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Retention of HIV exposed infants in care at Arua regional referral hospital, Uganda: a retrospective cohort study.
- Source :
-
BMC public health [BMC Public Health] 2019 Apr 25; Vol. 19 (1), pp. 436. Date of Electronic Publication: 2019 Apr 25. - Publication Year :
- 2019
-
Abstract
- Background: Retention of HIV Exposed Infants (HEIs) in care ensures adequate care. Data on retention of HEIs at large referral hospitals in Uganda is limited. We investigated the retention level of HEIs and associated factors.<br />Methods: We conducted a retrospective cohort study on 352 HEIs in care (January 2014 and April 2015) at Arua Regional Referral Hospital, North-western Uganda. Electronic medical data were retrieved and analyzed with Stata. Chi-square, Fisher's exact, and Students t-tests were used for bivariate analysis. Logistic regression was performed to determine factors independently associated with retention.<br />Results: 236 (67.0%) HEIs were delivered in a health facility and 306 (86.9%) received Nevirapine prophylaxis from birth until 6-weeks. Of mothers, 270 (76.7%) were 25-46 years, 202 (57.4%) attended antenatal care (ANC) at recent pregnancy, and 328 (93.2%) were on life-long anti-retroviral therapy. At 18-months, 277 (78.7%) HEIs were retained in care. Maternal age (25-46 years) (Adjusted Odds Ratio (AOR), 2.32; 95% CI, 1.32-4.06), ANC attendance during recent pregnancy (AOR, 2.01; 95% CI, 1.19-4.3.41) and Nevirapine prophylaxis initiation from birth until 6-weeks (AOR, 3.07; 95% CI, 1.50-6.26) were associated with retention.<br />Conclusion: Retention was suboptimal. Older maternal age, ANC visits at last pregnancy, and timely NVP initiation increased retention.
- Subjects :
- Adult
Chi-Square Distribution
Female
HIV
HIV Infections transmission
Humans
Infant, Newborn
Logistic Models
Male
Maternal Age
Middle Aged
Mothers statistics & numerical data
Odds Ratio
Pregnancy
Prenatal Care statistics & numerical data
Referral and Consultation statistics & numerical data
Retrospective Studies
Uganda
Anti-HIV Agents therapeutic use
HIV Infections prevention & control
Infectious Disease Transmission, Vertical prevention & control
Nevirapine therapeutic use
Post-Exposure Prophylaxis statistics & numerical data
Subjects
Details
- Language :
- English
- ISSN :
- 1471-2458
- Volume :
- 19
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- BMC public health
- Publication Type :
- Academic Journal
- Accession number :
- 31023290
- Full Text :
- https://doi.org/10.1186/s12889-019-6754-9