ArticleAIDS (London, England)2015
Growing-up just like everyone else: key components of a successful pediatric HIV disclosure intervention in Namibia.
Article in AIDS (London, England), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Transition to independent care for youth living with HIV: a cluster randomised clinical trial.The lancet. HIV · 2022Trial
- Clinic-Based Pediatric Disclosure Intervention Trial Improves Pediatric HIV Status Disclosure in Ghana.Journal of acquired immune deficiency syndromes (1999) · 2020Trial
- The psychological process and support needs of HIV-positive individuals who disclose their status to sexual partners: a qualitative study.Frontiers in public health · 2026Article
- Children's Positive and Negative Emotional Responses to an HIV Disclosure Study in South Africa.Frontiers in pediatrics · 2022Article
- Exploring the mechanism through which a child-friendly storybook addresses barriers to child-participation during HIV care in primary healthcare settings in KwaZulu-Natal, South Africa.BMC public health · 2021Article
- The Consequences of Delaying Telling Children with Perinatal HIV About Their Diagnosis as Perceived by Healthcare Workers in the Eastern Cape; A Qualitative Study.Children (Basel, Switzerland) · 2020Article
- Post-training and mentorship experiences of KidzAlive-trained healthcare workers at primary healthcare facilities in KwaZulu-Natal, South Africa.African journal of primary health care & family medicine · 2020Article
- User-provider experiences of the implementation of KidzAlive-driven child-friendly spaces in KwaZulu-Natal, South Africa.BMC public health · 2020Article
- Child-Centred Care in HIV Service Provision for Children in Resource Constrained Settings: A Narrative Review of Literature.AIDS research and treatment · 2019Review
- Models of support for disclosure of HIV status to HIV-infected children and adolescents in resource-limited settings.Journal of the International AIDS Society · 2018Article
- Brief Report: Disclosure, Consent, Opportunity Costs, and Inaccurate Risk Assessment Deter Pediatric HIV Testing: A Mixed-Methods Study.Journal of acquired immune deficiency syndromes (1999) · 2018Article
- Pediatric HIV Disclosure Intervention Improves Knowledge and Clinical Outcomes in HIV-Infected Children in Namibia.Journal of acquired immune deficiency syndromes (1999) · 2017Article
- "How Do We Start? And How Will They React?" Disclosing to Young People with Perinatally Acquired HIV in Uganda.Frontiers in public health · 2017Article
- HIV disclosure to children in low-and middle-income countries: towards effective interventions.AIDS (London, England) · 2015Article
- Getting to 90-90-90 in paediatric HIV: What is needed?Journal of the International AIDS Society · 2015Article
- 90-90-90--Charting a steady course to end the paediatric HIV epidemic.Journal of the International AIDS Society · 2015Article
- Telling Children with Perinatal HIV About Their HIV Serostatus: Healthcare Workers' Practices and Barriers to Disclosing in a South African Rural Health District.Journal of primary care & community healthArticle
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
objectivesTo facilitate replication and adaptation of pediatric HIV disclosure interventions, we identified key components of a child-friendly cartoon book used to guide Namibian caregivers and healthcare workers (HCWs) through a gradual, structured disclosure process.
designQualitative interviews were conducted with caregivers and HCWs from four high-volume pediatric HIV clinics in Namibia.
methodsSemi-structured in-depth interviews with 35 HCWs and 64 caregivers of HIV+ children aged 7-15 were analyzed using constant comparative and modified grounded theory analysis. Major barriers to disclosure were compared to accounts of intervention success, and themes related to key components were identified.
resultsThe disclosure book overcomes barriers to disclosure by reducing caregiver resistance, increasing HIV and disclosure knowledge, and providing a gradual, structured framework for disclosure. The delayed mention of HIV-specific terminology overcomes caregiver fears associated with HIV stigma, thus encouraging earlier uptake of disclosure initiation. Caregivers value the book's focus on staying healthy, keeping the body strong, and having a future 'like other kids', thus capitalizing on evidence of the positive benefits of resilience and hopefulness rather than the negative consequences of HIV. The book's concepts and images resonate with children who readily adopt the language of 'body soldiers' and 'bad guys' in describing how important it is for them to take their medicine. Discussion cues ease communication between HCWs, caregivers, and pediatric patients.
conclusionGiven the urgent need for available pediatric HIV disclosure interventions, easily implementable tools like the Namibian disclosure book should be evaluated for utility in similar settings.
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