Links to Exploration step
Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">From HIV Abandonment to Adoption</title><author><name sortKey="Wangai, Abdul Majid" sort="Wangai, Abdul Majid" uniqKey="Wangai A" first="Abdul Majid" last="Wangai">Abdul Majid Wangai</name></author><author><name sortKey="Wangai, Maryam" sort="Wangai, Maryam" uniqKey="Wangai M" first="Maryam" last="Wangai">Maryam Wangai</name></author><author><name sortKey="Beckenham, Mary" sort="Beckenham, Mary" uniqKey="Beckenham M" first="Mary" last="Beckenham">Mary Beckenham</name></author><author><name sortKey="Beckenham, Clive" sort="Beckenham, Clive" uniqKey="Beckenham C" first="Clive" last="Beckenham">Clive Beckenham</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">21748110</idno><idno type="pmc">3074889</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3074889</idno><idno type="RBID">PMC:3074889</idno><date when="2007">2007</date><idno type="wicri:Area/Pmc/Corpus">001781</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001781</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">From HIV Abandonment to Adoption</title><author><name sortKey="Wangai, Abdul Majid" sort="Wangai, Abdul Majid" uniqKey="Wangai A" first="Abdul Majid" last="Wangai">Abdul Majid Wangai</name></author><author><name sortKey="Wangai, Maryam" sort="Wangai, Maryam" uniqKey="Wangai M" first="Maryam" last="Wangai">Maryam Wangai</name></author><author><name sortKey="Beckenham, Mary" sort="Beckenham, Mary" uniqKey="Beckenham M" first="Mary" last="Beckenham">Mary Beckenham</name></author><author><name sortKey="Beckenham, Clive" sort="Beckenham, Clive" uniqKey="Beckenham C" first="Clive" last="Beckenham">Clive Beckenham</name></author></analytic><series><title level="j">Sultan Qaboos University Medical Journal</title><idno type="ISSN">2075-051X</idno><idno type="eISSN">2075-0528</idno><imprint><date when="2007">2007</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Objective:</title><p>The number of orphaned and vulnerable children (OVC) worldwide has increased as a result of the Human Immunodeficiency Virus (HIV) pandemic. New Life Home (NLH) specialises in the care of infants who have been orphaned or abandoned, often because of their exposure to HIV and places them for adoption. This paper documents the lessons learnt from the Home’s first 8.5 years of existence.</p></sec><sec><title>Methods:</title><p>This retrospective study analyses the pattern of the 490 infants admitted at NLH. The characteristics of the infants’ stay are analysed: bio-data, weight, HIV exposure, referring organisation/agent and outcome. This study ceased to follow infants after adoption, death, transferral to other homes, or reunion with own family. The infants came via health facilities (58%), local authorities (15%), good Samaritans (2%), and other children’s homes (25%).</p></sec><sec><title>Results:</title><p>At the end of the study period, 425 (92%) of babies were still alive. Of those who died, 80% were less than 6 months old (<italic>p</italic><0.003) and 45% were HIV positive. A child mortality rate of 77.6/1000 was demonstrated with the key associated factors being HIV exposure (<italic>p</italic> <0001), and weight at admission (<italic>p</italic>=0.002). The mortality rate for the HIV exposed was 71/1000 at 6 months, 94.7/1000 at 12 months and 100.6/1000 at 18 months, while for those not exposed to the virus it was 43.3/1000 at 6 months and 46.7/1000 at 12 months. The major cause of death in the HIV exposed was pneumonia (56%) and septicaemia (22%). The majority of infants, 323 (67%) were adopted, some were reabsorbed into their biological families 31(6.3%) and a minority 7(1.4%) transferred to other children’s homes which cater for older children.</p></sec><sec><title>Conclusion:</title><p>NLH demonstrates a possible model of care for OVC as majority of vulnerable child can have the opportunity to be adopted and thereby a ‘second lease’ of life. This strategy is worth studying and duplicating in the mitigation of the OVC dilemma in HIV high prevalence countries in sub-Saharan Africa.