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Developing an institutional framework for assessing constraints to HIV testing and treatment-seeking of children in Zambia

English title Developing an institutional framework for assessing constraints to HIV testing and treatment-seeking of children in Zambia
Applicant Merten Sonja
Number 123072
Funding scheme Marie Heim-Voegtlin grants
Research institution Department of Epidemiology and Public Health Swiss Tropical and Public Health Institute Universität Basel
Institution of higher education University of Basel - BS
Main discipline Social Paediatrics
Start/End 01.01.2009 - 31.12.2010
Approved amount 228'148.00
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All Disciplines (3)

Discipline
Social Paediatrics
Public Health and Health Services
Health Education

Keywords (6)

treatment-seeking; child health; HIV/AIDS; antiretroviral therapy; access to healthcare; Zambia

Lay Summary (English)

Lead
Lay summary
HIV/AIDS continues to pose a tremendous burden on Sub-Saharan Africa. Zambia is a high prevalence country, with a generalized epidemic, counting approximately 1 Mio HIV infected adults and 100’00 children who live with an HIV infection. Today an HIV infection does no longer signify death. Antriretroviral medication has become available also in developing countries at low cost. Antiretroviral therapy has been shown to improve survival and subjective wellbeing of adults and children with HIV also in resource poor settings. However, still many persons do not access HIV related services, and up to one third who is treated with antiretrovirals drops out of the programs. Especially children appear to be disadvantaged. However little is known about barriers to treatment for children. Access to HIV related therapy is a multifaceted problem. Factors limiting access range from difficulties in making HIV testing, counseling and treatment available in remote areas, to financial problems of the people at risk, and to cultural beliefs. An HIV infection is still heavily stigmatized which may prevent people living with HIV from accessing health services. Aim:The overall aim of this study is to gain policy relevant insights in the barriers to antiretroviral therapy for children. The study should provide insights into the factors influencing caretaker decision-making with respect to HIV testing and antiretroviral treatment of children. The child’s own role should be explored in this context.RelevanceHIV/AIDS is still a tremendous public health problem. In-depth information about barriers to treatment will be of both practical and theoretical relevance to researchers as well as local program leaders and health professionals.
Direct link to Lay Summary Last update: 21.02.2013

Responsible applicant and co-applicants

Employees

Publications

Publication
Ambiguous care: siblings and the economies of HIV-related care in Zambia.
Merten Sonja (2016), Ambiguous care: siblings and the economies of HIV-related care in Zambia., in AIDS care, 1-10.
Non-Uptake of HIV Testing in Children at Risk in Two Urban and Rural Settings in Zambia: A Mixed-Methods Study.
Merten Sonja, Ntalasha Harriet, Musheke Maurice (2016), Non-Uptake of HIV Testing in Children at Risk in Two Urban and Rural Settings in Zambia: A Mixed-Methods Study., in PloS one, 11(6), 0155510-0155510.

Collaboration

Group / person Country
Types of collaboration
UNZA Zambia (Africa)
- in-depth/constructive exchanges on approaches, methods or results
- Publication
- Research Infrastructure
ZAMBART Zambia (Africa)
- in-depth/constructive exchanges on approaches, methods or results
- Publication
- Research Infrastructure

Scientific events

Active participation

Title Type of contribution Title of article or contribution Date Place Persons involved
AIDS conference Poster Non-uptake of HIV testing among children at risk in Zambia 22.07.2012 Washington, DC, United States of America Merten Sonja;


Associated projects

Number Title Start Funding scheme
123907 Improving equity in access through adherence to HIV care and treatment 01.03.2009 Resource not found: 'bd31932a-e257-46d9-9dba-079f6f2c77c6'

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