treatment literacy for children and teenagers living with HIV/AIDS. RESULTS: This paper focused on the details of the program, with the treatment outcomes as secondary. However, our program appeared to have been effective; for 648 children under 15 years of age who were started on HAART, the Kaplan-Meier mortality survival estimate was 95.27% (95%CI 93.16-96.74) at 12 months after the time of initiation of HAART. CONCLUSION: Our model of pediatric HIV/AIDS care, focused on a child-centered approach with inclusion of caregivers and extended family, addressed the main factors influencing treatment adherence. It appeared to produce good results and is replicable in resource-limited settings.
Affiliation:
Operational Cell Belgium, Médecins Sans Frontières, Nairobi, Kenya. vwjoelle@gmail.com
Issue Date:
Dec-2008
URI:
http://hdl.handle.net/10144/48834
DOI:
10.1186/1471-2431-8-52
PubMed ID:
19025581
Language:
en
ISSN:
1471-2431
Appears in Collections:
HIV/AIDS

Full metadata record

DC FieldValue Language
dc.contributor.authorVan Winghem, J-
dc.contributor.authorTelfer, B-
dc.contributor.authorReid, T-
dc.contributor.authorOuko, J-
dc.contributor.authorMutunga, A-
dc.contributor.authorJama, Z-
dc.contributor.authorVakil, S-
dc.date.accessioned2009-02-10T16:02:52Z-
dc.date.available2009-02-10T16:02:52Z-
dc.date.issued2008-12-
dc.identifier.citationImplementation of a comprehensive program including psycho-social and treatment literacy activities to improve adherence to HIV care and treatment for a pediatric population in Kenya. 2008, 8:52notBMC Pediatren
dc.identifier.issn1471-2431-
dc.identifier.pmid19025581-
dc.identifier.doi10.1186/1471-2431-8-52-
dc.identifier.urihttp://hdl.handle.net/10144/48834-
dc.description.abstractBACKGROUND: To achieve good clinical outcomes with HAART, patient adherence to treatment and care is a key factor. Since the literature on how to care for pediatric HIV patients is limited, we describe here adherence interventions implemented in our comprehensive care program in a resource-limited setting in Kenya. METHODS: We based our program on factors reported to influence adherence to HIV care and treatment. We describe, in detail, our program with respect to how we adapted our clinical settings, implemented psycho-social support activities for children and their caregivers and developed treatment literacy for children and teenagers living with HIV/AIDS. RESULTS: This paper focused on the details of the program, with the treatment outcomes as secondary. However, our program appeared to have been effective; for 648 children under 15 years of age who were started on HAART, the Kaplan-Meier mortality survival estimate was 95.27% (95%CI 93.16-96.74) at 12 months after the time of initiation of HAART. CONCLUSION: Our model of pediatric HIV/AIDS care, focused on a child-centered approach with inclusion of caregivers and extended family, addressed the main factors influencing treatment adherence. It appeared to produce good results and is replicable in resource-limited settings.en
dc.language.isoenen
dc.rightsArchived with thanks to BMC Pediatrics and Open Accessen
dc.titleImplementation of a comprehensive program including psycho-social and treatment literacy activities to improve adherence to HIV care and treatment for a pediatric population in Kenya.en
dc.contributor.departmentOperational Cell Belgium, Médecins Sans Frontières, Nairobi, Kenya. vwjoelle@gmail.comen
dc.identifier.journalBMC Pediatricsen

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