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dc.contributor.advisorvan Wyk, Brian
dc.contributor.authorMwangi, Anne Wangechi
dc.date.accessioned2019-06-07T13:16:44Z
dc.date.available2019-06-07T13:16:44Z
dc.date.issued2019
dc.identifier.urihttp://hdl.handle.net/11394/6877
dc.descriptionMaster of Public Health - MPHen_US
dc.description.abstractBackground: Globally, it is estimated that about 1.8 million adolescents (aged 10–19 years) were living with HIV in 2015. In Kenya an estimated 133,455 adolescents were living with HIV in 2015, of which 75% (105,679) were in need of antiretroviral therapy (ART). Among adolescents on ART in 2016, 63% reported viral suppression; which is far below the UNAIDS targets of 90%. Viral suppression (having less than 1000 copies of viral RNA/ml of blood) is a key indicator of HIV treatment success, and is associated with better quality of life and reductions in HIV incidence at a population level. Homabay County recorded the highest HIV prevalence (26%) and the highest number of adolescents living with HIV in Kenya (15,323) in 2015. By the end of June 2017 5,709 adolescents were initiated on ART in Homabay County. Despite the successes in initiating HIV positive adolescents on ART, little is known about the factors that are associated with viral suppression. The current study investigated the factors associated with viral suppression among adolescents initiated on ART before November 30, 2017 in Homabay County, Kenya. Methods: A descriptive cross-sectional study was conducted among 925 adolescents registered on ART for at least 6 months and with at least one documented viral load in the last 12 months, in six health facilities in Homabay County. Data was extracted from the electronic medical records and exported into an excel spreadsheet. Bivariate and multivariate logistic regression analyses were conducted to identify factors associated to viral suppression using Stata 12.0.en_US
dc.language.isoenen_US
dc.publisherUniversity of the Western Capeen_US
dc.subjectHIV/AIDSen_US
dc.subjectAntiretroviral therapyen_US
dc.subjectAdolescentsen_US
dc.subjectOpportunistic infectionen_US
dc.subjectViral suppressionen_US
dc.titleFactors associated with viral suppression among adolescents on antiretroviral therapy in Homabay County, Kenyaen_US
dc.rights.holderUniversity of the Western Capeen_US


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