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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.
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
refterms.dateFOA2019-03-04T12:11:13Z
html.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.


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