Introduction. Clinical reports have indicated positive outcomes associated with disclosure of HIV-positive status in children. This study assessed the level and associated factors of HIV-positive status disclosure to HIV-infected children in northwest Ethiopia. Methods. Institution-based cross-sectional study was conducted among HIV-positive children from March to April 2012. Data were collected using a structured questionnaire by face-to-face interview technique. Bivariate and multivariate analyses were performed. Results. Of the 428 children, 169 (39.5%) were disclosed their HIV-positive status. The mean age of HIV-positive status disclosure was at 10.7 (±2.3) years. Having a nonbiological parent (AOR = 4.14, 95% CI: 1.22, 14.04), child's age older than 10 years (AOR = 8.54, 95% CI: 4.5, 15.53), and death of a family member (AOR = 2.04, 95% CI: 1.16, 3.6) were significantly and independently associated with disclosure of HIV-positive status to infected children. Conclusions. The rate of disclosure of HIV-positive status to infected children still remains low in North Gondar. Hence, it is important to target children living with their biological parents and having young parents and children younger than 10 years. The guideline for disclosure of children with HIV/AIDS should be established in an Ethiopian context.
Introduction: PLHIV have substantially greater need for access to safe water, for bathing and washing soiled clothing and linen; safe drinking water is necessary for taking medicines. Therefore household water treatment is one of inexpensive and effective technology to make water safe. However the information of household water treatment practices and associated factors on these groups were inadequate. Objective: the: t aim of the study was to assess household water treatment practice and associated factors among PLHIV who are member of the three associations in Bahir Dar city administration, Northwest Ethiopia. Methods: A Community based cross-sectional study was done among PLHIV from April-May 2013. A Simple random sampling technique was used to select the study participants. Pre-tested and structured questionnaire, observation checks list and residual chlorine test was used to collect the data. Binary and multivariate logistic regression analysis were used to determine the separate and confounding effect for variables with p-value <0.2 in binary analysis. Result: of the total respondents 76.3% reported that they treated their drinking water at home. But only 11% of respondents treated water at home within 24 hours of this study. The main reasons for not treating water at home were psycho-social problem 29 (53.7%), unavailability of treatment methods 17 (31.5%), and lack of knowledge how to use treatment methods 8 (14.8%). Occupational status of the respondents (AOR=2.6; 95% CI 0.162-0.903), duration of water storing time (AOR=2.9; 95% CI 1.471-5.692), and use of separate container for water storing (AOR=3.1; 1.008-9.223) were significantly associated variables with household water treatment practice. Conclusion: Household water treatment practices among people living with HIV were found low. Therefore the PLHIV needs special attention to improve household water treatment practice. fee free water treatment methods availability, promotion of household water treatment practice and participate in income generating activities are supreme important.
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