Predictors of Anemia Among HIV-Infected Children on Antiretroviral Therapy in Wolaita Zone, South Ethiopia: A Facility-Based Cross-Sectional Study

Mesay Lema Geleta,1 Fithamlak Bisetegn Solomon,2 Efrata Girma Tufa,3 Fekadu Elias Sadamo,3 Samson Kastro Dake3 1College of Health Sciences and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia; 2Department of Medical Laboratory, College of Health Science and Medicine, Wolaita Sodo University...

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Autores principales:	Geleta ML, Solomon FB, Tufa EG, Sadamo FE, Dake SK
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	anemia anti-retroviral therapy hiv children wolaita ethiopia Immunologic diseases. Allergy RC581-607
Acceso en línea:	https://doaj.org/article/a28f22d2ce44483b85e0e2a5780e9a37
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spelling	oai:doaj.org-article:a28f22d2ce44483b85e0e2a5780e9a372021-12-02T15:14:11ZPredictors of Anemia Among HIV-Infected Children on Antiretroviral Therapy in Wolaita Zone, South Ethiopia: A Facility-Based Cross-Sectional Study1179-1373https://doaj.org/article/a28f22d2ce44483b85e0e2a5780e9a372021-01-01T00:00:00Zhttps://www.dovepress.com/predictors-of-anemia-among-hiv-infected-children-on-antiretroviral-the-peer-reviewed-article-HIVhttps://doaj.org/toc/1179-1373Mesay Lema Geleta,1 Fithamlak Bisetegn Solomon,2 Efrata Girma Tufa,3 Fekadu Elias Sadamo,3 Samson Kastro Dake3 1College of Health Sciences and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia; 2Department of Medical Laboratory, College of Health Science and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia; 3Department of Reproductive Health and Nutrition, School of Public Health, College of Health Science and Medicine, Wolaita Sodo University, Wolaita Sodo, EthiopiaCorrespondence: Samson Kastro DakeDepartment of Reproductive Health and Nutrition, School of Public Health, College of Health Science and Medicine, Wolaita Sodo University, Wolaita Sodo, EthiopiaTel +251911077516Email tasamsona@gmail.comPurpose: Anemia is a global public health problem, and the majority of human immunodeficiency virus (HIV)-positive people become anemic at some point in the course of the disease. We lack adequate evidence on the magnitude of anemia among children on highly active antiretroviral therapy in Ethiopia and particularly in South Ethiopia. Thus, this study aimed at determining the proportion and associated factors of anemia among children on highly active antiretroviral therapy in Wolaita zone, South Ethiopia.Patients and Methods: A facility-based cross-sectional study was conducted from November to December 2018 on 256 children from 6 months to 14 years of age who were on antiretroviral therapy. Data were collected through an interview with caregivers and review of medical records. CD4+ cell count was analyzed using FACS Calibur, and hemoglobin level was measured with a Hem cue 301 analyzer. Stool samples were examined for the presence of intestinal parasites by direct wet mount technique. Data analyzed with Stata version 14.0 were conveyed in mean and standard deviation of the mean, median and inter-quartile range. Multivariate analysis was carried out to identify independent predictors of the outcome variable. Adjusted odds ratio with 95% confidence interval was reported.Results: The proportion of anemia was found to be 38.8%. Co-trimoxazole prophylaxis (AOR=0.45; 95% CI: 0.21, 0.95), caregivers not receiving nutritional counseling (AOR=0.90; 95% CI: 0.01, 0.98) and presence of intestinal parasites (AOR=3.10; 95% CI: 1.39, 6.88) were associated with anemia.Conclusion: The proportion of anemia found in this study is a moderate public health problem. Health education programs in antiretroviral therapy clinics should be targeted at appropriate dietary practice, and appropriate hand washing and other hygienic practices to prevent intestinal parasitic infections. Co-trimoxazole prophylaxis should be given to all eligible children based on the recommendation.Keywords: anemia, anti-retroviral therapy, HIV, children, Wolaita, EthiopiaGeleta MLSolomon FBTufa EGSadamo FEDake SKDove Medical Pressarticleanemiaanti-retroviral therapyhivchildrenwolaitaethiopiaImmunologic diseases. AllergyRC581-607ENHIV/AIDS: Research and Palliative Care, Vol Volume 13, Pp 13-19 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	anemia anti-retroviral therapy hiv children wolaita ethiopia Immunologic diseases. Allergy RC581-607
