000			02871nam a22002057a 4500
001			CUHAS/MD/4001172/T/14
008			210809b |||||||| |||| 00| 0 eng d
100			_aOkidotre, Edson. Christopher _d CUHAS/MD/4001172/T/14 _921001 _eUndergraduate Ethical Clearance Certificate No. 906/2019
245			_a Magnitude and Predictors of Mortality among HIV Infected Paediatric Patients Receiving First Line ART in Rural Setting of Nort Western Tanzania _bRetrospective Study.
260			_aMwanza, Tanzani: _bCatholic University of Health and Allied Sciences [CUHAS - Bugando] _bPhone: +255 28 298 3384 : _b Fax: +255 28 298 3386 : _b Email: vc@bugando.ac.tz : _bWebsite: www.bugando.ac.tz _c ©28.08.2019
300			_aviii; 22 Pages
300			_aIncludes References and Appendices
520			_aAbstract: Background: Human Immunodeficiency Virus still causes high mortality in pediatric patients despite the use of ART. This study was done to determine the magnitude and predictors of mortality among HIV infected pediatric patients receiving first line ART at Sengerema Hospital in Mwanza, north western rural Tanzania. Methodology: This is a retrospective clinic based study that was conducted at Sengerema district hospital involving all HIV infected children receiving first line ART. Inclusion criteria was all pediatric patients below 15 years of age who have been attending the clinic and has excluded all children who had incomplete data or missed medical records. Relevant information was collected using a special data collection tool and was analyzed using STATA version 13 software. Implication of the study: The study aimed at giving the predictors and magnitude of mortality among this important group of paediatric patients thus uncovering the opportunity for timely intervention. Data obtained might as well provide a reference point to the district health management team and ministry of health at large in the setting and production of necessary intervention programs. Results: In total 119 children were studied with a predominance of females who were 62(52%) most of them residing at the rural areas, 71 (59%). For most of the patients primary care takers were parents 22(18.5%) who majority were diagnosed with stage 2 disease, the number being 47(39.5%). A total of 97(81.6%) had a baseline CD4 of greater or greater or equal to 500 cells/microliter and a large number had a duration of less than 5 years on ART 73 (61.3%). High mortality was associated with female children 16.1%, P value (0.13), those aged less than 9 years 13.6%, P value (0.375) and those with immunological failure 77.5%.
600			_xInternal Medicine _915587
600			_xPediatrics and Child Health _948299
600			_xParasitology _930263
700			_aRwezaula, Raphael _920565
700			_aMaria Zinga _926705
942			_2ddc _cCR
999			_c20983 _d20983