Orphanhood predicts delayed access to care in Ugandan children.

@article{Ntanda2009OrphanhoodPD,
  title={Orphanhood predicts delayed access to care in Ugandan children.},
  author={Henry Ntanda and Peter Olupot-Olupot and Peter Mugyenyi and Cissy M. Kityo and Rebecca Lowes and Curtis L. Cooper and Viviane D Lima and Edward Mills},
  journal={The Pediatric infectious disease journal},
  year={2009},
  volume={28 2},
  pages={153-5}
}
We aimed to determine patient characteristics, treatment challenges, and adherence outcomes according to orphanhood status in a prospective cohort of 101 HIV+ children in rural Uganda. Orphans were older at antiretroviral initiation (P = 0.0008) and more likely to be WHO stage-4 (P = 0.03) than nonorphans. More attention to improving access to antiretrovirals in pediatric populations, especially orphans, is needed. 

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