Evidence map›Paper›PMID 34609102›Full record

ArticleThe Pediatric infectious disease journal2021

Finding Children Living With HIV in Low-prevalence Countries: HIV Prevalence and Testing Yield From 5 Entry Points in Ethiopia.

Susan Hrapcak, Alemayehu Bekele, Jelaludin Ahmed, Jemal Ayalew, Steve Gutreuter, Hanna Kumssa, Tenagnework Antefe, Semegnew Mengistu, Kelsey Mirkovic, Eric J Dziuban and 5 more

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Article in The Pediatric infectious disease journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

15 authors.

Susan HrapcakCenters for Disease Control and Prevention, Atlanta, GA.
Alemayehu BekeleEthiopia Public Health Association, Addis Ababa.
Jelaludin AhmedCenters for Disease Control and Prevention, Addis Ababa, ET.
Jemal AyalewEthiopia Public Health Association, Addis Ababa.
Steve GutreuterCenters for Disease Control and Prevention, Atlanta, GA.
Hanna KumssaAddis Ababa City Administration Health Bureau, ET.
Tenagnework AntefeAmhara Regional Health Bureau, ET.
Semegnew MengistuEthiopia Public Health Association, Addis Ababa.
Kelsey MirkovicCenters for Disease Control and Prevention, Atlanta, GA.
Eric J DziubanCenters for Disease Control and Prevention, Atlanta, GA.
Christine RossCenters for Disease Control and Prevention, Addis Ababa, ET.
Zena BelayCenters for Disease Control and Prevention, Atlanta, GA.
Tsegaye TilahunUnited States Agency for International Development, Addis Ababa, ET.
Desta KassaEthiopian Public Health Institute, Addis Ababa.
Wondimu TeferiCenters for Disease Control and Prevention, Addis Ababa, ET.

Funding

CGH CDC HHS U2G GH001039
6 · The paper itself

Abstract

backgroundLimited data in low HIV prevalence settings such as Ethiopia limit policy development and implementation of optimized pediatric testing approaches to close the treatment gap. This study aimed to determine HIV prevalence, testing yield and factors associated with HIV among children at 5 entry points.

methodsWe conducted a cross-sectional study from May 2017 to March 2018 in 29 public health facilities in Amhara and Addis Ababa regions in Ethiopia. Children 2-14 years were enrolled through 5 entry points. Data were obtained from registers, medical records and interviews with caregivers. HIV prevalence and testing yields were calculated for each entry point. Mixed-effects logistic regression analysis identified factors associated with undiagnosed HIV.

resultsThe study enrolled 2166 children, of whom 94 were HIV positive (40 newly diagnosed). HIV prevalence and testing yield were the highest among children of HIV-positive adults (index testing; 8.2% and 8.2%, respectively) and children presenting to tuberculosis clinics (7.9% and 1.8%) or with severe malnutrition (6.5% and 1.4%). Factors associated with undiagnosed HIV included tuberculosis or index entry point [adjusted odds ratio (aOR), 11.97; 95% CI 5.06-28.36], deceased mother (aOR 4.55; 95% CI 1.30-15.92), recurrent skin problems (aOR 17.71; 95% CI 7.75-40.43), severe malnutrition (aOR 4.56; 95% CI 2.04-10.19) and urban residence (aOR 3.47; 95% CI 1.03-11.66).

conclusionsIndex testing is a critical strategy for pediatric case finding in Ethiopia. Strategies and resources can prioritize minimizing missed opportunities in implementing universal testing for very sick children (tuberculosis, severe malnutrition) and implementing targeted testing in other entry points through use of factors associated with HIV.

Indexed as

MovementAdolescentAmbulatory Care FacilitiesChildChild, PreschoolCross-Sectional StudiesEthiopiaHIV InfectionsHumansLogistic ModelsPrevalenceRisk Factors

Identifiers

PMID34609102
PMCPMC8721595

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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.