The Evaluation of Pediatric HIV Care in Congo
| Autor: | Georges Moyen, Moyen Engoba, A.R. Okoko, L. N. Motoula Latou, J. Kambourou, H.L. Atanda |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
030505 public health Pediatric AIDS Pediatric hiv Computer tools business.industry Public health Human immunodeficiency virus (HIV) Target population medicine.disease_cause 03 medical and health sciences Nursing Family medicine Patient information medicine 0305 other medical science business |
| Zdroj: | Open Journal of Pediatrics. :197-204 |
| ISSN: | 2160-8776 2160-8741 |
| DOI: | 10.4236/ojped.2017.73023 |
| Popis: | Pediatric AIDS is still a public health issue. In order to improve the care of children living with HIV, a study was carried out between January and December 2014, that is in 12 months at University Center Hospital (UCH) of Brazzaville, in the two Ambulant Treatment Centers (ATCs) of Brazzaville and Pointe-Noire, In three general hospitals and seven base hospitals. Heads of centers and follow-up files of children aged 0 to 15 constituted the target population. The study variables concern the provision of care, the organization of structures and personnel, and data management. Thirteen health facilities, 13 heads of centers and 520 medical files were selected. HIV care was effective in nine out of eleven departments, only the two CTAs offered the entire package of activities. The diagnosis was made in WHO stage 3 in 433 cases (83.3%), the pre-therapeutic assessment in 246 cases (47.2%); Psychological care in 84 cases (16.1%) whose 80 (95.2%) in the ACT, nutritional management in 4 cases (0.7%). Nine out of 13 centers did not have computer tools or materials for patient information and education; No center had sufficient staff. The dispensation of Anti-retroviral drugs (ARDs) is not based on any standard and the safety conditions of the laboratory providers are not guaranteed. The importance of the observed dysfunction makes it necessary to improve the general conditions of care. |
| Databáze: | OpenAIRE |
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