TITLE:
The Evaluation of Pediatric HIV Care in Congo
AUTHORS:
J. Kambourou, L. N. Motoula Latou, Moyen Engoba, A. R. Okoko, H. L. Atanda, G. Moyen
KEYWORDS:
Evaluation, Pediatric HIV/AIDS, Care, Congo
JOURNAL NAME:
Open Journal of Pediatrics,
Vol.7 No.3,
September
21,
2017
ABSTRACT: Pediatric AIDS is still a public health issue. In
order to improve the care of children living with HIV, a study was carried out
between January and December 2014, that is in 12 months at University Center
Hospital (UCH) of Brazzaville, in the two Ambulant Treatment Centers (ATCs) of
Brazzaville and Pointe-Noire, In three general hospitals and seven base
hospitals. Heads of centers and follow-up files of children aged 0 to 15
constituted the target population. The study variables concern the provision of
care, the organization of structures and personnel, and data management.
Thirteen health facilities, 13 heads of centers and 520 medical files were
selected. HIV care was effective in nine out of eleven departments, only the
two CTAs offered the entire package of activities. The diagnosis was made in
WHO stage 3 in 433 cases (83.3%), the pre-therapeutic assessment in 246 cases
(47.2%); Psychological care in 84 cases (16.1%) whose 80 (95.2%) in the ACT,
nutritional management in 4 cases (0.7%). Nine out of 13 centers did not have
computer tools or materials for patient information and education; No center
had sufficient staff. The dispensation of Anti-retroviral drugs (ARDs) is not
based on any standard and the safety conditions of the laboratory providers are
not guaranteed. The importance of the observed dysfunction makes it necessary
to improve the general conditions of care.