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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

Age distribution of (a) HIV-negative and (b) HIV-positive among OVC supported by NNPWE through the USAID ENHAT-CS program, Amhara and Tigrai regions, Ethiopia, 2013.
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pone.0124041.g003: Age distribution of (a) HIV-negative and (b) HIV-positive among OVC supported by NNPWE through the USAID ENHAT-CS program, Amhara and Tigrai regions, Ethiopia, 2013.

Mentions: Complementing the findings of the Spectrum modeling, we obtained household level data for a total of 11,374 OVC under 18 years of age, from 9,961 households (i.e. an average of 1·1 children per household). Among the 11,374 children, 10,602 (93%) were reported (by the adult care givers in their households and/or NNPWE) knowing their HIV status and of those, 1,124 (11·9%) were HIV-positive. The age distribution was available for 8,724 (82%) of these children and shows that both OVC with HIV and those without HIV were found across all ages. The numbers, particularly among HIV-positive OVC steadily declined after the age of 14years (see Fig 3). In addition, there is a blip at age ten, for both HIV-positive and HIV-negative children, that might have been partly due to age heaping.


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)

Age distribution of (a) HIV-negative and (b) HIV-positive among OVC supported by NNPWE through the USAID ENHAT-CS program, Amhara and Tigrai regions, Ethiopia, 2013.
© Copyright Policy
Related In: Results  -  Collection

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

pone.0124041.g003: Age distribution of (a) HIV-negative and (b) HIV-positive among OVC supported by NNPWE through the USAID ENHAT-CS program, Amhara and Tigrai regions, Ethiopia, 2013.
Mentions: Complementing the findings of the Spectrum modeling, we obtained household level data for a total of 11,374 OVC under 18 years of age, from 9,961 households (i.e. an average of 1·1 children per household). Among the 11,374 children, 10,602 (93%) were reported (by the adult care givers in their households and/or NNPWE) knowing their HIV status and of those, 1,124 (11·9%) were HIV-positive. The age distribution was available for 8,724 (82%) of these children and shows that both OVC with HIV and those without HIV were found across all ages. The numbers, particularly among HIV-positive OVC steadily declined after the age of 14years (see Fig 3). In addition, there is a blip at age ten, for both HIV-positive and HIV-negative children, that might have been partly due to age heaping.

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