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Disclosure of HIV status and adherence to antiretroviral treatment in children and adolescents from Lomé and Abidjan

INTRODUCTION: in Africa, the proportion of minors with AIDS is ever increasing and adherence to treatment protocols is still suboptimal. The study investigated the conditions of HIV status disclosure and adherence to treatment in patients < 19 in two West African cities. METHODS: in 2016, thirtee...

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Autores principales: Bakai, Tchaa Abalo, Iwaz, Jean, Takassi, Elom Ounoo, Thomas, Anne, Eboua, Tanoh Kassi François, Khanafer, Nagham, Kenao, Tchasso, Goilibe, Kariyiare Benjamin, Sewu, Esseboe, Voirin, Nicolas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The African Field Epidemiology Network 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10323812/
https://www.ncbi.nlm.nih.gov/pubmed/37426461
http://dx.doi.org/10.11604/pamj.2023.45.13.26795
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author Bakai, Tchaa Abalo
Iwaz, Jean
Takassi, Elom Ounoo
Thomas, Anne
Eboua, Tanoh Kassi François
Khanafer, Nagham
Kenao, Tchasso
Goilibe, Kariyiare Benjamin
Sewu, Esseboe
Voirin, Nicolas
author_facet Bakai, Tchaa Abalo
Iwaz, Jean
Takassi, Elom Ounoo
Thomas, Anne
Eboua, Tanoh Kassi François
Khanafer, Nagham
Kenao, Tchasso
Goilibe, Kariyiare Benjamin
Sewu, Esseboe
Voirin, Nicolas
author_sort Bakai, Tchaa Abalo
collection PubMed
description INTRODUCTION: in Africa, the proportion of minors with AIDS is ever increasing and adherence to treatment protocols is still suboptimal. The study investigated the conditions of HIV status disclosure and adherence to treatment in patients < 19 in two West African cities. METHODS: in 2016, thirteen health professionals and four parents filled out questionnaires to identify problems and solutions relative to disclosure of HIV status and adherence to treatment in 208 children and adolescents seen at University Hospitals in Abidjan (Ivory Coast) and Lomé (Togo). RESULTS: medians (extrema) of patients´ ages at start and end of status disclosure process were 10 (8-13) and 15 (13-17.5) years. In 61% of cases, disclosure was made individually after preparation sessions. The main difficulties were: parents´ disapproval, skipped visits, and rarity of psychologists. The solutions proposed were: recruiting more full-time psychologists, improving personnel training, and promoting patients´ “clubs”. One out of three respondents was not satisfied with patients´ adherence to treatments. The major reasons were: intake frequencies, frequent omissions, school constraints, adverse effects, and lack of perceived effect. Nevertheless, 94% of the respondents confirmed the existence of support groups, interviews with psychologists, and home visits. To improve adherence, the respondents proposed increasing the number of support groups, sustaining reminder phone calls and home visits, and supporting therapeutic mentoring. CONCLUSION: despite persisting disclosure and adherence problems, appropriate measures already put into practice still need to be taken further, especially through engaging psychologists, training counsellors, and promoting therapeutic support groups.
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spelling pubmed-103238122023-07-07 Disclosure of HIV status and adherence to antiretroviral treatment in children and adolescents from Lomé and Abidjan Bakai, Tchaa Abalo Iwaz, Jean Takassi, Elom Ounoo Thomas, Anne Eboua, Tanoh Kassi François Khanafer, Nagham Kenao, Tchasso Goilibe, Kariyiare Benjamin Sewu, Esseboe Voirin, Nicolas Pan Afr Med J Research INTRODUCTION: in Africa, the proportion of minors with AIDS is ever increasing and adherence to treatment protocols is still suboptimal. The study investigated the conditions of HIV status disclosure and adherence to treatment in patients < 19 in two West African cities. METHODS: in 2016, thirteen health professionals and four parents filled out questionnaires to identify problems and solutions relative to disclosure of HIV status and adherence to treatment in 208 children and adolescents seen at University Hospitals in Abidjan (Ivory Coast) and Lomé (Togo). RESULTS: medians (extrema) of patients´ ages at start and end of status disclosure process were 10 (8-13) and 15 (13-17.5) years. In 61% of cases, disclosure was made individually after preparation sessions. The main difficulties were: parents´ disapproval, skipped visits, and rarity of psychologists. The solutions proposed were: recruiting more full-time psychologists, improving personnel training, and promoting patients´ “clubs”. One out of three respondents was not satisfied with patients´ adherence to treatments. The major reasons were: intake frequencies, frequent omissions, school constraints, adverse effects, and lack of perceived effect. Nevertheless, 94% of the respondents confirmed the existence of support groups, interviews with psychologists, and home visits. To improve adherence, the respondents proposed increasing the number of support groups, sustaining reminder phone calls and home visits, and supporting therapeutic mentoring. CONCLUSION: despite persisting disclosure and adherence problems, appropriate measures already put into practice still need to be taken further, especially through engaging psychologists, training counsellors, and promoting therapeutic support groups. The African Field Epidemiology Network 2023-05-04 /pmc/articles/PMC10323812/ /pubmed/37426461 http://dx.doi.org/10.11604/pamj.2023.45.13.26795 Text en Copyright: Tchaa Abalo Bakai et al. https://creativecommons.org/licenses/by/4.0/The Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research
Bakai, Tchaa Abalo
Iwaz, Jean
Takassi, Elom Ounoo
Thomas, Anne
Eboua, Tanoh Kassi François
Khanafer, Nagham
Kenao, Tchasso
Goilibe, Kariyiare Benjamin
Sewu, Esseboe
Voirin, Nicolas
Disclosure of HIV status and adherence to antiretroviral treatment in children and adolescents from Lomé and Abidjan
title Disclosure of HIV status and adherence to antiretroviral treatment in children and adolescents from Lomé and Abidjan
title_full Disclosure of HIV status and adherence to antiretroviral treatment in children and adolescents from Lomé and Abidjan
title_fullStr Disclosure of HIV status and adherence to antiretroviral treatment in children and adolescents from Lomé and Abidjan
title_full_unstemmed Disclosure of HIV status and adherence to antiretroviral treatment in children and adolescents from Lomé and Abidjan
title_short Disclosure of HIV status and adherence to antiretroviral treatment in children and adolescents from Lomé and Abidjan
title_sort disclosure of hiv status and adherence to antiretroviral treatment in children and adolescents from lomé and abidjan
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10323812/
https://www.ncbi.nlm.nih.gov/pubmed/37426461
http://dx.doi.org/10.11604/pamj.2023.45.13.26795
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