Evidence map›Paper›PMID 20539856›Full record

ArticleBulletin of the World Health Organization2010

Survey of children accessing HIV services in a high prevalence setting: time for adolescents to count?

Rashida Ferrand, Sara Lowe, Barbra Whande, Lucia Munaiwa, Lisa Langhaug, Frances Cowan, Owen Mugurungi, Diana Gibb, Shungu Munyati, Brian G Williams and 1 more

Abstract read
In one paragraph

Article in Bulletin of the World Health Organization, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Rashida FerrandLondon School of Hygiene and Tropical Medicine, Keppel Street, London, WC1E 7HT, England. rashida.ferrand@lshtm.ac.uk
Sara Lowe
Barbra Whande
Lucia Munaiwa
Lisa Langhaug
Frances Cowan
Owen Mugurungi
Diana Gibb
Shungu Munyati
Brian G Williams
Elizabeth L Corbett

Funding

Medical Research Council MC_U122886353Wellcome Trust
6 · The paper itself

Abstract

objectiveTo establish the proportion of adolescents among children infected with human immunodeficiency virus (HIV) in Zimbabwe who receive HIV care and support, and what clinic staff perceives to be the main problems faced by HIV-infected children and adolescents.

methodsIn July 2008, we sent a questionnaire to all 131 facilities providing HIV care in Zimbabwe. In it we requested an age breakdown of the children (aged 0-19 years) registered for care and asked what were the two major problems faced by younger children (0-5 years) and adolescents (10-19 years).

findingsNationally, 115 (88%) facilities responded. In 98 (75%) that provided complete data, 196 032 patients were registered and 24 958 (13%) of them were children. Of children under HIV care, 33% were aged 0-4 years; 25%, 5-9 years; 25%, 10-14 years; and 17%, 15-19 years. Staff highlighted differences in the problems most commonly faced by younger children and adolescents. For younger children, such problems were malnutrition and lack of appropriate drugs (cited by 46% and 40% of clinics, respectively); for adolescents they concerned psychosocial issues and poor drug adherence (cited by 56% and 36%, respectively).

conclusionInterventions for the large cohort of adolescents who are receiving HIV care in Zimbabwe need to target the psychosocial concerns and poor drug adherence reported by staff as being the main concerns in this age group.

Indexed as

AdolescentChildChild, PreschoolChild WelfareDrug MonitoringFemaleHealth Care SurveysHealth Services AccessibilityHealth Services Needs and DemandHIV InfectionsHumansInfantInfant, NewbornMalePrevalenceQualitative Research

Identifiers

PMID20539856
PMCPMC2878143

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.