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Optimizing paediatric HIV care in Kenya: challenges in early infant diagnosis

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English: PDF [532]


This study examined barriers to identification of HIV-infected children in Kenya's national ART treatment program. In order to assess this, existing government policies were reviewed and the ART register of the Kenya National AIDS Control Programme was used to identify facilities providing ART. At the time of the study, 58 health facilities were providing ART to children in Kenya. Only one institution had achieved universal HIV testing in the antenatal clinics. Six facilities systematically followed up HIV-exposed children. HIV antibody testing was not readily available to children. Although four research centers were capable of carrying out diagnostic HIV polymerase chain reaction (PCR), the services were restricted to research purposes. Other constraints were inadequate physical infrastructure, inadequate systems for quality control in the laboratories and a shortage of staff. Though the policy framework to support identification of HIV-infected children had been established, this focuses narrowly on sick children and there are faulty structures for systematic diagnosis of HIV through laboratory or clinical-based algorithms.

Publisher: World Health Organization
Language: English
Format: PDF
Regions: Sub-Saharan Africa, Kenya
Audiences: Doctors/Physicians, Policymakers, Program Managers, Researchers
Literacy level: High
Topic Areas: Testing & Counseling, Complications of HIV in Children
Resource Type: Journal Articles