5 th national paediatric hiv/aids conference 28-30 th hotel africana, kampala-uganda presentation...
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5th NATIONAL PAEDIATRIC HIV/AIDS CONFERENCE 28-30th Hotel Africana, Kampala-Uganda
Presentation Title: Awareness about Paediatric HIV Services in Uganda
Authors: Simon Ndizeye, Robert Nangai, Esther Kaggwa, Cheryl Lettenmaier and Ruth Musekura
Organization: Centre for Communication Programs/Health Communication Partnership
Overview
• Over 130,000 children under 14 years are living with HIV in Uganda (0.7% prevalence) (UNSBS-04/05).
• Only 17% (13,413/76,000) are enrolled as of Sept. 2009. (WHO/UNAIDS/UNICEF, 2010)
• Low uptake of ART is partly due to limited awareness among caretakers that children can be tested and treated for HIV.
• Most health care workers lack the skills to identify, treat and care for children at risk of HIV and to counsel/provide psycho-social support for HIV-positive children and their caregivers.
JHU.CCP/HCP roles
• JHU.CCP/HCP and RCQHC have been providing technical support to the MoH in terms of training, community mobilization and communication for paediatric HIV/AIDS services.
• As a result, the paediatric HIV/AIDS communication strategy was updated and a community mobilization strategy designed and shared with partners.
• Client education materials development, mapping of services, development of national training curriculums and training of HWs are some of the key activities undertaken to address to gaps.
Methodology:
• Between Nov-Dec’ 2010, HCP conducted a survey to evaluate the impact of HCP activities while at the same providing baseline measures for activities that are just beginning and will be implemented over the next 2 years
• The survey was also meant to gather information about the knowledge, attitudes, and behaviors among respondents for HCP-supported communication initiatives
Methodology:
• The study was cross sectional in nature, covering 31 Districts across Uganda and reached 2,896 individuals aged 15-54 years residing in 360 parishes (EAs) in 31 new districts
Used a multi stage stratified sampling approach with 2 separate sampling frames; for YP aged 15-24 and for adults 25-54
• Analysis was conducted in STATA 10 using univariate, bivariate and multivariate techniques.
Key Findings
Characteristics Number Percentage
No. of respondents 2,896
MaleFemale
1,3791,517
4852
15-2425-49
1,4831,413
5149
RuralUrbanKampala
2,174722423
752515
EastNorthWestCentral
665890594747
23312126
• 44% of the respondents had seen or heard about paed HIV messages.
• Females from urban areas and with secondary + education more likely to have seen or heard the messages.
Exposure to messages on Paediatric HIV by Selected Characteristics
42 4639
60
36
55
44
010203040506070
Male
Female
Rural
Urban
Pri&Below
2ndary+ Total
Perc
ent
N = 1275All P < 0.05
Sources of Paediatric HIV Messages
N = 1275
79
2210
5 4 2 2 10
20
40
60
80
Perc
enta
ge o
f Res
pond
ents
Knowledge of a place where HIV +ve children can be treated and selected background
characteristics• 59% knew of a place
where HIV+ children can be treated.
• Those exposed to paediatric HIV messages, urban residents, employed and those with secondary + education more likely to know of a place.
• Age and marital status not statistically significant.
78
4556
68
5467
59
0102030405060708090
Expose
d
Unexpose
dRural
Urban
Pri&Below
2ndary+ Total
Perc
ent
N = 2,860All P < 0.05Educ OR 1.6
Employment OR 1.5
Exp to messages OR 4.2
Places where HIV+ Children can be treated
1495
37
73
0
20
40
60
80
100
Gov't Hosp. Gov't HC PvtHosp/Clinic
TASO AIC JCRC
N = 1,696
Perceived appropriateness of ARVs for HIV positive children
• Overall 37% of the respondents thought ARVs should be given to babies under 2 yrs; 53% to children btn 2-5 years.
• The older the child the more likely respondents thought it should be given ARVs.
37 3539
5350
57
0
10
20
30
40
50
60
Overall Males Females
Babies under 2 yrs Children btn 2 -5 yrs
N = 2,343
Conclusions
• Knowledge levels on the use of ARVs in treating HIV-positive children, as well as the location and availability of paediatric HIV services are still considerably low.
• Exposure to media messages about paediatric HIV treatment is significantly associated with higher knowledge levels on appropriateness of ART for HIV positive children and availability of paediatric HIV services.
Recommendation• There is need for Ministry of Health and its
partners to intensify peadiatric HIV/AIDS communication efforts to expand reach of information about the available services and appropriateness of ART for HIV positive children which will in the long run increase up take of the services.
Acknowledgements
•Ministry of Health•ART Partners•USAID• PEPFAR•RCQHC