dc.contributor.author | Neary, J | |
dc.contributor.author | Njuguna, IN | |
dc.contributor.author | Cranmer, LM | |
dc.contributor.author | Otieno, VO | |
dc.contributor.author | Mugo, C | |
dc.contributor.author | Okinyi, HM | |
dc.contributor.author | Benki-Nugent, S | |
dc.contributor.author | Richardson, BA | |
dc.contributor.author | Stern, J | |
dc.contributor.author | Maleche-Obimbo, E | |
dc.contributor.author | Wamalwa, DC | |
dc.contributor.author | John-Stewart, GC | |
dc.contributor.author | Wagner, AD | |
dc.date.accessioned | 2020-02-21T07:17:02Z | |
dc.date.available | 2020-02-21T07:17:02Z | |
dc.date.issued | 2020 | |
dc.identifier.citation | AIDS Care. 2020 Feb 4:1-6. | en_US |
dc.identifier.uri | https://www.ncbi.nlm.nih.gov/pubmed/32019333 | |
dc.identifier.uri | http://erepository.uonbi.ac.ke/handle/11295/108196 | |
dc.description.abstract | Newly diagnosed HIV positive children may be unique index cases to identify undiagnosed parents. Data was used from the Pediatric Urgent Start of HAART (NCT02063880) trial, which enrolled hospitalized, ART-naïve, HIV positive children ages 0-12 years in Kenya. Exact McNemar's tests were used to compare proportions of mothers and fathers tested for HIV, linked to care, and on ART at baseline and 6 months. This analysis included 87 newly diagnosed children with HIV who completed 6 months of follow-up. Among 83 children with living mothers, there were improvements in maternal linkage to care and treatment comparing baseline to 6 months (36% vs. 78%; p < 0.0001 and 22% vs. 52%; p < 0.0001). Among 80 children with living fathers, there were increases from baseline to 6 months in the number of fathers who knew the child's HIV status (34% vs. 78%; p < 0.0001), fathers ever tested for HIV (43% vs. 65%; p < 0.0001), fathers ever tested HIV positive (21% vs. 43%; p < 0.0001), fathers ever linked to care (15% vs. 35%; p < 0.0001), and fathers ever initiated on ART (11% vs. 23%; p = 0.0039). Newly diagnosed HIV positive children can be important index cases to identify parents with undiagnosed HIV or poor engagement in care.
KEYWORDS: | en_US |
dc.language.iso | en | en_US |
dc.publisher | University of Nairobi | en_US |
dc.rights | Attribution-NonCommercial-NoDerivs 3.0 United States | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/us/ | * |
dc.subject | HIV; HIV care cascade; HIV testing; case identification; family testing; index case testing | en_US |
dc.title | Newly diagnosed HIV positive children: a unique index case to improve HIV diagnosis and linkage to care of parents. | en_US |
dc.type | Article | en_US |