HIV Sero Status Disclosure by Caregivers to Infected Children Accessing Care at Mbagathi Hopsital, Nairobi City County, Kenya

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dc.contributor.advisorJustus O.S. Oseroen_US
dc.contributor.advisorEunice Chomien_US
dc.contributor.authorMutiso, Jones Nzioki
dc.date.accessioned2022-03-22T12:03:41Z
dc.date.available2022-03-22T12:03:41Z
dc.date.issued2021
dc.descriptionDepartment of Community Health and Epidemiology “A Research Thesis Submitted in Partial Fulfilment of the Requirements for the Award of the Degree of Master of Public Health (Epidemiology and Disease Control) in the School of Public Health and Applied Human Sciences of Kenyatta University” October 2021en_US
dc.description.abstractBackground: HIV status disclosure to children is key to comprehensive pediatric HIV care. Increased access to antiretroviral drugs (ART) has led to survival of infected children posing a new challenge to parents on whether, when or how to disclose. Objective: To understand the prevalence, correlates and caregivers‟ perspectives on disclosure to HIV infected children on ART. Methodology: A mixed methods study with an analytic cross-sectional design for the quantitative aspect of the study was done. The target population was caregivers to HIV infected children aged 6 to 14 years receiving HIV care at Mbagathi Hospital, Kenya. Data was collected using questionnaires and interview guides. Chi-square and logistic regression were used to determine predictors of disclosure while thematic analysis was done for qualitative data. Results: Disclosure prevalence was 36% (n=254). Age 10-14 compared to 6-9 years (aOR=10.97; 95% CI=5.7-21.2; p<0.0001), longer duration on HIV care (aOR=1.91; 95% CI=1.02-1.97; p<0.0001) for >5 years compared to <1 year, which was similar to 1-5years duration (aOR=1.03; 95% CI=0.36-1.97; p=0.233) and perceived importance of disclosure (aOR=2.58; 95% CI=1.36-4.90; p=0.004) were significantly associated with disclosure. Fear of stigma and discrimination was associated with low disclosure (OR=0.931; 95% CI=0.44-151; p<0.0001). Caregiver‟s perceptions of importance of disclosure and influence of socio-cultural factors influenced disclosure. Conclusion: Disclosure prevalence was low (36%) despite high caregivers‟ perception of disclosure as important. Age of child, child‟s duration on care, caregivers‟ perceptions importance of disclosure and socio-cultural factors were associated with increased disclosure.en_US
dc.description.sponsorshipKenyatta Universityen_US
dc.identifier.urihttp://ir-library.ku.ac.ke/handle/123456789/23278
dc.language.isoenen_US
dc.publisherKenyatta Universityen_US
dc.subjectHIVen_US
dc.subjectSero Status Disclosureen_US
dc.subjectCaregiversen_US
dc.subjectInfected Children Accessing Careen_US
dc.subjectMbagathi Hopsitalen_US
dc.subjectKenyaen_US
dc.subjectNairobi City Countyen_US
dc.titleHIV Sero Status Disclosure by Caregivers to Infected Children Accessing Care at Mbagathi Hopsital, Nairobi City County, Kenyaen_US
dc.typeThesisen_US
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