Orphanhood predicts delayed access to care in Ugandan children.
We aimed to determine patient characteristics, treatment challenges, and adherence outcomes according to orphanhood status in a prospective cohort of 101 HIV+ children in rural Uganda. Orphans were older at antiretroviral initiation (P = 0.0008) and more likely to be WHO stage-4 (P = 0.03) than nonorphans. More attention to improving access to antiretrovirals in pediatric populations, especially orphans, is needed.
Ntanda
Henry
H
Joint Clinical Research Centre, Mbale, Uganda.
Olupot-Olupot
Peter
P
Mugyenyi
Peter
P
Kityo
Cissy
C
Lowes
Rebecca
R
Cooper
Curtis
C
Lima
Viviane
V
Mills
Edward
E
D044966:Anti-Retroviral Agents / Q000627:therapeutic use*; D018791:CD4 Lymphocyte Count; D002648:Child; D054540:Child, Orphaned; D002675:Child, Preschool; D015331:Cohort Studies; D005260:Female; D015658:HIV Infections / Q000188:drug therapy*; D006297:Health Services Accessibility; D006801:Humans; D008297:Male; D013997:Time Factors; D014454:Uganda
D044966:Anti-Retroviral Agents