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Virology Research Journal | Volume 2
May 18-19, 2018 | Montreal, Canada
2
nd
World Conference on
STDs, STIs & HIV/AIDS
Background:
Global estimates for children born with HIV on
daily basis adds up to 1,000 and many die by the age of two
if they do not receive the appropriate medical care. According
to WHO 2011 report, over 3 million babies are estimated to be
dying around the world before 28 days of life, although a lot
of efforts have been put in place to improve on child survival
within the past 10 years; new born mortality has gone low
compared to the overall child mortality.
Objective:
To establish determinants of infant and child survival
(0-59 months) among mothers living positively with HIV/AIDS
and receiving health care services at Ndejje H/C IV-Wakiso
district.
Method:
This was a cross sectional study on 152 mothers
living positively with HIV/AIDS at Ndejje H/C IV-Wakiso district.
Structured interviews were used to collect data on infant and
child survival (0-59 months) among the study respondents.
Chi-square tests were used to assess the association between
individual attributes of the mother and health service factors
with infant and child survival. All statistical Cox regression tests
were two-tailed and P-value less than 0.05 were considered
significant.
Results:
The survival rate of infants and children was at 85.5%. The
results showed Childs’ age (χ
2
=6.476, P-value of 0.039), child’s HIV
status (χ
2
=8.574, P-value of 0.003), maternal age (χ
2
=33.468, P-value
of 0.001), level of education (χ
2
=25.499, P-value of 0.008) employment
status (χ
2
=6.032, P-value of 0.010), income level (χ
2
=16.788, P-value
of 0.019) ARV at birth (χ
2
=11.170, P-value of 0.008), number of ANC
visits (χ
2
=6.431, P-value of 0.027) and the place of delivery (χ
2
=21.268,
P-value of 0.000) were the child’s characteristics that were found to
have a significant association with child’s survival but the only variable
that was statistically significant at the Cox regression was income level
with P-value of 0.028.
Conclusion & Recommendation:
The survival rate of the
children was moderate. It is recommended that government
and its partners should increase the level of sensitization on
HIV related issues to the public to enhance informed decision
making and to economically empower mothers. Safe practices
and the need to reinforce the facility delivery policy through
health education with emphasis on promotion, protection and
support of HIV programs should also be considered.
Speaker Biography
Kibirige Nangonde Safina is a Counsellor at Mildmay, Uganda.
e:
safinakibirige@yahoo.comKibirige Nangonde Safina
Mildmay, Uganda
Determinants of child survival (0-59months) among mother living positively with HIV
and AIDS at Ndejje Health Centre IV-Wakiso District