Socio-demographic profile of HIV infected children accessing care at pediatric clinic of a tertiary level hospital in North India

Ramesh Chand Chauhan, Neelima Singh

Abstract


Background: An increasing number of Human Immunodeficiency Virus (HIV) infected children are being identified and registered for Anti-Retroviral Therapy (ART). The parents of HIV infected children are more likely to die and thus render the children orphan. The socio-demographic characteristics of children with HIV infection are different than the other children of the same age group. So it is important to describe the socio-demographic characteristics of HIV infected children and ascertain factors associated with orphan-hood.

Methods: During 2010-11, a hospital based descriptive study was done where one hundred fifty six children registered at the pediatric chest clinic of a tertiary care hospital in Delhi and their caregivers were included in the study. Semi-structured, pretested interview schedule was used for data collection through face to face interview.

Results: Nearly half of the children were in age group of 5-9 years (mean age 8.1 ± 3.45 years) and two-thirds (73.3%) were male. In 66% of children both parents were HIV infected, in 17.3% cases either parent was infected.  None of the parent was reported to be HIV positive in 16.7% of children. The prevalence of orphan-hood was 39.1% with majority as paternal orphans. The primary caregiver was either the surviving parent (82.0%) or extended family members and 87.8% of children were living with their parents/surviving parent.  

Conclusion: The prevalence of orphan-hood among the HIV-positive children was high. It might lead to significant health consequence for the children. Larger community-based studies are needed to determine the true magnitude of orphan-hood. 


Keywords


HIV, Children, Demographic profile

Full Text:

PDF

References


WHO. Fact sheet: HIV/AIDS, 2014. Available at: http://www.who.int/mediacentre/factsheets/fs360/en/. Accessed 10 March 2014.

UNAIDS. UNAIDS report on the global AIDS epidemic, 2013. Available at: http://www.unaids.org/en/media/unaids/contentassets/documents/epidemiology/2013/gr2013/UNAIDS_Global_Report_2013_en.pdf. Accessed 10 March 2014.

Department of AIDS Control Ministry of Health and Family Welfare Government of India. Annual report, 2012-2013. Available at: http://www.naco.gov.in/upload/Publication/Annual_Report/Annual_report_2012-13_English.pdf. Accessed 1 April 2014.

UNAIDS. Global AIDS response progress reporting, 2013. Available at: http://www.unaids.org/en/media/unaids/contentassets/documents/document/2013/GARPR_2013_guidelines_en.pdf. Accessed 22 March 2014.

M Gupta, K Puri, K Singh, S Malhotra. The road less travelled: a social and demographic profile of HIV-infected children accessing care at tertiary care centre in North India. Egyptian Dermatol Online. 2013;9(1):4.

Bhattacharya M, Rajeshwari K, Saxena R. Demographic and clinical features of orphans and non-orphans at a pediatric HIV centre in North India. Indian J Pediatr. 2010;77(6):627-31.

Shah I. Prevalence of orphans among HIV infected children: a preliminary study from a pediatric HIV centre in western India. J Trop Pediatr. 2008;54:258-60.

Makumbi FE, Gray RH, Serwadda D et al. The incidence and prevalence of orphanhood associated with parental HIV infection: a population-based study in Rakai, Uganda. AIDS. 2005;19(15):1669-76

Florence SF, Andreas C, Séraphin N et al. Baseline demographic, clinical and immunological profile of HIV-infected children at the Yaounde gynaeco-obstetric and pediatric hospital, Cameroon. Pan Afr Med J. 2014;17:87.

Brown BJ, Oladokun RE, Odaibo GN, Olaleye DO, Osinusi K, Kanki P. Clinical and immunological profile of pediatric HIV infection in Ibadan, Nigeria. J Int Assoc Physicians AIDS Care (Chic). 2011 Jan/Feb;10(1):49-53.

Singh S, Jat KR, Minz RW, Arora S, Suri D, Sehgal S. Clinical profile of 516 children affected by HIV in a tertiary care centre in Northern India: 14 years of experience. Trans R Soc Trop Med Hyg. 2009 Jun;103(6):627-33.

Fetuga MB, Ogunfowora OB, Oyegunle VN, Thanni LO. A ten-year review of paediatric HIV/AIDS among hospitalized children in a Nigerian teaching hospital. Nig J Paediatr. 2005;32(3):29-32.