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X Demographics
Mendeley readers
Attention Score in Context
| Title |
Low HIV viral suppression rates following the intensive adherence counseling (IAC) program for children and adolescents with viral failure in public health facilities in Uganda
|
|---|---|
| Published in |
BMC Public Health, August 2018
|
| DOI | 10.1186/s12889-018-5964-x |
| Pubmed ID | |
| Authors |
Esther Nasuuna, Joanita Kigozi, Lillian Babirye, Alex Muganzi, Nelson K. Sewankambo, Damalie Nakanjako |
| Abstract |
The UNAIDS 90-90-90 strategy clearly stipulates that 90% of all people on antiretroviral therapy (ART) should have a suppressed viral load. Intensified adherence counselling (IAC) was recently recommended by WHO to improve viral suppression among ART-treated paediatric and adolescent clients with virological failure. This paper describes the implementation and outcomes of IAC in the first year of implementation in a public ART program, to inform strategic interventions to reach the "third 90" among children. A retrospective chart review was conducted for all children aged 9 months to 19 years with HIV viral loads (VL) ≥ 1000 copies/ml at 15 public health facilities from June 2015-December 2016. Data on initial VL test results, IAC sessions, repeat VL test results, and ART regimen switch were abstracted and analysed for completion of IAC and viral suppression after IAC. A total of 449 children had a detectable viral load above 1000 copies/ml, after an average of 3.5 years (SD 5.8) years of ART. 192 (43%) were 10-20 years of age, and 320 (71%) were receiving Nevirapine-based ART regimen. Out of 345 (77%) who completed the recommended three IAC sessions, 62 (23%) achieved viral suppression following IAC. The mean time from 1st to 3rd IAC session was 113 (SD 153) days and 172 (50%) of the children had completed the three sessions within 200 days. Suppression rates were low among ART-treated children with virological failure that completed the recommended three IAC sessions. As we move towards having 90% of ART-treated children and adolescents achieve and maintain viral suppression, there is need to re-evaluate the implementation of IAC among children and adolescents to consider both psychosocial and biological factors such as resistance testing for those with multiple detectable viral loads. |
X Demographics
The data shown below were collected from the profile of 1 X user who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 1 | 100% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 1 | 100% |
Mendeley readers
The data shown below were compiled from readership statistics for 328 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 328 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 74 | 23% |
| Researcher | 24 | 7% |
| Student > Postgraduate | 23 | 7% |
| Student > Ph. D. Student | 22 | 7% |
| Student > Bachelor | 22 | 7% |
| Other | 45 | 14% |
| Unknown | 118 | 36% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 77 | 23% |
| Nursing and Health Professions | 48 | 15% |
| Social Sciences | 10 | 3% |
| Immunology and Microbiology | 10 | 3% |
| Pharmacology, Toxicology and Pharmaceutical Science | 9 | 3% |
| Other | 46 | 14% |
| Unknown | 128 | 39% |
Attention Score in Context
This research output has an Altmetric Attention Score of 4. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 02 February 2023.
All research outputs
#7,391,913
of 23,269,984 outputs
Outputs from BMC Public Health
#7,771
of 15,172 outputs
Outputs of similar age
#127,333
of 334,560 outputs
Outputs of similar age from BMC Public Health
#198
of 274 outputs
Altmetric has tracked 23,269,984 research outputs across all sources so far. This one has received more attention than most of these and is in the 67th percentile.
So far Altmetric has tracked 15,172 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 14.0. This one is in the 47th percentile – i.e., 47% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 334,560 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 61% of its contemporaries.
We're also able to compare this research output to 274 others from the same source and published within six weeks on either side of this one. This one is in the 27th percentile – i.e., 27% of its contemporaries scored the same or lower than it.