Evidence map›Paper›PMID 39824536›Full record

ArticleBMJ paediatrics open2025

Exploring survival rates in HIV-infected Ethiopian children receiving HAART: a retrospective cohort study.

Yimam Getaneh, Yared Dejene, Birhanemeskel T Adankie, Siti Qamariyah Khairunisa, Dominicus Husada, Kuntaman Kuntaman, Maria Inge Lusida

Abstract read
In one paragraph

Article in BMJ paediatrics open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

What it found

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2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

7 authors.

Yimam GetanehDoctoral Program, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia yimam.getaneh.misganie-2021@fk.unair.ac.id ingelusid@fk.unair.ac.id.ORCID http://orcid.org/0000-0002-8222-0132
Yared DejeneSt. Paul Hospital Millennium Medical College, Addis Ababa, Ethiopia.
Birhanemeskel T AdankieSt. Paul Hospital Millennium Medical College, Addis Ababa, Ethiopia.
Siti Qamariyah KhairunisaResearch Center on Global Emerging and Re-emerging Infectious Diseases, Institute of Tropical Disease, Universitas Airlangga, Surabaya, 60115, Indonesia.
Dominicus HusadaFaculty of Medicine, Universitas Airlangga, Surabaya, Indonesia.
Kuntaman KuntamanFaculty of Medicine, Universitas Airlangga, Surabaya, Indonesia.
Maria Inge LusidaResearch Center on Global Emerging and Re-emerging Infectious Diseases, Institute of Tropical Disease, Universitas Airlangga, Surabaya, 60115, Indonesia yimam.getaneh.misganie-2021@fk.unair.ac.id ingelusid@fk.unair.ac.id.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStudies have shown a high rate of mortality among adults despite the introduction of highly active antiretroviral therapy (HAART). However, long-term outcomes of HAART among children remain poorly documented in Ethiopia. This study aimed to estimate the survival rate and identify associated factors among HIV-infected children on antiretroviral therapy.

methodsA retrospective cohort study was conducted from August to December 2022 in 13 health facilities (HFs) using records of 554 children (<15 years old) initiating HAART from 2007 to 2019. HFs were selected using probability proportional to the size of patients. Survival rate and predictors of mortality were estimated using Kaplan-Meier and Cox-proportional hazards, respectively. The analysis was done using STATA V.16.0.

resultOverall mortality among HIV-positive children taking HAART in Ethiopia in 12-year follow-up was 25.5%. Moreover, the mortality rate was 24 per 100 child-year observation. Survival during the median 9.65 (95% CI=9.30 to 10.00) years of follow-up was 0.50. There was a significant drop in the survival rate from the 6th year of follow-up (0.96) to the 8th year (0.78) till the 12th year (0.18). By the end of the follow-up period, 172 (23.69%) were lost to follow-up. There was a high risk of mortality among female (adjusted HRs (AHRs) (95% CI) =1.35 (1.14 to 1.65)), those with poor adherence (AHR (95% CI) =1.29 (1.13 to 1.35)), CD4 count of ≤200 cells/mm

conclusionThe significant drop in the survival rate as of the 6th year follow-up and the high loss rate to follow-up call for programme attention. Close follow-up of children with low CD4 count, low haemoglobin and poor adherence could help improve survival.

Indexed as

Antiretroviral Therapy, Highly ActiveHIV InfectionsAdolescentChildChild, PreschoolEthiopiaFemaleHumansInfantMaleRetrospective StudiesSurvival RateHIVMortality

Identifiers

PMID39824536
PMCPMC11749865

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