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    Apr 18, 2021
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    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.

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    Authors
    Van Winghem, J
    Telfer, B
    Reid, T
    Ouko, J
    Mutunga, A
    Jama, Z
    Vakil, S
    Affiliation
    Operational Cell Belgium, Médecins Sans Frontières, Nairobi, Kenya. vwjoelle@gmail.com
    Issue Date
    2008-12
    
    Metadata
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    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.
    URI
    http://hdl.handle.net/10144/48834
    DOI
    10.1186/1471-2431-8-52
    PubMed ID
    19025581
    Language
    en
    ISSN
    1471-2431
    ae974a485f413a2113503eed53cd6c53
    10.1186/1471-2431-8-52
    Scopus Count
    Collections
    HIV/AIDS

    entitlement

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