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Published on: March 30, 2014
Contextualising the paediatric HIV epidemic: a review
B S Eley1, D Tindyebwa, J Kayita
1Red Cross Children's Hospital, Rondebosch, 7701, Cape Town, South Africa.
Insights
Sub-optimal care for children with HIV in Africa is worsening the epidemic
Area of Science:
- Pediatric infectious diseases
- Global child health
- HIV/AIDS epidemiology
Background:
- The HIV/AIDS epidemic significantly impacts child health in Africa.
- Current care for HIV-infected children in Africa is often sub-optimal.
- The African Network for the Care of Children Affected by HIV/AIDS (ANNECA) advocates for improved care.
Purpose of the Study:
- To highlight the inadequate care provided to HIV-infected children in Africa.
- To emphasize the need for optimized prevention, diagnosis, treatment, and care strategies.
Main Methods:
- Review of relevant published literature.
- Analysis of advocacy statements and epidemiological data.
Main Results:
- Sub-optimal care exacerbates the negative effects of pediatric HIV in Africa.
- Effective prevention could avert over 500,000 pediatric infections annually.
- Improved care, including early diagnosis, prophylaxis, and antiretroviral therapy, can enhance quality of life and lifespan.
Conclusions:
- Urgent action is required from political leaders, public health officials, and healthcare professionals.
- Efforts must be intensified to reverse the scale of the pediatric HIV epidemic in Africa.
Objective:
To draw attention to the sub-optimal care that HIV-infected children are receiving in Africa.
Data Sources:
Relevant published literature.
Data Synthesis:
Sub-optimal response to paediatric HIV infection has aggravated the negative impact that the epidemic has had on child health in Africa. Recently the African Network for the Care of Children Affected by HIV/AIDS (ANNECA) released an advocacy statement that called for the optimisation of prevention, diagnosis, treatment and care for children affected by the AIDS pandemic. Effective prevention strategies if comprehensively implemented, could prevent more than 500 000 paediatric infections per annum at current antenatal HIV prevalence rates. Improved care that includes universal utilisation of early diagnostic testing systems, cotrimoxazole prophylaxis, nutritional support and the timely introduction of antiretroviral therapy could improve the quality of life and lifespan of most infected children.
Conclusion:
Political leaders, public health officials and fellow child health professionals are urged to redouble their efforts to reverse the magnitude of the paediatric epidemic in Africa.
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