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DC Field | Value | Language |
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dc.contributor.author | Braitstein, P. | - |
dc.contributor.author | Songok, J. | - |
dc.contributor.author | Vreeman, R. | - |
dc.contributor.author | Wools-Kaloustian, K. | - |
dc.contributor.author | Koskei, P. | - |
dc.contributor.author | Walusuna, L. | - |
dc.contributor.author | Ayaya, S. | - |
dc.contributor.author | Nyandiko, W. | - |
dc.contributor.author | Yiannoutsos, C. | - |
dc.date.accessioned | 2020-08-05T07:50:30Z | - |
dc.date.available | 2020-08-05T07:50:30Z | - |
dc.date.issued | 2012-07 | - |
dc.identifier.uri | http:// doi10.1097/QAI.0b013e3182167f0d | - |
dc.identifier.uri | http://ir.mu.ac.ke:8080/jspui/handle/123456789/3326 | - |
dc.description.abstract | The objective of this study was to identify the vital status and reasons for children becoming LTFU from a large program in western Kenya. Methods This was a prospective evaluation of a random sample of 30% of HIV-exposed and positive children LTFU from either an urban or rural HIV (AMPATH) clinic. LTFU is defined as absence from clinic for >6 months if on cART, and >12 months if not. Experienced Community Health Workers were engaged to locate them. Results There were 97 children sampled (78 urban, 19 rural). Of these, 82% were located (78% urban, 100% rural). Among the HIV-positive, 16%of the children were deceased, and 16% had not returned to clinic because of disclosure issues/discrimination in the family or community. Among the HIV-exposed, 30% never returned to care because their guardians either had not disclosed their own HIV status or were afraid of family/community stigma related to their HIV status or that of the child. Among children whose HIV status was unknown, 29% of those found had actually died, and disclosure/discrimination accounted for 14% of the reasons for becoming LTFU. Other reasons included believing the child was healed by faith or through the use of traditional medicine (7%), transport costs (6%), and transferring care to other programs or clinics (8%). Conclusion After locating > 80% of the children in our sample, we identified that mortality and disclosure issues including fear of family or community discrimination were the most important reasons why these children became LTFU | en_US |
dc.language.iso | en | en_US |
dc.publisher | Ampath | en_US |
dc.subject | pediatrics, | en_US |
dc.subject | HIV | en_US |
dc.subject | losses-to-follow-up | en_US |
dc.subject | mortality | en_US |
dc.title | ‘Wamepotea’ (They have become lost): Outcomes of HIV-positive and HIV-exposed children lost to follow-up from a large HIV treatment program in western Kenya | en_US |
dc.type | Article | en_US |
Appears in Collections: | School of Medicine |
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