spellingShingle	anemia anti-retroviral therapy hiv children wolaita ethiopia Immunologic diseases. Allergy RC581-607 Geleta ML Solomon FB Tufa EG Sadamo FE Dake SK Predictors of Anemia Among HIV-Infected Children on Antiretroviral Therapy in Wolaita Zone, South Ethiopia: A Facility-Based Cross-Sectional Study
description	Mesay Lema Geleta,1 Fithamlak Bisetegn Solomon,2 Efrata Girma Tufa,3 Fekadu Elias Sadamo,3 Samson Kastro Dake3 1College of Health Sciences and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia; 2Department of Medical Laboratory, College of Health Science and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia; 3Department of Reproductive Health and Nutrition, School of Public Health, College of Health Science and Medicine, Wolaita Sodo University, Wolaita Sodo, EthiopiaCorrespondence: Samson Kastro DakeDepartment of Reproductive Health and Nutrition, School of Public Health, College of Health Science and Medicine, Wolaita Sodo University, Wolaita Sodo, EthiopiaTel +251911077516Email tasamsona@gmail.comPurpose: Anemia is a global public health problem, and the majority of human immunodeficiency virus (HIV)-positive people become anemic at some point in the course of the disease. We lack adequate evidence on the magnitude of anemia among children on highly active antiretroviral therapy in Ethiopia and particularly in South Ethiopia. Thus, this study aimed at determining the proportion and associated factors of anemia among children on highly active antiretroviral therapy in Wolaita zone, South Ethiopia.Patients and Methods: A facility-based cross-sectional study was conducted from November to December 2018 on 256 children from 6 months to 14 years of age who were on antiretroviral therapy. Data were collected through an interview with caregivers and review of medical records. CD4+ cell count was analyzed using FACS Calibur, and hemoglobin level was measured with a Hem cue 301 analyzer. Stool samples were examined for the presence of intestinal parasites by direct wet mount technique. Data analyzed with Stata version 14.0 were conveyed in mean and standard deviation of the mean, median and inter-quartile range. Multivariate analysis was carried out to identify independent predictors of the outcome variable. Adjusted odds ratio with 95% confidence interval was reported.Results: The proportion of anemia was found to be 38.8%. Co-trimoxazole prophylaxis (AOR=0.45; 95% CI: 0.21, 0.95), caregivers not receiving nutritional counseling (AOR=0.90; 95% CI: 0.01, 0.98) and presence of intestinal parasites (AOR=3.10; 95% CI: 1.39, 6.88) were associated with anemia.Conclusion: The proportion of anemia found in this study is a moderate public health problem. Health education programs in antiretroviral therapy clinics should be targeted at appropriate dietary practice, and appropriate hand washing and other hygienic practices to prevent intestinal parasitic infections. Co-trimoxazole prophylaxis should be given to all eligible children based on the recommendation.Keywords: anemia, anti-retroviral therapy, HIV, children, Wolaita, Ethiopia
format	article
author	Geleta ML Solomon FB Tufa EG Sadamo FE Dake SK
author_facet	Geleta ML Solomon FB Tufa EG Sadamo FE Dake SK
author_sort	Geleta ML
title	Predictors of Anemia Among HIV-Infected Children on Antiretroviral Therapy in Wolaita Zone, South Ethiopia: A Facility-Based Cross-Sectional Study
title_short	Predictors of Anemia Among HIV-Infected Children on Antiretroviral Therapy in Wolaita Zone, South Ethiopia: A Facility-Based Cross-Sectional Study
title_full	Predictors of Anemia Among HIV-Infected Children on Antiretroviral Therapy in Wolaita Zone, South Ethiopia: A Facility-Based Cross-Sectional Study
title_fullStr	Predictors of Anemia Among HIV-Infected Children on Antiretroviral Therapy in Wolaita Zone, South Ethiopia: A Facility-Based Cross-Sectional Study
title_full_unstemmed	Predictors of Anemia Among HIV-Infected Children on Antiretroviral Therapy in Wolaita Zone, South Ethiopia: A Facility-Based Cross-Sectional Study
title_sort	predictors of anemia among hiv-infected children on antiretroviral therapy in wolaita zone, south ethiopia: a facility-based cross-sectional study
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/a28f22d2ce44483b85e0e2a5780e9a37
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Predictors of Anemia Among HIV-Infected Children on Antiretroviral Therapy in Wolaita Zone, South Ethiopia: A Facility-Based Cross-Sectional Study

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