ArticlePublic health action2019
Clinical and operational factors associated with low pediatric inpatient HIV testing coverage in Mozambique.
Article in Public health action, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Temporal dynamics and demographic specificity of provider-initiated HIV testing in China: an eight-year retrospective analysis.Frontiers in public health · 2025Article
- Article
- Advanced disease programming brings much needed attention and improvements to inpatient paediatric HIV care in Mozambique.Journal of the International AIDS Society · 2024Article
- Very low HIV positivity on paediatric surgical wards in Mozambique: Implications for inpatient provider-initiated testing programmes.Southern African journal of HIV medicine · 2024Article
- Monitoring and evaluation of HIV screening and testing of hospitalized infants and their mothers.Public health action · 2022Article
- Inpatient Point-of-Care HIV Early Infant Diagnosis in Mozambique to Improve Case Identification and Linkage to Antiretroviral Therapy.Global health, science and practice · 2021Article
- Article
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Authors and funding
7 authors.
Funding
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Abstract
settingEleven pediatric wards in Maputo Province, Mozambique.
objective1) To determine provider-initiated testing and counseling (PITC) coverage, the rate of human immunodeficiency virus (HIV) positivity, and the clinical and facility-level variables associated with PITC; and 2) to assess the care cascade for HIV-exposed and -infected children.
designThis was a cross-sectional, retrospective review of inpatient charts, selected via systematic randomization, of patients aged 0-4 years, admitted between July and December 2015.
resultsAmong the 800 patients included, the median age was 23 months and median duration of hospitalization was 3 days. HIV testing was ordered in 46.0% of eligible patients (known HIV-infected at admission excluded), with results documented for 35.7%, of whom 8.3% were positive. The patient hospitalization diagnoses with the highest PITC rates were malnutrition (73.8%), sepsis (71.4%) and tuberculosis (58.3%), with positivity rates of respectively 16.1%, 20.0%, and 28.6%. Longer hospitalization, weekday admission, and PITC training for staff were significantly associated with better PITC performance. Antiretroviral treatment was initiated during hospitalization for 29.6% of eligible patients.
conclusionPITC coverage was low, with high HIV positivity rates, highlighting missed opportunities for diagnosis and linkage to treatment. Strengthened routine testing on wards with consideration of inpatient ART initiation are needed to help achieve pediatric 90-90-90 goals.
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