HIV in Infants: Health Workers Advised To Incorporate Testing Into All Care Plan

In an effort to meet up with the required indicators for global validation of Elimination of Mother-To-Child Transmission (EMTCT) of HIV, health workers in Nigeria have been advised to incorporate the virus testing into every care plan.
Mothers awaiting healthcare
Mothers awaiting healthcare. Photo: NDLink
Dr Ewa at an event in Calabar Organized by UNICEF

Dr Atana Ewa, the focal person, Paediatric Anti-Retroviral Treatment/Prevention of Mother-To-Children at the University of Calabar Teaching Hospital said health workers should put in more effort to detect cases of infant HIV infection.

She said this at a dialogue organised by UNICEF in collaboration with the Child Rights Information Bureau of the ministry of information and Journalists Alliance for PMTCT in Nigeria (JAPiN) in Calabar.

Ewa who is also a chief consultant and associate professor, paediatric respiratory and infectious diseases at the hospital said some physical symptoms presented by patients as serve as clues to early detection of HIV in babies.

Continuous HIV testing for babies

For the medical consultant, patients who access health facilities for various issues – not related to HIV – should be counselled and advised to take the test to avoid missing out on any client.

Ewa said:
“In the facility as a health worker, when you notice that a particular patient comes to the clinic presenting the same ailment and disease symptoms, the best thing to do is to advise the patient and run an HIV test. At least, we use that to rule out the presence of the virus in the patient’s body.”

“Some people come might come to the clinic today with an ear infection and next week or month, he or she comes back with the same complaints. Sometimes it could be pneumonia or even cough, we advise that the health workers tests for HIV.”

Usually, the symptoms and signs of HIV infection in childhood are similar to those of other disease seen in the tropics; but they may be more severe and frequent.”
The common mode of HIV transmission to babies

Noting that more than 90 per cent of children get the disease from their mother during three stages – pregnancy, child delivery and after delivery – Ewa said health workers must continue to remain vigilant to ensure no child escapes the test spectrum.

Ewa said:
“Sometimes, a child is eating well, the parents are even rich and there’s an abundance of food in the house but he or she is not growing, then that calls for concern, a trigger for the health worker to test for HIV.”

According to the doctor, it does not matter whether patients come in the biggest or healthiest body, HIV testing should be done immediately after one or two symptoms are presented by the patient.

Some of the symptoms listed by Ewa are; molluscum constagiosum, herpes zoster, paratoid enlargement, pneumonia, oral thrush, excessive anal warts, fungal nail infection, inability to thrive, severe immune suppression among others.

She said:
“All health workers must ensure that babies are tested at birth, at six weeks after delivery, if the mother is breastfeeding; this is because we don’t want to have an HIV negative turn positive.”

Also emphasizing that HIV has no cure, Ewa said ART is key to the management of the disease while advocacy and public enlightenment must be taken seriously by all.

She also encouraged health workers, relatives and associates to always support mothers who are usually saddled with the guilt of bringing forth HIV positive children.

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