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Published on: October 31, 2010
Pediatric HIV/AIDS in sub-Saharan Africa: emerging issues and way forward
1Department of Paediatrics, Faculty of Medical Sciences, University of Nigeria/University of Nigeria Teaching Hospital, Enugu, Nigeria. agozie.ubesie@unn.edu.ng
Insights
Pediatric HIV care in sub-Saharan Africa faces significant challenges, including late diagnosis and limited access to services. A comprehensive, cost-effective strategy is crucial for eradicating pediatric HIV in the region.
Area of Science:
- Global health
- Infectious diseases
- Pediatrics
Background:
- Sub-Saharan Africa bears the highest global burden of pediatric HIV.
- Despite global eradication targets, complex issues persist for HIV-affected children.
Purpose of the Study:
- To review current and emerging challenges in pediatric HIV care in sub-Saharan Africa.
- To propose solutions for addressing these challenges.
Main Methods:
- A literature search of Medline was conducted.
- Keywords included "pediatric HIV", "HIV and children", "HIV and infants", and "HIV and adolescents" in sub-Saharan Africa.
Main Results:
- Key challenges include late presentation, limited access to services, delayed diagnosis, infant feeding issues, malnutrition, complex drug regimens, disclosure, treatment failure, and reproductive health concerns.
- Holistic, cost-effective preventive, diagnostic, and treatment strategies are necessary.
Conclusions:
- HIV-infected children and families in sub-Saharan Africa encounter multifaceted medical and psychosocial issues.
- A holistic health promotion approach is advocated for pediatric HIV eradication.
Background:
Sub-Saharan Africa has the largest burden of pediatric HIV in the world. Global target has been set for eradication of pediatric HIV by 2015 but there are still so many complex issues facing HIV infected and affected children in the sub-continent.
Objective:
To review the current and emerging challenges facing pediatric HIV care in sub-Saharan Africa; and proffer solutions that could help in tackling these challenges.
Method:
A Medline literature search of recent publications was performed to identify articles on "pediatric HIV", "HIV and children", "HIV and infants", "HIV and adolescents" in sub-Saharan Africa.
Result:
There are a number of challenges and emerging complex issues facing children infected and affected by HIV in sub-Saharan Africa. These include late presentation, limited access to pediatric HIV services, delayed diagnosis, infant feeding choices, malnutrition, limited and complex drug regimen, disclosure, treatment failure and reproductive health concerns. A holistic cost effective preventive, diagnostic and treatment strategies are required in order to eliminate pediatric HIV in SSA.
Conclusion:
HIV infected children and their families in sub-Saharan Africa face myriad of complex medical and psychosocial issues. A holistic health promotional approach is being advocated as the required step for eradication of pediatric HIV in Africa.
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