scholarly journals Successful Navigation of Human Immunodeficiency Virus (HIV) Care Transition After Clinic Closure

2016 ◽  
Vol 3 (suppl_1) ◽  
Author(s):  
James Grubbs ◽  
Ashutosh Tamhane ◽  
James Raper ◽  
D. Scott Batey ◽  
Michael J. Mugavero ◽  
...  
Keyword(s):  
Human Immunodeficiency Virus ◽  
Hiv Care ◽  
Care Transition ◽  
Immunodeficiency Virus

scholarly journals Increased Mortality After Tuberculosis Treatment Completion in Persons Living With Human Immunodeficiency Virus in Latin America

2019 ◽  
Vol 71 (1) ◽  
pp. 215-217 ◽  
Author(s):  
Serena P Koenig ◽  
Ahra Kim ◽  
Bryan E Shepherd ◽  
Carina Cesar ◽  
Valdilea Veloso ◽  
...  
Keyword(s):  
Human Immunodeficiency Virus ◽  
Latin America ◽  
Confidence Interval ◽  
Multivariable Analysis ◽  
Hiv Care ◽  
Mortality Hazard ◽  
Immunodeficiency Virus ◽  
Mortality Hazard Ratio ◽  
Long Term Mortality

Abstract We assessed the association between cured tuberculosis (TB) and mortality among persons living with human immunodeficiency virus (HIV) in Latin America. We compared survival among persons with and without TB at enrollment in HIV care, starting 9 months after clinic enrollment. In multivariable analysis, TB was associated with higher long-term mortality (hazard ratio, 1.57; 95% confidence interval, 1.25–1.99).

scholarly journals Temporary disengagement and re-engagement in human immunodeficiency virus care in a rural county serving pastoralist communities in Kenya: a retrospective cohort study

2019 ◽  
Vol 12 (2) ◽  
pp. 95-100
Author(s):  
Paul Yonga ◽  
Stephen Kalya ◽  
Lutgarde Lynen ◽  
Tom Decroo
Keyword(s):  
Human Immunodeficiency Virus ◽  
Cohort Study ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Retention In Care ◽  
Virologic Response ◽  
World Health ◽  
Hiv Care ◽  
Pastoralist Communities ◽  
Immunodeficiency Virus

Abstract Background Pastoralist communities are known to be hard to reach. The magnitude of temporary disengagement from human immunodeficiency virus (HIV) care is understudied. Methods We conducted a retrospective cohort study of temporary disengagement (2 weeks late for a next appointment), virologic response, lost to follow-up (6 months late) and re-engagement in care among patients who started antiretroviral therapy between 2014 and 2016 in Baringo County, Kenya. Predictors of re-engagement after disengagement were estimated using logistic regression. Results Of 342 patients, 76.9% disengaged at least once (range 0–7). Of 218 patients with a viral load (VL), 78.0% had a suppressed VL. Those with a history of temporary disengagement from care were less likely to suppress their VL (p=0.002). Six patients had treatment failure (two consecutive VLs >1000 copies/mm3) and all had disengaged at least once. After disengagement from care, male patients (adjusted odds ratio [aOR] 0.3 [95% confidence interval {CI} 0.2 to 0.6]; p<0.001) and patients with World Health Organization stage III–IV (aOR 0.3 [95% CI 0.1 to 0.5; p<0.001) were less likely to re-engage in care. Conclusions Temporary disengagement was frequent in this pastoralist setting. This indicator is often overlooked, as most studies only report binary outcomes, such as retention in care. Innovative strategies are required to achieve HIV control in rural settings like this pastoralist setting.

HIV/AIDS Challenges the Normative Model of Healthcare Delivery in Canada

2001 ◽  
Vol 14 (1) ◽  
pp. 55-61 ◽  
Author(s):  
P. Tsasis
Keyword(s):  
Primary Care ◽  
Human Immunodeficiency Virus ◽  
Chronic Disease ◽  
Care Setting ◽  
Primary Care Setting ◽  
Healthcare Delivery ◽  
Acute Illness ◽  
Hiv Care ◽  
Normative Model ◽  
Immunodeficiency Virus

With advances in therapeutics, effective therapy for human immunodeficiency virus (HIV) has shifted the focus of HIV care from an acute illness to a chronic disease requiring the services of several disciplines in a primary care setting. This article describes a collaborative model in the delivery of HIV care for HIV-infected individuals who remain fragile, both physically and psychosocially.

