The prevalence and factors associated with unsuppressed viral loads among adolescents attending HIV clinic in Kiryandongo Hospital, Kiryandongo District, Uganda
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Date
2018-04
Authors
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Publisher
Kampala International University, School of Health Sciences
Abstract
The objective was to determine the prevalence of HIV positive adolescents and the factors associated with unsuppressed viral loads among HIV positive adolescents attending HIV clinic at Kiryandongo hospital HIV Clinic from August 2014 to December 2017. The sampling was by getting hospital records from the HIV Care/ART card for HIV positive adolescents and interviews with health workers with experience and in-depth knowledge on HIV-Care in adolescents receiving ART care at the hospital. Most of the records show the adolescents attending ART clinic at Kiryandongo General Hospital were within a range of 10 to 13 years (62.5%), and the remaining 37.5% were between 14-19 years and up to 95% of the respondents had some form of formal education levels. Up to 67% of the respondents had their viral load suppressed from treatment with ART while the remaining 33% had unsuppressed viral load. Of the 33% with unsuppressed viral load, 12.5% had their viral load suppressed after Intensive Adherence Counseling of 3 months while the 20.5% had no viral load suppression even after IAC. The unsuppressed viral load was attributable to non-adherence (25.4%) even after 3 months of IAC and 10.2% due to treatment failure and up to 28% did not change treatment to the second line and only 5% had changed treatment to the second line. Up to 50% of the respondents had failed viral load suppression due to non-adherence to ART. Another 30% was due to non-disclosure by the care taker and 15% did not have anyone to remind them to take their ARVs while 5% had no care takers…
Description
A research report submitted to the Faculty of Clinical Medicine and Dentistry in partial fulfillment of the requirements for the award of a degree of Bachelor of Medicine and Surgery of Kampala International University
Keywords
Viral loads, Kiryandongo General Hospital, Kiryandongo District