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dc.contributor.authorYumo, H. A.
dc.contributor.authorNsame, D. N.
dc.contributor.authorKuwoh, P. B.
dc.contributor.authorNjabon, M. B.
dc.contributor.authorSieleunou, I.
dc.contributor.authorNdenkeh, J. J.N.
dc.contributor.authorTene, G.
dc.contributor.authorMemiah, P.
dc.contributor.authorKuaban, C.
dc.contributor.authorBeissner, M.
dc.date.accessioned2021-06-21T14:11:37Z
dc.date.available2021-06-21T14:11:37Z
dc.date.issued2020-06-24
dc.identifier.urihttp://hdl.handle.net/10713/16052
dc.description.abstractObjectives: The number needed to test (NNT) to identify a child infected with HIV remains high in the context of the implementation of the blanket provider-initiated testing and counselling (bPITC) strategy. This study assessed the predictors of HIV seropositivity among outpatient children/adolescents (6 weeks-19 years) in Cameroon. This information is needed to improve the yield of bPITC and reduce the current gap in pediatric and adolescent ART coverage in this country and beyond. Study design: Cross-sectional study conducted in 3 hospitals in Cameroon. Methods: Through biological parents and guardians we systematically invited children and adolescents visiting the outpatient departments for any reason to test for HIV (bPITC) in a 6-month period. Children and adolescents were tested for HIV following the national guidelines and the predictors of HIV seropositivity were assessed using multivariate logistic regression at 5% significant level. Results: A total of 2729 eligible children/adolescents were enrolled. Among these, 90.3% (2465/2729) were tested for HIV. Out of these, 1.6% (40/2465) tested HIV-positive, corresponding to a NNT of 62. In multivariate analysis, HIV seropositivity was 2.5, 3.3, and 5 times more likely to be reported among children/adolescents of the female sex [aOR ​= ​0.4 (0.2–0.8), p ​= ​0.008]; whose fathers had no formal school education [aOR ​= ​0.3 (0.1–0.6), p ​= ​0.004] and those whose mothers had died [aOR ​= ​0.2 (0.0–0.9), p ​= ​0.041], respectively. Conclusions: Focusing HIV testing among female children/adolescents, whose fathers had no education level and whose mothers had died could reduce the NNT, improve the yield of bPITC and increase the pediatric and adolescent ART coverage. ©en_US
dc.description.sponsorshipNational Institute of Allergy and Infectious Diseasesen_US
dc.description.urihttps://doi.org/10.1016/j.puhip.2020.100025en_US
dc.language.isoenen_US
dc.publisherElsevier B.V.en_US
dc.relation.ispartofPublic Health in Practiceen_US
dc.subjectAdolescentsen_US
dc.subjectChildrenen_US
dc.subjectHighly active antiretroviral therapyen_US
dc.subjectHIVen_US
dc.subjectHIV seropositivityen_US
dc.subjectPITCen_US
dc.subjectTestingen_US
dc.titleImplementation of blanket provider-initiated testing and counselling: Predictors of HIV seropositivity among infants, children and adolescents in Cameroonen_US
dc.typeArticleen_US
dc.identifier.doi10.1016/j.puhip.2020.100025
dc.source.volume1


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