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Seroprevalence and factors associated with Voluntary Counselling and Testing (VCT) for HIV among children in Lubumbashi, Democratic Republic of the Congo.

Abstract Despite proposals for screening infants or preschool children for HIV infection, the proportion of children who grow or die with unknown HIV status is high in the Democratic Republic of the Congo (DRC). This study aimed to determine the seroprevalence during a voluntary screening and to identify factors associated with Voluntary Counselling and Testing (VCT) for HIV in the paediatric population of non-HIV infected or non-HIV exposed infants and children in Lubumbashi, DRC.
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Authors

Mayor MeshTerms

Patient Acceptance of Health Care

Keywords

HIV

Lubumbashi

acceptance

child

seroprevalence

voluntary counselling and testing

Journal Title the pan african medical journal
Publication Year Start

 



PMID- 29255552
OWN - NLM
STAT- MEDLINE
DCOM- 20171222
LR  - 20171222
IS  - 1937-8688 (Electronic)
VI  - 28
DP  - 2017
TI  - [Seroprevalence and factors associated with Voluntary Counselling and Testing
      (VCT) for HIV among children in Lubumbashi, Democratic Republic of the Congo].
PG  - 82
LID - 10.11604/pamj.2017.28.82.9566 [doi]
AB  - Introduction: Despite proposals for screening infants or preschool children for
      HIV infection, the proportion of children who grow or die with unknown HIV status
      is high in the Democratic Republic of the Congo (DRC). This study aimed to
      determine the seroprevalence during a voluntary screening and to identify factors
      associated with Voluntary Counselling and Testing (VCT) for HIV in the paediatric
      population of non-HIV infected or non-HIV exposed infants and children in
      Lubumbashi, DRC. Methods: We conducted a cross-sectional prospective analytical
      study in 4 community VCT centers divided into 4 health zones in the city of
      Lubumbashi, DRC (Lubumbashi, Ruashi, Kampemba and Kenya) over the period 1 August
      2006 - 31 September 2007. The study aimed to evaluate voluntary testing for HIV
      among children less than 15 years. The sociodemographic characteristics and the
      parameters related to Voluntary Counselling and Testing (VCT) for HIV were
      analyzed. Usual descriptive statistical analyses and logistic regression were
      perfomed. Results: Out of 463 children screened for HIV, 41 (8.9%; 95% CI:
      6.5%-11.9%) were HIV positive. Voluntary Counselling and Testing (VCT) for HIV in
      the paediatric population of non-HIV infected or non-HIV exposed infants or
      children was significantly higher in children over 2 years of age (adjusted odds 
      ratio (AOR)=3.6 [95% CI: 1,1-12,2]) when both of their parents had negative or
      uknown HIV status (AOR = 27.4 [95% CI: 9,4-80,0]), when either or both of their
      biological parents were alive (AOR = 24.9 [95% CI: 2,4-250,8]) and when screening
      programs were not only carried out by health professionals (AOR = 2.9 [95% CI:
      1,0-7,9]). Conclusion: Our study shows a high HIV prevalence among children
      supporting the need for VCT highly accepted by parents and tutors in the city of 
      Lubumbashi.
FAU - Ngwej, Dieudonne Tshikwej
AU  - Ngwej DT
AD  - Departement de Pediatrie, Faculte de Medecine, Universite de Lubumbashi,
      Republique Democratique du Congo.
AD  - Bureau Provincial de ICAP/RDC, Lubumbashi, Republique Democratique du Congo.
FAU - Mukuku, Olivier
AU  - Mukuku O
AD  - Departement de Pediatrie, Faculte de Medecine, Universite de Lubumbashi,
      Republique Democratique du Congo.
FAU - Malonga, Francoise Kaj
AU  - Malonga FK
AD  - Ecole de Sante Publique, Universite de Lubumbashi, Republique Democratique du
      Congo.
FAU - Luboya, Oscar Numbi
AU  - Luboya ON
AD  - Departement de Pediatrie, Faculte de Medecine, Universite de Lubumbashi,
      Republique Democratique du Congo.
FAU - Kakoma, Jean-Baptiste Sakatolo
AU  - Kakoma JS
AD  - Departement de Gynecologie-Obstetrique, Faculte de Medecine, Universite de
      Lubumbashi, Republique Democratique du Congo.
FAU - Wembonyama, Stanis Okitotsho
AU  - Wembonyama SO
AD  - Departement de Pediatrie, Faculte de Medecine, Universite de Lubumbashi,
      Republique Democratique du Congo.
LA  - fre
PT  - Journal Article
PT  - Multicenter Study
TT  - Seroprevalence et facteurs associes a l'acceptation du Conseil et Depistage
      Volontaire du VIH chez l'enfant a Lubumbashi, Republique Democratique du Congo.
DEP - 20170927
PL  - Uganda
TA  - Pan Afr Med J
JT  - The Pan African medical journal
JID - 101517926
SB  - IM
MH  - Adolescent
MH  - Age Factors
MH  - Child
MH  - Child, Preschool
MH  - Counseling/*methods
MH  - Cross-Sectional Studies
MH  - Democratic Republic of the Congo/epidemiology
MH  - Female
MH  - HIV Infections/diagnosis/*epidemiology
MH  - Humans
MH  - Logistic Models
MH  - Male
MH  - Mass Screening/*statistics & numerical data
MH  - *Patient Acceptance of Health Care
MH  - Prospective Studies
MH  - Seroepidemiologic Studies
PMC - PMC5724940
OTO - NOTNLM
OT  - HIV
OT  - Lubumbashi
OT  - acceptance
OT  - child
OT  - seroprevalence
OT  - voluntary counselling and testing
EDAT- 2017/12/20 06:00
MHDA- 2017/12/23 06:00
CRDT- 2017/12/20 06:00
PHST- 2016/04/07 00:00 [received]
PHST- 2017/09/09 00:00 [accepted]
PHST- 2017/12/20 06:00 [entrez]
PHST- 2017/12/20 06:00 [pubmed]
PHST- 2017/12/23 06:00 [medline]
AID - 10.11604/pamj.2017.28.82.9566 [doi]
AID - PAMJ-28-82 [pii]
PST - epublish
SO  - Pan Afr Med J. 2017 Sep 27;28:82. doi: 10.11604/pamj.2017.28.82.9566. eCollection
      2017.