# name
Discordant retention of HIV-infected mothers and children: Evidence for a family-based approach from Southern Mozambique

# metadata.dc.description.abstract[].value
It is often assumed that children and their caregivers
                either stay in care together or discontinue together, but data
                is lacking on caregiver-child retention concordance. We sought
                to describe the pattern of care among a cohort of human
                immunodeficiency virus (HIV) infected children and mothers
                enrolled in care at the Manhi\xC3\xA7a District Hospital
                (MDH).This was a retrospective review of routine HIV clinical
                data collected under a larger prospective HIV cohort study at
                MDH. Children enrolling HIV care from January 2013 to November
                2016 were identified and matched to their mother's HIV clinical
                data. Retention in care for mothers and children was assessed at
                24 months after the child's enrolment. Multinomial logistic
                regression was performed to evaluate variables associated with
                retention discordance.For the 351 mother-child pairs included in
                the study, only 39% of mothers had concordant care status at
                baseline (23% already active in care, 16% initiated care
                concurrently with their children). At 24-months follow up, a
                total of 108 (31%) mother-child pairs were concordantly retained
                in care, 88 (26%) pairs were concordantly lost to follow up
                (LTFU), and 149 (43%) had discordant retention. Pairs with
                concurrent registration had a higher probability of being
                concordantly retained in care. Children who presented with
                advanced clinical or immunological stage had increased
                probability of being concordantly LTFU.High rates of LTFU as
                well as high proportions of discordant retention among
                mother-child pairs were found. Prioritization of a family-based
                care model that has the potential to improve retention for
                children and caregivers is recommended."

# metadata.dc.rights[].value
cc by-nc (c) Nhampossa, Tacilta et al., 2020

# metadata.dc.source[].value
Articles publicats en revistes (ISGlobal)

# metadata.dc.title[].value
Discordant retention of HIV-infected mothers and children: Evidence for a family-based approach from Southern Mozambique