Introduction. Successful prevention of mother-to-child transmission (PMTCT) of the human immunodeficiency virus (HIV) requires early diagnosis, consistent access to antiretroviral therapy (ART), and regular health care during and after pregnancy. This study assessed the determinants of early HIV diagnosis by children born to HIV-positive (HIV+) mothers in the Kongo Central Province, Democratic Republic of the Congo (DRC). Methodology. Data from 230 HIV+ mothers screened under the PMTCT program between July 2015 and December 2017 were extracted from the databases of 31 Health Zones (HZ) of Kongo Central province. Data detailing laboratory and anthropometric findings, morbidity, and mortality were collected from each exposed child. The determinants of inaccessibility to early diagnosis were identified using logistic regression. Results. The mothers' mean age was 32.4 years, and 90.9% were on ART; 68.8% of children were older than 12 months at diagnosis. Diagnosis during the first 6 months of the child’s life was critical. Malnutrition was found in almost 90% of the children. Determinants of non-access to an early diagnosis were mothers who attained a primary education level and did not disclose their HIV status. Conclusion. All possible interventions should be considered to prevent mother-to-child HIV transmission. To ensure a child’s survival to their first birthday, early diagnosis should be performed soon after birth to an HIV+ mother and ART should be initiated.
| Published in | Central African Journal of Public Health (Volume 7, Issue 1) |
| DOI | 10.11648/j.cajph.20210701.14 |
| Page(s) | 32-39 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2021. Published by Science Publishing Group |
HIV-exposed Infants, Determinant, Diagnosis, Survival
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APA Style
Lukanu Ngwala Philippe, Musiti Ngolo Jean Robert, Nlandu Niati Jean Destin, Metamonika Adolphine, Matondo Luzunga Guy Roger, et al. (2021). HIV-Exposed Children: Determinants of Early Diagnosis and Survival in the Kongo Central Province, Democratic Republic of the Congo. Central African Journal of Public Health, 7(1), 32-39. https://doi.org/10.11648/j.cajph.20210701.14
ACS Style
Lukanu Ngwala Philippe; Musiti Ngolo Jean Robert; Nlandu Niati Jean Destin; Metamonika Adolphine; Matondo Luzunga Guy Roger, et al. HIV-Exposed Children: Determinants of Early Diagnosis and Survival in the Kongo Central Province, Democratic Republic of the Congo. Cent. Afr. J. Public Health 2021, 7(1), 32-39. doi: 10.11648/j.cajph.20210701.14
AMA Style
Lukanu Ngwala Philippe, Musiti Ngolo Jean Robert, Nlandu Niati Jean Destin, Metamonika Adolphine, Matondo Luzunga Guy Roger, et al. HIV-Exposed Children: Determinants of Early Diagnosis and Survival in the Kongo Central Province, Democratic Republic of the Congo. Cent Afr J Public Health. 2021;7(1):32-39. doi: 10.11648/j.cajph.20210701.14
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Download@article{10.11648/j.cajph.20210701.14,
author = {Lukanu Ngwala Philippe and Musiti Ngolo Jean Robert and Nlandu Niati Jean Destin and Metamonika Adolphine and Matondo Luzunga Guy Roger and Situakibanza Hypolite},
title = {HIV-Exposed Children: Determinants of Early Diagnosis and Survival in the Kongo Central Province, Democratic Republic of the Congo},
journal = {Central African Journal of Public Health},
volume = {7},
number = {1},
pages = {32-39},
doi = {10.11648/j.cajph.20210701.14},
url = {https://doi.org/10.11648/j.cajph.20210701.14},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20210701.14},
abstract = {Introduction. Successful prevention of mother-to-child transmission (PMTCT) of the human immunodeficiency virus (HIV) requires early diagnosis, consistent access to antiretroviral therapy (ART), and regular health care during and after pregnancy. This study assessed the determinants of early HIV diagnosis by children born to HIV-positive (HIV+) mothers in the Kongo Central Province, Democratic Republic of the Congo (DRC). Methodology. Data from 230 HIV+ mothers screened under the PMTCT program between July 2015 and December 2017 were extracted from the databases of 31 Health Zones (HZ) of Kongo Central province. Data detailing laboratory and anthropometric findings, morbidity, and mortality were collected from each exposed child. The determinants of inaccessibility to early diagnosis were identified using logistic regression. Results. The mothers' mean age was 32.4 years, and 90.9% were on ART; 68.8% of children were older than 12 months at diagnosis. Diagnosis during the first 6 months of the child’s life was critical. Malnutrition was found in almost 90% of the children. Determinants of non-access to an early diagnosis were mothers who attained a primary education level and did not disclose their HIV status. Conclusion. All possible interventions should be considered to prevent mother-to-child HIV transmission. To ensure a child’s survival to their first birthday, early diagnosis should be performed soon after birth to an HIV+ mother and ART should be initiated.},
year = {2021}
}
TY - JOUR T1 - HIV-Exposed Children: Determinants of Early Diagnosis and Survival in the Kongo Central Province, Democratic Republic of the Congo AU - Lukanu Ngwala Philippe AU - Musiti Ngolo Jean Robert AU - Nlandu Niati Jean Destin AU - Metamonika Adolphine AU - Matondo Luzunga Guy Roger AU - Situakibanza Hypolite Y1 - 2021/01/22 PY - 2021 N1 - https://doi.org/10.11648/j.cajph.20210701.14 DO - 10.11648/j.cajph.20210701.14 T2 - Central African Journal of Public Health JF - Central African Journal of Public Health JO - Central African Journal of Public Health SP - 32 EP - 39 PB - Science Publishing Group SN - 2575-5781 UR - https://doi.org/10.11648/j.cajph.20210701.14 AB - Introduction. Successful prevention of mother-to-child transmission (PMTCT) of the human immunodeficiency virus (HIV) requires early diagnosis, consistent access to antiretroviral therapy (ART), and regular health care during and after pregnancy. This study assessed the determinants of early HIV diagnosis by children born to HIV-positive (HIV+) mothers in the Kongo Central Province, Democratic Republic of the Congo (DRC). Methodology. Data from 230 HIV+ mothers screened under the PMTCT program between July 2015 and December 2017 were extracted from the databases of 31 Health Zones (HZ) of Kongo Central province. Data detailing laboratory and anthropometric findings, morbidity, and mortality were collected from each exposed child. The determinants of inaccessibility to early diagnosis were identified using logistic regression. Results. The mothers' mean age was 32.4 years, and 90.9% were on ART; 68.8% of children were older than 12 months at diagnosis. Diagnosis during the first 6 months of the child’s life was critical. Malnutrition was found in almost 90% of the children. Determinants of non-access to an early diagnosis were mothers who attained a primary education level and did not disclose their HIV status. Conclusion. All possible interventions should be considered to prevent mother-to-child HIV transmission. To ensure a child’s survival to their first birthday, early diagnosis should be performed soon after birth to an HIV+ mother and ART should be initiated. VL - 7 IS - 1 ER -
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