Assessing the effect of COVida orphans and vulnerable children support services on viral load coverage and suppression among children and adolescents living with HIV in four provinces in Mozambique.

Assessing the effect of COVida orphans and vulnerable children support services on viral load coverage and suppression among children and adolescents living with HIV in four provinces in Mozambique.

Publication date: Aug 01, 2024

Orphans and vulnerable children (OVC) programs focusing on improving HIV outcomes for children and adolescents living with HIV (C&ALHIV) may improve viral load (VL) testing coverage, a critical step toward achieving VL suppression. In Mozambique, we conducted a retrospective medical record review comparing VL testing coverage and suppression between C&ALHIV receiving OVC support and two cohorts of non-participants constructed using propensity score matching. We collected data for 25,783 C&ALHIV in Inhambane, Maputo City, Nampula, and Tete between October 2020-September 2021. Unadjusted rates of VL testing were 62. 9% among OVC participants compared with 39. 2% and 50. 4% of non-participants in OVC support and non-OVC support districts, respectively. In multivariate models, OVC participants were 18 and 10 percentage points more likely to have received a VL test than non-participants in OVC districts (p 

Concepts Keywords
Critical Adolescent
Hiv Anti-HIV Agents
Mozambique Anti-HIV Agents
ART adherence
Child
Child, Orphaned
Child, Preschool
COVID-19
Female
HIV Infections
Humans
Infant
Male
Mozambique
Mozambique
Retrospective Studies
SARS-CoV-2
Viral Load
viral load suppression
Vulnerable Populations

Semantics

Type Source Name
disease MESH COVID-19
disease MESH HIV Infections

Original Article

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