Disclosure status of HIV-positive children and associated factors among children in public health facilities in East Arsi zone, Oromia regional state, South Eastern Ethiopia: A cross-sectional study

Bikila, Dereje; Tuji, Techane Sisay; Gelete, Bedasa W/Michael; Workie, Kassahun Beyene

doi:10.1177/20503121211068725

Cited by 5 publications

(2 citation statements)

References 20 publications

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“…Age for disclosure was consistent throughout our study's quantitative and qualitative components, demonstrating that parents preferred to tell their children they had HIV when above 12 years. In a similar pattern, Yami et al reported that thirty-ve per cent of caregivers mentioned that the reason to disclose HIV status to children is when a child is a mature enough age greater than 12 years (19). In addition, a higher percentage of disclosure was also found in a study by Vreeman et al, which states that older children were more likely to be aware of their status than younger children, possibly because of increased maturity, independence, and self-care responsibilities (20) .…”

Section: Discussionmentioning

confidence: 84%

“We Can Tell Them, But Not Right Now!” - Hiv Status Disclosure and Related Factors Among Children Aged 6-14 Years Living with Hiv in Kilimanjaro Region, Tanzania

Msoka

Mtesha

Masika

et al. 2023

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Background: In Tanzania, disclosure of HIV status to children remains a challenge despite the World Health Organization (WHO) recommendation that children should be informed about their HIV status between the ages of 6 to 12 years. This study aims to determine HIV status disclosure and related factors among children living with HIV in Kilimanjaro, Tanzania. Method: A cross-sectional study using a convergent parallel mixed-methods design was conducted from September 2021 to February 2022 among children aged 6-14 years receiving HIV care. Semi-structured questionnaires were collected from caregivers of undisclosed children, including socio-demographic data and reasons for non-disclosure. Additionally, we interviewed 20 caregivers of children in-depth who had disclosed and not disclosed the status to their children; we also interviewed children whose HIV status had been disclosed, followed by a focus group discussion. Bivariate and multivariate logistic regression analyses identified factors associated with HIV status disclosure. P<0.05 was considered statistically significant. We did thematic content analysis for qualitative data. Results: 121 children and their parents or caregivers were included in the analysis and 51(42%) knew about their HIV status. 31%(n=38) of children were between the ages 6-8 and among them, 33(87%) did not know about their status. Thirty-nine percent (n=47) of children were between the ages of 9-11; 32(68%) did not know about their status. 30% (n=36) of the children were above 12 years old, and 5(14%) did not know their status. 60 children were girls (49.5%); the majority (n=75;62%) lived with their biological parents; 112 children had primary education (93%); and 94 (78%) children attended referral hospitals for ART services. Moreover, 86(71%) of the children had caregivers who had been interviewed. In the final multivariate model, children aged above 12 years (OR= 30; 95%; Cl= 7.2-124); children aged 9-11(OR=2.7;95%; CI= 0.8-9.0) and having a treatment supporter (OR=2.9; 95%CI=1.0-8.2) were significantly associated with HIV status disclosure to their children compared to their counterparts respectively. Through IDI, we revealed the following themes: (1) HIV disclosure challenges and reasons not to disclose the status, (2) the process of the disclosure, and (3) the Importance of disclosure. Conclusion: HIV status disclosure to children living with HIV in Kilimanjaro region was associated with age above 12 years and having a treatment supporter, unlike the WHO recommendation. Therefore, health facilities should introduce new strategies to ensure children know their HIV status.

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Section: Discussionmentioning

confidence: 84%

“We Can Tell Them, But Not Right Now!” - Hiv Status Disclosure and Related Factors Among Children Aged 6-14 Years Living with Hiv in Kilimanjaro Region, Tanzania

Msoka

Mtesha

Masika

et al. 2023

Preprint

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“… 10 The possible reason is attributed to an insufficient knowledge and skill to approach their HIV-positive children, as well as fear of discrimination and stigma, by families, friends and neighbors. 27 It is possible that health care providers are unsure of how to handle disclosure.…”

Section: Discussionmentioning

confidence: 99%

HIV Positivity Disclosure Among Children Living with HIV/AIDS and Currently on HAART in Dessie, Northeast Ethiopia

