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Challenges Facing Early Infant Diagnosis of HIV among Infants in Resource Poor Settings

Wasiu O. Adebimpe

Abstract

The number of children who have HIV continues to grow. Studies have confirmed dramatic survival benefits and mortality reduction for infants confirmed and managed as early as possible after diagnosis. With the advent of the Polymerase Chain Reaction technology, early infant diagnosis of HIV among children is easier and more reliable worldwide. Most HIV programmes in developing countries are donor dependent with less encouraging moves towards sustainability drive by the local health authority. The health systems also face a lot of challenges while implementing these programmes that would promptly identify HIV exposed babies as well as enrolment into care. This review examined challenges facing early infant diagnosis of HIV among infants in Nigeria (Afr J Reprod Health 2013; 17[1]: 122-129).

Résumé

Le nombre d'enfants qui sont atteints du VIH ne cesse de s’accroitre. Des études ont confirmé les avantages de survie dramatiques et la réduction de la mortalité pour les nourrissons confirmés et gérés le plus tôt possible après le diagnostic. Avec l'avènement de la technologie de Réaction en Chaine de Polymérase, le diagnostic précoce du VIH chez les enfants à travers le monde est plus facile et plus fiable. La plupart des programmes du VIH dans les pays en développement sont dépendent des bailleurs de fonds avec des tentatives moins encourageantes vers la durabilité d'entraînement par l'autorité sanitaire locale. Les systèmes de santé font face également  à de nombreux défis lors de l'exécution de ces programmes qui identifieraient rapidement les bébés exposés au VIH ainsi que leur inscription dans les soins. Ce  compte rendu a étudié les  défis auxquels fait face le diagnostic précoce du VIH chez les nourrissons au Nigeria (Afr J Reprod Health 2013; 17[1]: 122-129).

Keywords: Early Infant Diagnosis (EID), HIV, Dried Blood Spot (DBS), Polymerase Chain Reaction (PCR)

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