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Growing-up just like everyone else: key components of a successful pediatric HIV disclosure intervention in Namibia

Laura Brandt1, Kristin Beima-Sofie, Ndapewa Hamunime

  • 1aInternational Training and Education Center for Health, Namibia bDepartment of Global Health, University of Washington cMinistry of Health and Social Services, Namibia dDepartment of Medicine, University of Washington eDepartment of Pediatrics, University of Washington fDepartment of Epidemiology, University of Washington.

AIDS (London, England)
|June 8, 2015
PubMed

Insights

A child-friendly cartoon book in Namibia helps caregivers and healthcare workers disclose pediatric HIV status. The book simplifies disclosure by addressing stigma and promoting resilience, improving communication and adherence to medication.

Area of Science:

  • Pediatric HIV/AIDS research
  • Health communication strategies
  • Qualitative research methodologies

Background:

  • Pediatric HIV disclosure interventions require accessible tools for caregivers and healthcare workers (HCWs).
  • A Namibian cartoon book was developed to guide gradual, structured disclosure for children aged 7-15.
  • Understanding key components is crucial for replicating and adapting such interventions.

Discussion:

  • The book effectively reduces caregiver resistance and enhances knowledge about HIV and disclosure.
  • Delayed introduction of HIV-specific terms mitigates stigma concerns, promoting earlier disclosure initiation.
  • The intervention's focus on health, strength, and a positive future resonates with children and caregivers.

Key Insights:

  • Caregivers and HCWs found the book valuable for navigating pediatric HIV disclosure.
  • The book's narrative, using terms like 'body soldiers,' aids children's understanding and medication adherence.
  • Structured discussion cues facilitate communication among HCWs, caregivers, and children.

Outlook:

  • The Namibian disclosure book serves as a model for easily implementable pediatric HIV disclosure tools.
  • Further evaluation is recommended to assess the utility of this intervention in similar global settings.
  • Adapting and disseminating such resources can improve pediatric HIV care and outcomes.
Abstract

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