Determinants of HIV/AIDS Disclosure in Pediatrics Age from 5-14 Years on ART in South Wollo, North East Ethiopia, 2019: Un-matched Case-Control study

Abstract

Background: One of the most difficult issues that families with HIV-infected children and their medical providers face is disclosing their HIV status to their child. Despite emerging evidence of the benefits of disclosure, its prevalence is low, and the predictors for non-disclosure remain clinical dilemma. Therefore, this study aimed to explore determinants of HIV status disclosure among 5-14 years age children in Dessie town, Ethiopia. Methods: Health facility based unmatched case-control study was conducted from January 1 to February 30, 2019. Interviewer based questionnaire was used for data collection from a total of 387 children on ART /care givers pairs. Bivariable and multivariable logistic regression analysis were carried out using SPSS version 23 software. Result: A total of 374 children/caregiver pairs were included in the study, making 96.6% 96.6% of response rate. In multivariable logistic regression model, presence of organizational support (AOR=27.77, 95% CI: 12.472, 61.819), child age of 10 to 14 years (AOR= 3, 95% CI; 1.423, 6.536) and conducting of discussion with health care providers (AOR=17.65, 95% CI; 6.611, 47.002) predicted children’s HIV disclosure status. Conclusion: Presence of organizational support, child age of 10 to 14 years, and care givers discussion with health care providers were statistically significantly associated with HIV status disclosure. Further qualitative and community based research may reveal more on these and other factors; organizational support strategy may address some of these determinants.