Abstract
Pediatric AIDS is still a public health issue. In order to improve the care of children living with HIV, a study was carried out between January and December 2014, that is in 12 months at University Center Hospital (UCH) of Brazzaville, in the two Ambulant Treatment Centers (ATCs) of Brazzaville and Pointe-Noire, In three general hospitals and seven base hospitals. Heads of centers and follow-up files of children aged 0 to 15 constituted the target population. The study variables concern the provision of care, the organization of structures and personnel, and data management. Thirteen health facilities, 13 heads of centers and 520 medical files were selected. HIV care was effective in nine out of eleven departments, only the two CTAs offered the entire package of activities. The diagnosis was made in WHO stage 3 in 433 cases (83.3%), the pre-therapeutic assessment in 246 cases (47.2%); Psychological care in 84 cases (16.1%) whose 80 (95.2%) in the ACT, nutritional management in 4 cases (0.7%). Nine out of 13 centers did not have computer tools or materials for patient information and education; No center had sufficient staff. The dispensation of Anti-retroviral drugs (ARDs) is not based on any standard and the safety conditions of the laboratory providers are not guaranteed. The importance of the observed dysfunction makes it necessary to improve the general conditions of care.
Highlights
The HIV/AIDS pandemic, a social problem, is still one of the major causes of morbidity and mortality in the world
In order to improve the care of children living with HIV, a study was carried out between January and December 2014, that is in 12 months at University Center Hospital (UCH) of Brazzaville, in the two Ambulant Treatment Centers (ATCs) of Brazzaville and Pointe-Noire, In three general hospitals and seven base hospitals
The psychological care support was carried out on 48 cases (16.1%) among which 80 in ATC (95.2%) and 4 (4.8%) in the other centers
Summary
The HIV/AIDS pandemic, a social problem, is still one of the major causes of morbidity and mortality in the world. According to UNAIDS, 36.9 million people are living with HIV, including 2.6 million children [1]. Africa is the most affected continent with 25.8 million, (70%) of people infected. Only 37% of these patients receive antiretroviral therapy [2]. 87% of children living with HIV and 90% of infant deaths are related to it [1]. In Congo, where anti-retroviral therapy is free, out of 10,708 children infected, only 1452 have access to a therapeutic treatment, that is, 13.5% [3]. In order to improve the care of children living with HIV, the objectives of this work are to assess the quality of care provided to children treated with antiretroviral, the organization, operation and management of Care centers, as well as to identify the factors that influence follow-up
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
