Quality of care, loss to follow-up and mortality among paediatric and adolescent HIV patients on antiretroviral therapy in Abuja, Nigeria: a 15-year retrospective review

Autor: Adaora A. Okechukwu, Orji A. Okechukwu, Nansah R. Lamda
Rok vydání: 2022
Předmět:
Zdroj: International Journal of Research in Medical Sciences. 10:1629
ISSN: 2320-6012
2320-6071
DOI: 10.18203/2320-6012.ijrms20221971
Popis: Background: Loss to follow up, and mortality still remains very high among HIV positive children and adolescents in many under privileged settings, in spite of massive scale up of anti-retroviral treatment. We assessed the quality of care using 7-point indicators, loss to follow up, and mortality among HIV positive children and adolescents in our health institution.Method: A 15-year (2006 to 2020) retrospective review was conducted among HIV positive children who assessed care in paediatric out-patient special treatment clinic of our tertiary health institution in Nigeria for above objective.Results: Of the 563 subjects initiated on antiretroviral therapy, 349 (62.0%) still remained on treatment. There were 285 (50.6%) males, highest enrollment 280 (49.7%) was at 2006-2010, most 192 (34.1%) were 0-24 months of age, 244 (43.3%) were under-weight, and 176 (31.3%) had severe immune suppression at enrollment. Sixty-eight (12.1%) were lost to follow-up, mortality was 14 (2.5%), 103 (18.3.1%), and 25 (4.4%) were transferred to adult clinic, and to other centers. While over 85% had a high-quality indicator score of 458 (81.4%), with significant difference between the male and female (x2=8.56, p=0.003,), only 231 (66.2%) had adequate viral suppression of 0.001 with multivariate analysis.Conclusions: Though the study recorded high quality score services to HIV positive children and adolescents in our center, loss to follow-up, and mortality was however high. More is needed to be done to improve the viral load suppression among our clients.
Databáze: OpenAIRE
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