The missed HIV-positive children of Ethiopia

Pegurri, Elisabetta, Konings, Elke, Crandall, Bud, Haile-Selassie, Hiwot, Matinhure, Nelia, Naamara, Warren and Assefa, Yibeltal (2015) The missed HIV-positive children of Ethiopia. PLoS One, 10 4: . doi:10.1371/journal.pone.0124041

Author Pegurri, Elisabetta
Konings, Elke
Crandall, Bud
Haile-Selassie, Hiwot
Matinhure, Nelia
Naamara, Warren
Assefa, Yibeltal
Title The missed HIV-positive children of Ethiopia
Journal name PLoS One   Check publisher's open access policy
ISSN 1932-6203
Publication date 2015-04-16
Sub-type Article (original research)
DOI 10.1371/journal.pone.0124041
Open Access Status DOI
Volume 10
Issue 4
Total pages 10
Place of publication San Francisco, CA, United States
Publisher Public Library of Science
Language eng
Formatted abstract
Objective: As elsewhere, due to scarcity of data and limited awareness of HIV infection, especially in older children, the HIV epidemic among Ethiopian children appears neglected in national programs (children ART coverage is of only 12% in 2013). This paper estimates the country burden of HIV in older children and investigates the prevalence of HIV in orphans and vulnerable children (OVC) households.

Design/Methods: We analyzed national HIV data for Ethiopia, using Spectrum/ Estimation and Projection Package (EPP) and primary data on children living in households with at least one HIV-positive adult in the Amhara and Tigrai regions. Descriptive analysis of the age and sex distribution of HIV-positive OVC in Ethiopia was performed.

Results: Our Spectrum/EPP analysis estimated the population of HIV-positive children under 15 years old to be 160,000 in 2013. The majority of children (81•6%) were aged five to 14 years. The estimated number of orphans due to AIDS was 800,000. The empirical data from almost 10,000 OVC under 18 years showed 11•9% were HIV-positive, the majority of whom were between five and 10 years old with no significant difference between males and females.

Conclusions: There is a large population of children living with HIV in Ethiopia, the magnitude of which not previously recognized. The majority were vertically infected and never identified nor linked into treatment. OVC represent a reachable group which could account for a substantial proportion of the HIV infected older children. We recommend that HIV programs urgently synergize with social protection sectors and address these children with HIV testing and related services.
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Public Health Publications
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