Evidence map›Paper›PMID 25170382›Full record

ArticleThe Pan African medical journal2014

Adherence to antiretroviral therapy among HIV-infected children receiving care at Kilimanjaro Christian Medical Centre (KCMC), Northern Tanzania: A cross- sectional analytical study.

Amos Haki Nsheha, Dorothy Elizabeth Dow, Gabriel Erick Kapanda, Bernardus Carolus Hamel, Levina January Msuya

Abstract read
In one paragraph

Article in The Pan African medical journal, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

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

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  14. Paediatric HIV infection: the potential for cure.Nature reviews. Immunology · 2016
    Review
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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

5 authors.

Amos Haki NshehaDepartment of Paediatrics and Child Health, Kilimanjaro Christian Medical University College, P. O. Box 2240, Moshi, Tanzania.
Dorothy Elizabeth DowKCMC- Duke Collaboration, P.O Box 3010, Moshi, Tanzania.
Gabriel Erick KapandaDepartment of Epidemiology & Biostatistics, Kilimanjaro Christian Medical University College, P. O. Box 2240, Moshi, Tanzania.
Bernardus Carolus HamelDirectorate of Postgraduate Studies, Kilimanjaro Christian Medical University College, P.O Box 2240, Moshi, Tanzania.
Levina January MsuyaDepartment of Paediatrics and Child Health, Kilimanjaro Christian Medical University College, P. O. Box 2240, Moshi, Tanzania.

Funding

Vanderbilt-Emory-Cornell-Duke Consortium for Global Health Fellows (VECDor)R25TW009337 · FIC · VANDERBILT UNIVERSITY MEDICAL CENTER · PI HEIMBURGER, DOUGLAS CORBETT, VERMUND, STEN H. · 2012 to 2016
$6.3M
Institutional Training Grant in Pediatric Infectious DiseaseT32HD060558 · NICHD · DUKE UNIVERSITY · PI CUNNINGHAM, COLEEN K. · 2011 to 2015
$1.0M
Integrating Mental Health into a HIV Clinic to Improve Outcomes in Tanzanian YouthK01TW009985 · FIC · DUKE UNIVERSITY · PI DOW, DOROTHY E. · 2015 to 2019
$667k
FIC NIH HHS K01 TW009985FIC NIH HHS R25 TW009337NICHD NIH HHS T32 HD060558
6 · The paper itself

Abstract

introductionPaediatric adherence to Highly Active Antiretroviral Therapy (HAART) is a dynamic process involving many factors. Adherence for the majority on therapy matters to prevent failure of 1(st) and 2(st) line therapy. The purpose of this study was to determine the rate of adherence to antiretroviral therapy in HIV infected children.

methodsWe conducted a cross-sectional hospital based analytical study, from October 2011 to April 2012. HIV-infected children aged 2 to 17 years who had been on treatment for at least six months were enrolled. Data were collected by a standard questionnaire. Two-day self-report, one month self-recall report, and pill count were used to assess adherence.

resultsOne hundred and eighty three respondents participated in this research. There were 92 (51%) males and 91 (49%) females. Only 45 (24.6%) had good adherence to their drug regimen when subjected to all three methods of assessment. Males were more adherent to ART than females (OR= 2.26, CI 1.05-4.87, p = 0.04). Adherence was worse among children who developed ART side effects (OR= 0.19, CI 0.07- 0.56;p = 0.01), could not attend clinic on regular basis (OR= 3.4, CI 1.60- 7.36, p = 0.01) and missed drug doses in the six months period prior to interview (OR= 0.40, CI 0.18-0.82, p= 0.01).

conclusionOnly 24.6% of paediatric patients had good adherence to ART when subjected to all three measures. Drug side-effects, missing drug doses in the six months period prior to study start, monthly income and affording transportation to the clinic were strong predictors of adherence.

Indexed as

Medication AdherenceAdolescentAnti-HIV AgentsAntiretroviral Therapy, Highly ActiveChildChild, PreschoolCross-Sectional StudiesFemaleHIV InfectionsHumansMaleSex FactorsSocioeconomic FactorsSurveys and QuestionnairesTanzaniaTransportationAnti-HIV AgentsAdherencechildrenHAARTHIVTanzania

Identifiers

PMID25170382
PMCPMC4145266

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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.