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Outcomes of Paediatrics HIV care at the University of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu after ten years of service

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Abstract

Abstract: Background: Antiretroviral
therapy is associated
with improved survival among
HIV-infected children. In Nigeria,
HIV treatment scale up was extended
to children over a decade
ago. This poses new challenges of
sustained quality care.
Aim: To determine the outcomes
for HIV infected children and
factors that influenced retention in
care at the University of Nigeria
Teaching Hospital, Ituku/Ozalla,
Enugu.
Methods: This was a study of HIV
-infected children seen between
September 2004 and October
2015 and at the Paediatric HIV
clinic of the University of Nigeria
Teaching Hospital, Ituku Ozalla,
Enugu. Data collected include
socio-demographics, HAART
regimen and outcomes. Data
analysis were done with Statistical
Package for Social Sciences
(SPSS) version 19 (Chicago IL).
Results: Five hundred and nineteen
of 555 enrolled children with
complete data were included in the
data analysis. Two hundred and
sixty-seven (51.4%) were females.
Three hundred and thirty-nine participants
(65.3%) were still in care,
12345 (23.7%) had been lost to
follow up, or 22 (4.2%) dead
while 35 (6.87%) were transferred
out to other health facilities or into
the adult ART clinic. Factors associated
with retention in care were
both parents being HIV positive
(p