Limits...
The missed HIV-positive children of Ethiopia.

Pegurri E, Konings E, Crandall B, Haile-Selassie H, Matinhure N, Naamara W, Assefa Y - PLoS ONE (2015)

Bottom Line: The empirical data from almost 10,000 OVC under 18 years showed 11•9% were HIV-positive, the majority of whom were between five and 10 years old with no significant difference between males and females.OVC represent a reachable group which could account for a substantial proportion of the HIV infected older children.We recommend that HIV programs urgently synergize with social protection sectors and address these children with HIV testing and related services.

View Article: PubMed Central - PubMed

Affiliation: The Joint United Nations Programme on HIV/AIDS (UNAIDS), Addis Ababa, Ethiopia.

ABSTRACT

Objective: As elsewhere, due to scarcity of data and limited awareness of HIV infection, especially in older children, the HIV epidemic among Ethiopian children appears neglected in national programs (children ART coverage is of only 12% in 2013). This paper estimates the country burden of HIV in older children and investigates the prevalence of HIV in orphans and vulnerable children (OVC) households.

Design/methods: We analyzed national HIV data for Ethiopia, using Spectrum/ Estimation and Projection Package (EPP) and primary data on children living in households with at least one HIV-positive adult in the Amhara and Tigrai regions. Descriptive analysis of the age and sex distribution of HIV-positive OVC in Ethiopia was performed.

Results: Our Spectrum/EPP analysis estimated the population of HIV-positive children under 15 years old to be 160,000 in 2013. The majority of children (81•6%) were aged five to 14 years. The estimated number of orphans due to AIDS was 800,000. The empirical data from almost 10,000 OVC under 18 years showed 11•9% were HIV-positive, the majority of whom were between five and 10 years old with no significant difference between males and females.

Conclusions: There is a large population of children living with HIV in Ethiopia, the magnitude of which not previously recognized. The majority were vertically infected and never identified nor linked into treatment. OVC represent a reachable group which could account for a substantial proportion of the HIV infected older children. We recommend that HIV programs urgently synergize with social protection sectors and address these children with HIV testing and related services.

No MeSH data available.


Related in: MedlinePlus

Number of maternal AIDS orphans, by age, 2013 (A).(A) EPP/Spectrum estimates, 2012.
© Copyright Policy
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4400141&req=5

pone.0124041.g002: Number of maternal AIDS orphans, by age, 2013 (A).(A) EPP/Spectrum estimates, 2012.

Mentions: A vital set of complementary data when looking at issues of HIV in children in Ethiopia concerns orphans. In 2013, there were an estimated 800,000 orphans due to AIDS in Ethiopia out of 3,700,000 estimated orphans [17]. Of those, 300,000 were estimated to be double orphans (Fig 2). In a setting with low coverage of PMTCT and AIDS treatment, orphans, in particular maternal orphans, have a higher chance of being HIV infected; therefore, a significant part of the HIV positive children may be found among this group.


The missed HIV-positive children of Ethiopia.

Pegurri E, Konings E, Crandall B, Haile-Selassie H, Matinhure N, Naamara W, Assefa Y - PLoS ONE (2015)

Number of maternal AIDS orphans, by age, 2013 (A).(A) EPP/Spectrum estimates, 2012.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4400141&req=5

pone.0124041.g002: Number of maternal AIDS orphans, by age, 2013 (A).(A) EPP/Spectrum estimates, 2012.
Mentions: A vital set of complementary data when looking at issues of HIV in children in Ethiopia concerns orphans. In 2013, there were an estimated 800,000 orphans due to AIDS in Ethiopia out of 3,700,000 estimated orphans [17]. Of those, 300,000 were estimated to be double orphans (Fig 2). In a setting with low coverage of PMTCT and AIDS treatment, orphans, in particular maternal orphans, have a higher chance of being HIV infected; therefore, a significant part of the HIV positive children may be found among this group.

Bottom Line: The empirical data from almost 10,000 OVC under 18 years showed 11•9% were HIV-positive, the majority of whom were between five and 10 years old with no significant difference between males and females.OVC represent a reachable group which could account for a substantial proportion of the HIV infected older children.We recommend that HIV programs urgently synergize with social protection sectors and address these children with HIV testing and related services.

View Article: PubMed Central - PubMed

Affiliation: The Joint United Nations Programme on HIV/AIDS (UNAIDS), Addis Ababa, Ethiopia.

ABSTRACT

Objective: As elsewhere, due to scarcity of data and limited awareness of HIV infection, especially in older children, the HIV epidemic among Ethiopian children appears neglected in national programs (children ART coverage is of only 12% in 2013). This paper estimates the country burden of HIV in older children and investigates the prevalence of HIV in orphans and vulnerable children (OVC) households.

Design/methods: We analyzed national HIV data for Ethiopia, using Spectrum/ Estimation and Projection Package (EPP) and primary data on children living in households with at least one HIV-positive adult in the Amhara and Tigrai regions. Descriptive analysis of the age and sex distribution of HIV-positive OVC in Ethiopia was performed.

Results: Our Spectrum/EPP analysis estimated the population of HIV-positive children under 15 years old to be 160,000 in 2013. The majority of children (81•6%) were aged five to 14 years. The estimated number of orphans due to AIDS was 800,000. The empirical data from almost 10,000 OVC under 18 years showed 11•9% were HIV-positive, the majority of whom were between five and 10 years old with no significant difference between males and females.

Conclusions: There is a large population of children living with HIV in Ethiopia, the magnitude of which not previously recognized. The majority were vertically infected and never identified nor linked into treatment. OVC represent a reachable group which could account for a substantial proportion of the HIV infected older children. We recommend that HIV programs urgently synergize with social protection sectors and address these children with HIV testing and related services.

No MeSH data available.


Related in: MedlinePlus