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Pattern of paediatric HIV status disclosure in coastal Karnataka

Nishanth Krishna Kodyalamoole1, Sanjeev Badiger2, Nalam Udaya Kiran2

  • 1Department of Community Medicine, Father Muller Medical College, Mangaluru, India.

The Indian Journal of Medical Research
|August 8, 2018
PubMed

Insights

In Karnataka, only 57.8% of children with HIV knew their status, with older children more likely to be informed. Encouraging caregivers to disclose HIV status to children over 11 is crucial.

Area of Science:

  • Medical Research
  • Public Health
  • Pediatrics

Background:

  • Karnataka, India, faces a high prevalence of HIV.
  • Limited data exists on HIV status disclosure to children in the region.
  • Disclosure is known to benefit children living with HIV.

Purpose of the Study:

  • To determine the proportion of children informed about their HIV status in coastal Karnataka.
  • To understand the patterns and factors associated with HIV status disclosure in pediatric patients.

Main Methods:

  • A cross-sectional study was conducted in a district hospital's Antiretroviral Therapy (ART) center.
  • 185 caregivers of HIV-positive children were interviewed using a semi-structured questionnaire.
  • Data was collected between October 2014 and July 2015.

Main Results:

  • 57.8% (107 out of 185) of children were aware of their HIV status.
  • Full disclosure was achieved in 95 of the children who were aware.
  • Children aged 11-15 years and those in rehabilitation centers were more likely to have their status disclosed, often by counselors.

Conclusions:

  • Older children, particularly those over 11 years, are more likely to be informed about their HIV status.
  • Counselors play a significant role in disclosure, especially in rehabilitation settings.
  • Caregivers should be encouraged and supported to disclose HIV status to children, especially after age 11.
Abstract

Keywords:
Disclosure pattern - HIV disclosure - HIV/AIDS - paediatric disclosure - paediatric HIV

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