Socioeconomic Indices Performance for HIV Diagnostic on Severely Malnourished Children in Burkina Faso


Children living with HIV should be diagnosed as early as possible and linked to antiretroviral treatment. The costs of HIV virological testing, individual and social implications of the disease require critical quality of the medical approach to diagnostic strategy. Socioeconomic data can be used to refine the medical decision. The objective of this analysis was to determine informative capacity of socioeconomic indices in the diagnosis and approach of HIV in severely malnourished children using receiver operating characteristic (ROC) curves. Materials and Methods: This was a test performance analysis conducted from data of severely malnourished children at an inpatient feeding therapeutic center in Ouagadougou. Anthropometric and social indices have been used as tests; their sensitivity, specificity and predictive values have been calculated. ROC curves and areas under curves were obtained. Medical decision aid scheme has been validated from severely malnourished children data. Results: Socioeconomic indices showed high performance to discriminate severely malnourished HIV infected and uninfected children, with high area under ROC curves. The medical decision aid scheme specificity reached 97.6% with predictive values close to 85%. Conclusion: This approach can help for expanding ART for children in low income countries and achieve the maximum ART benefits in child socioeconomic kneed context.

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Savadogo, L. , Donnen, P. and Dramaix, M. (2014) Socioeconomic Indices Performance for HIV Diagnostic on Severely Malnourished Children in Burkina Faso. World Journal of AIDS, 4, 99-106. doi: 10.4236/wja.2014.41013.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] United Nations (WHO/UNICEF/UNAIDS) (2013) Global AIDS Response Progress Reporting. Department of Economic and Social Affair, Population Division 2013, World Population Prospects: The 2012 Revision.
[2] WHO (2013) Global Update on HIV Treatment 2013: Results, Impact and Opportunities: WHO Report in Partnership with UNICEF and UNAIDS. WHO, Genevia.
[3] Puoane, T., Sanders, D., Chopra, M., Ashworth, A., Strasser, S., McCoy, D., Zulu, B., Matinise, N. and Mdingazwe, N. (2001) Evaluating the Clinical Management of Severely Malnourished Children—A Study of Two Rural District Hospitals. South African Medical Journal, 91, 137-141.
[4] Deen, J.L., Funk, M., Guevara, V.C., Saloojee, H., Doe, J.Y., Palmer, A. and Weber, M.W. (2003) Implementation of WHO Guidelines on Management of Severe Malnutrition in Hospitals in Africa. Bulletin of the World Health Organization, 81, 237-243.
[5] Kessler, L., Daley, H., Malenga, G. and Graham, S. (2000) The Impact of the Human Immunodeficience virus 1 on the Management of Severe Malnutrition in Malawi. Annals of Tropical Paediatrics, 20, 50-56.
[6] Chintu, C., Luo, C., Bhat, G., DuPont, H.L., Mwansa Salamu, P., Kabika, M. and Zumla, A. (1995) Impact of the Human Immunodeficiency virus Type 1 on Common Pediatric Illnesses in Zambia. Journal of Tropical Pediatrics, 41, 348-353.
[7] Ndekha, M.J., Manary, M.J., Ashorn, P. and Briend, A. (2005) Home-Based Therapy with Ready-to-Use Therapeutic Food Is of Benefit to Malnourished HIV-Infected Malawian Children. Acta Paediatrica, 94, 222-225.
[8] WHO (2010) WHO Recommendations on the Diagnosis of HIV Infection in Infants and Children.
[9] Sombié, I., Nacro, B., Tiendrébéogo, S., Dao, B., Cartoux, M., Meda, N., Ky-Zerbo, O., Dabis, F., Mandelbrot, L. and Van de Perre, P. (1999) Maternal HIV Infection and the Anthropometric Characteristics of Children at Birth in Burkina Faso. DITRAME Study Group. Sante, 9, 173-177.
[10] Lepage, P., Msellati, P., Hitimana, D.G., Bazubagira, A., Van Goethem, C., Simonon, A., Karita, E., Dequae-Merchadou, L., Van de Perre, P. and Dabis, F. (1996) Growth of Human Immunodeficiency Type 1-Infected and Uninfected Children: A Prospective Cohort Study in Kigali, Rwanda, 1988 to 1993. The Pediatric Infectious Disease Journal, 15, 479-485.
[11] Beau, J.P. and Imboua-Coulibaly, L. (1997) Caractéristiques antrhopométriques d’enfants malnutris infectés par le VIH en Côte d’ivoire. Cahiers Santé, 7, 236-238.
[12] Bollinger, L., Stover, J. and Zongo, J. (1999) The Economic Impact of AIDS in Burkina Faso. Research Triangle Institute (RTI)/The Centre for Development and Population Activities (CEDPA).
[13] Commision Economique pour l’Afrique (2004) Commission du VIH/SIDA et de la Gouvernance 2004. Le VIH/SIDA et le monde du travail.

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