Table 5.
Psychosocial and socioeconomic factors among children (n=213) attending BBCCCOE clinic, in Gaborone, Botswana
| Total 213 |
All N (%) |
Cases 7 (%) |
Controls 206 (%) |
|
|---|---|---|---|---|
| Mode of transport to HIV clinic | 213 | |||
| Walking | 7 (3·3) | 0 (0·0) | 7 (3·4) | |
| Public Transport (bus or ‘combi’) | 179 (84·0) | 7 (100·0) | 172 (83·5) | |
| Private Car | 27 (12·7) | 0 (0·0) | 27(13·1) | |
| Travel time to Pediatric HIV clinic | 213 | |||
| < 10 minutes | 8 (3·7) | 0 (0·0) | 8 (3·9) | |
| 10 – 30 minutes | 57 (26·8) | 0 (0·0) | 57 (27·7) | |
| 30 – 60 minutes | 93 (43·7) | 3 (42·9) | 90 (43·7) | |
| > 1 hour | 55 (25·8) | 4 (57·1) | 51 (24·8) | |
| Do you encounter difficulties to attend the clinic? | 213 | |||
| Yes | 44 (20·7) | 7 (100·0) | 37 (18·0) | |
| No | 169 (79·3) | 0 (0·0) | 169 (82·0) | |
|
What kinds of difficulties affect your attending clinic? (More than one answer accepted) |
55 | |||
| Caregiver-related commitment | 10 (22·7) | 2 (28·6) | 8 (21·6) | |
| Lack of transport | 17 (38·6) | 1 (14·2) | 16 (43·2) | |
| Forgot check-up dates | 10 (22·7) | 0 (0·0) | 10 (22·7) | |
| Child rebellion | 2 (4·5) | 2 (28·6) | 0 (0·0) | |
| Denial of HIV status | 4 (9·0) | 4 (57·1) | 0 (0·0) | |
| Non-disclosure issues | 2 (4·5) | 2 (28·6) | 0 (0·0) | |
| School-related activities | 8 (18·2) | 0 (0·0) | 8 (21·6) | |
| Religious beliefs | 1 (2·3) | 1 (14·2) | 0 (0·0) | |
| Believes child is well | 1 (2·3) | 1 (14·2) | 0(0·0) | |
| Have difficulties prevented you from clinic attendance? | 44 | |||
| Yes | 25 (56·8) | 7 (100·0) | 18 (48·7) | |
| No | 19 (43·2) | 0 (0·0) | 18 (51·3) | |
|
Ways difficulties prevented your clinic attendance (more than one answer accepted) |
28 | |||
| Attended to other caregiver commitments | 12 (48·0) | 1 (14·3) | 11 (61·1) | |
| Believes child is well/healed | 2 (8·0) | 2 (28·6) | 0 (0·0) | |
| Caregiver stigmatized | 2 (8·0) | 2 (28·6) | 0 (0·0) | |
| Child rebellion | 1 (4·0) | 1 (14·3) | 0 (0·0) | |
| Lacked Transport | 8 (32·0) | 0 (0·0) | 8 (44·4) | |
| Concerns about patient HIV status disclosure | 2 (8·0) | 2 (28·6) | 0 (0·0) | |
| Chose to attend to school activities | 1 (4·0) | 0 (0·0) | 1 (0·0) | |
| Are there changes at clinic that will make it easier for you to attend clinic? | 213 | |||
| Yes | 72 (33·8) | 4 (57·1) | 68 (33·0) | |
| No | 141 (66·2) | 3 (42·9) | 138 (67·0) | |
| Name the changes that will make it easier for you to attend clinic | 99 | |||
| Reduce clinic and/or pharmacy waiting time | 44 (44·4) | 0 (0·0) | 44 (47·3) | |
| Reduce frequency of refill days | 8 (8·1) | 1 (16·7) | 7 (7·5) | |
| Continuity of being seen by same clinician | 1 (1·0) | 0 (0·0) | 1 (1·1) | |
| Increase family clinic services | 2 (2·0) | 0 (0·0) | 2 (2·2) | |
| Provide afternoon appointment option | 3 (3·0) | 0 (0·0) | 3 (3·2) | |
| Other needs | 41 (41·4) | 5 (83·3) | 36 (38·7) | |
| Registration of next visit during last visit | 213 | |||
| Yes | 200 (93·9) | 7(100·0) | 193 (93·7) | |
| No | 13 (6·1) | 0 (0·0) | 13 (6·3) | |
| Is patient currently on medication? (%) | 213 | |||
| Yes | 206 (96·7) | 3 (42·9) | 203 (98·5) | |
| No | 7 (3·3) | 4 (57·1) | 3 (1·5) |