Chanie¹,

Abebe²,

Muche³

et al. 2022

HIV

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Background Disclosure of HIV/AIDS positive test result to children is a continuing routine problem in the health care setting. Some of the families as well as the health care workers are negligent to inform children of their HIV status. This study was aimed at identifying the prevalence of HIV-positivity disclosure and the factors among 6–15-year-old children currently on HAART in Dessie, Ethiopia. Methods A facility based cross-sectional study design was performed in Dessie from January 21 to March 12, 2020 among 346 parents/caregivers with children living with HIV and currently on HAART. The data were collected using pre-tested, structured and self-administered questionnaires. The collected data were entered into Epi info v.7.1 and exported into SPSS version 23 for further analysis. Binary and multivariable logistic regression was employed and statistically significant factors were identified at 95% CI and at p-value <0.05. Results HIV positivity disclosure was found to be 29.2% (26.3–34.7%). Being widowed mothers/caregivers, 11–15-year-old children, child received support from NGOs and having a mother with a negative HIV test were found to be statistically significant factors for disclosure. Conclusion The overall HIV positivity disclosure to children living with HIV was found to be low in contrast to the WHO standard. In other ways, it was comparable with the Ethiopian figures. Health workers and managers need to focus on strengthening child support, make known the maternal/caregivers’ HIV status, and child age specific effective interventions to improve disclosure of HIV positivity status for children living with HIV for better ART adherence and treatment outcomes.

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Pediatric human immunodeficiency virus-positive disclosure status and associated factors among caregivers of children in Wolaita and Hadiya zone, southern Ethiopia

Tesfaye,

Abebe,

Molla

et al. 2024

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Background Human immunodeficiency virus (HIV) positive status disclosure is an essential component of pediatric care and long-term disease management. However, pediatric HIV disclosure is a complex and understudied public health concern. This study aimed to assess the pediatric HIV-positive disclosure status and associated factors among caregivers. Method A facility-based cross-sectional study was done among 375 caregivers of HIV-positive children in selected facilities from March 1 to April 30, 2022. Data was collected through in-person interviews using a carefully designed questionnaire that had been tested beforehand. Study participants were randomly selected from the anti-retroviral therapy (ART) logbook using a lottery method as the sampling frame. The data collected was inputted into Epidata version 3.02 and then transferred to SPSS version 23 for analysis. The findings were displayed through tables, graphs, charts, and written descriptions. Statistical analyses using different models were performed to examine the data. The association of variables was declared at 95%CI and p-value <0.05 and the strength of association was determined using the adjusted odds ratio (AOR). Result Out of 371 participants, 98.9% replied to the survey. Forty-one point eight percent of caregivers told them about their HIV-positive children's status. Caregivers/parents' discussions with health care providers about disclosure [AOR 2.171, 95% CI [1.199, 3.931]], child duration on ART [AOR 1.633, 95% CI [1.013, 2.631]], and child stigmatization [AOR 2.103, 95% CI [1.361, 3.250]] were significantly associated with pediatric HIV positive status disclosure. Conclusion The rate of disclosing pediatric HIV-positive status was lower compared to other studies in Ethiopia. Caregivers who talked to healthcare providers, children on ART for a longer time, and caregivers not fearing stigma for their child were more likely to disclose pediatric HIV-positive status. Facility management and healthcare providers should focus on improving the disclosure of pediatric HIV-positive status.

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Disclosure status of HIV-positive children and associated factors among children in public health facilities in East Arsi zone, Oromia regional state, South Eastern Ethiopia: A cross-sectional study

Cited by 5 publications

References 20 publications

“We Can Tell Them, But Not Right Now!” - Hiv Status Disclosure and Related Factors Among Children Aged 6-14 Years Living with Hiv in Kilimanjaro Region, Tanzania

“We Can Tell Them, But Not Right Now!” - Hiv Status Disclosure and Related Factors Among Children Aged 6-14 Years Living with Hiv in Kilimanjaro Region, Tanzania

HIV Positivity Disclosure Among Children Living with HIV/AIDS and Currently on HAART in Dessie, Northeast Ethiopia

Pediatric human immunodeficiency virus-positive disclosure status and associated factors among caregivers of children in Wolaita and Hadiya zone, southern Ethiopia

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