Emotional and behavioral problems and its associated factors among children and adolescents on highly active antiretroviral therapy in governmental public health institutions in west Gojjam zone, Amhara regional state, Ethiopia, 2018

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Addis Ababa University


Background: Children and adolescents under age 20 are projected to grow by about 33 percent accompanied with high vulnerable period for human immune virus-infection and high risk behaviors. The impact of human immune virus to emotional and behavioral problems that remains untreated may result in long-term problems. HIV-related mortality among HIV-positive children and adolescents has risen by 50% despite the scale up of antiretroviral therapy. Those with HIV are significantly more likely to have emotional and behavioral problems than the general population. This problem needs effective and safe therapies to support their emotional and behavioral development and to avoid functional impairment and social deficits. Objective: To assess the prevalence and associated factors of Emotional and Behavioral problems among children and adolescents on highly active antirethrotherapy in Governmental public health institutions in West Gojjam Zone, Amhara regional state, Ethiopia, 2018. Methods: An institutional based cross sectional study design was conducted from March 30 to April 30, 2018. Four hundred twenty three Study subjects were selected by systematic random sampling. Data was cleaned manually, coded and entered into Epi -data version 4.2 and exported to SPSS version 23 software for analysis. Descriptive statistics was used to describe the study population in relation to relevant variables. Multiple logistic regression, AOR, 95% CI and p-value<0.05 was used to identify Variables which had significant association. Result: The prevalence of EBPs in the study area was found to be 43.6%. Low age (AOR= 5.33, 95%CI: 2.56- 11.04), Having non-kin care giver other than parent and relative (AOR= 4.64, 95%CI: 1.20- 17.90),Both parental lose (AOR= 2.15, 95%CI: 1.03- 4.49), Non-disclosure of HIV sero status to self(AOR= 1.99,95%CI: 1.16- 3.41) and having distressed care giver (AOR= 1.64, 95%CI: 1.04- 2.57) were significantly associated with emotional and behavioral problems. Conclusion and recommendation: The prevalence of emotional and behavioral problems in the study area was high. Care giver mental distress, age, disclosure status, care giver type and parental lose were associated with it. Early disclosure of children for their HIV status and mental distress screen of care giver is recommended.



behavioral and emotional problems, Pediatric symptomatology check list, children and adolescent, highly active antirethrotherapy