</p></sec></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Sultan Qaboos Univ Med J</journal-id><journal-title-group><journal-title>Sultan Qaboos University Medical Journal</journal-title></journal-title-group><issn pub-type="ppub">2075-051X</issn><issn pub-type="epub">2075-0528</issn><publisher><publisher-name>Sultan Qaboos University Medical Journal, College of Medicine & Health Sciences</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">21748110</article-id><article-id pub-id-type="pmc">3074889</article-id><article-id pub-id-type="publisher-id">squmj-07-239</article-id><article-categories><subj-group subj-group-type="heading"><subject>Clinical and Basic Research</subject></subj-group></article-categories><title-group><article-title>From HIV Abandonment to Adoption</article-title><subtitle>Case study of New Life Home for abandoned babies, Kenya</subtitle></title-group><contrib-group><contrib contrib-type="author"><name><surname>Wangai</surname><given-names>Abdul Majid</given-names><suffix>Jr</suffix></name><xref ref-type="corresp" rid="c1-squmj-07-239">*</xref></contrib><contrib contrib-type="author"><name><surname>Wangai</surname><given-names>Maryam</given-names></name></contrib><contrib contrib-type="author"><name><surname>Beckenham</surname><given-names>Mary</given-names></name></contrib><contrib contrib-type="author"><name><surname>Beckenham</surname><given-names>Clive</given-names></name></contrib><aff id="af1-squmj-07-239">New Life Home, P. O. Box 62610, City Square, Nairobi 00200, Kenya, East Africa</aff></contrib-group><author-notes><corresp id="c1-squmj-07-239"><label>*</label>To whom correspondence should be addressed. Email: <email>drmajidwangai@yahoo.co.uk</email></corresp></author-notes><pub-date pub-type="ppub"><month>12</month><year>2007</year></pub-date><volume>7</volume><issue>3</issue><fpage>239</fpage><lpage>246</lpage><history><date date-type="received"><day>23</day><month>5</month><year>2007</year></date><date date-type="accepted"><day>12</day><month>9</month><year>2007</year></date></history><permissions><copyright-statement>© Copyright 2007, Sultan Qaboos University Medical Journal, All Rights Reserved</copyright-statement></permissions><abstract><sec><title>Objective:</title><p>The number of orphaned and vulnerable children (OVC) worldwide has increased as a result of the Human Immunodeficiency Virus (HIV) pandemic. New Life Home (NLH) specialises in the care of infants who have been orphaned or abandoned, often because of their exposure to HIV and places them for adoption. This paper documents the lessons learnt from the Home’s first 8.5 years of existence.</p></sec><sec><title>Methods:</title><p>This retrospective study analyses the pattern of the 490 infants admitted at NLH. The characteristics of the infants’ stay are analysed: bio-data, weight, HIV exposure, referring organisation/agent and outcome. This study ceased to follow infants after adoption, death, transferral to other homes, or reunion with own family. The infants came via health facilities (58%), local authorities (15%), good Samaritans (2%), and other children’s homes (25%).</p></sec><sec><title>Results:</title><p>At the end of the study period, 425 (92%) of babies were still alive. Of those who died, 80% were less than 6 months old (<italic>p</italic><0.003) and 45% were HIV positive. A child mortality rate of 77.6/1000 was demonstrated with the key associated factors being HIV exposure (<italic>p</italic> <0001), and weight at admission (<italic>p</italic>=0.002). The mortality rate for the HIV exposed was 71/1000 at 6 months, 94.7/1000 at 12 months and 100.6/1000 at 18 months, while for those not exposed to the virus it was 43.3/1000 at 6 months and 46.7/1000 at 12 months. The major cause of death in the HIV exposed was pneumonia (56%) and septicaemia (22%). The majority of infants, 323 (67%) were adopted, some were reabsorbed into their biological families 31(6.3%) and a minority 7(1.4%) transferred to other children’s homes which cater for older children.</p></sec><sec><title>Conclusion:</title><p>NLH demonstrates a possible model of care for OVC as majority of vulnerable child can have the opportunity to be adopted and thereby a ‘second lease’ of life. This strategy is worth studying and duplicating in the mitigation of the OVC dilemma in HIV high prevalence countries in sub-Saharan Africa.</p></sec></abstract><kwd-group><kwd>HIV</kwd><kwd>AIDS</kwd><kwd>Care, orphans, Kenya</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/SidaSubSaharaV1/Data/Pmc/Corpus
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 001781 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Pmc/Corpus/biblio.hfd -nk 001781 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Sante
|area= SidaSubSaharaV1
|flux= Pmc
|étape= Corpus
|type= RBID
|clé=
|texte=
}}
| This area was generated with Dilib version V0.6.32. |  |