scholarly journals Implications of the human immunodeficiency virus test and treat strategy on antiretroviral treatment uptake and retention outcomes in Cameroon

2019 ◽  
Vol 6 (11) ◽  
pp. 4716
Author(s):  
Rogers A. Awoh ◽  
Halle G. Ekane ◽  
Anastase Dzudie ◽  
Egbe O. Thomas ◽  
Adebola Adedimeji ◽  
...  
Keyword(s):  
Human Immunodeficiency Virus ◽  
Retrospective Chart Review ◽  
Hiv Care ◽  
Retention Data ◽  
Hiv Diagnosis ◽  
Chi Square ◽  
Test And Treat ◽  
Art Initiation ◽  
Hiv Test ◽  
Immunodeficiency Virus

Background: Success of the human immunodeficiency virus (HIV) test-and-treat (T&T) strategy requires high antiretroviral (ART) uptake and retention. However, low ART uptake and retention continue to be reported in ART programs. This study assessed ART uptake and retention outcomes of the HIV T&T strategy in three HIV clinics in Cameroon.Methods: A retrospective chart review was done for 423 patients who initiated HIV care within a period of three months prior to the implementation of the HIV T&T strategy, and for another 423 patients who initiated HIV care within a three-month period following the HIV T&T strategy implementation. For each group, sociodemographic, ART uptake and retention data were collected. Chi square and Student T tests were used to test for differences proportions and means between the two groups at p <0.05 and 95% confidence interval.Results: The mean ages (years) in the pre-T&T and the T&T groups were 39.73 and 39.72, and the proportion of female were 65.85% and 65.08% respectively. ART uptake proportion was higher amongst those enrolled under the T&T strategy (98.08% vs 95.39%, p=0.02). A greater proportion of the patients in the T&T group initiated ART within 2 weeks following HIV diagnosis (55.84% vs 48.17%, p=0.03). However, ART retention at 24th month was lower in the T&T group (78.83% vs. 85.79%, p=0.01).Conclusions: The findings suggest that the T&T strategy is associated with higher ART uptake, earlier ART initiation, and lower ART retention. This underscores a need for strategies to improve ART retention under the HIV T&T guidelines. 

scholarly journals Retention in Human Immunodeficiency Virus (HIV) Care in an Era of Highly Active Anti-Retroviral Therapy for All HIV-1-Infected Individuals

2016 ◽  
Vol 3 (suppl_1) ◽  
Author(s):  
Sarah O'Connell ◽  
Anna O'Rourke ◽  
Eileen Sweeney ◽  
Almida Lynam ◽  
Corinna Sadlier ◽  
...  
Keyword(s):  
Human Immunodeficiency Virus ◽  
Hiv Care ◽  
Highly Active ◽  
Immunodeficiency Virus ◽  
Hiv 1

scholarly journals High Mortality Among Human Immunodeficiency Virus (HIV)-Infected Individuals Before Accessing or Linking to HIV Care: A Missing Outcome in the Cascade of Care?

2014 ◽  
Vol 1 (1) ◽  
Author(s):  
Hartmut B. Krentz ◽  
Judy MacDonald ◽  
M. John Gill
Keyword(s):  
Public Health ◽  
Human Immunodeficiency Virus ◽  
Mortality Rate ◽  
Performance Metrics ◽  
Hiv Infections ◽  
Hiv Care ◽  
Hiv Mortality ◽  
Immunodeficiency Virus ◽  
Cascade Of Care ◽  
Public Health Performance

Abstract Background.  The “cascade of care” displays the proportion of individuals who are infected with human immunodeficiency virus (HIV), diagnosed, linked, retained, on antiretroviral treatment, and HIV suppressed. We examined the implications of including death in the use of this cascade for program and public health performance metrics. Methods.  Individuals newly diagnosed with HIV and living in Calgary between 2006 and 2013 were included. Through linkage with Public Health and death registries, the deaths (ie, all-cause mortality) and their distribution within the cascade were determined. Mortality rates are reported per 100 person-years. Results.  Estimated new HIV infections were 680 (543 confirmed and 137 unknown cases). Forty-three individuals, after diagnosis, were never referred for HIV care. Despite referral(s), 88 individuals (18%) never attended the clinic for HIV care. Of individuals retained in care, 87% received antiretroviral therapy and 76% achieved viral suppression. Thirty-six deaths were reported (mortality rate, 1.50/100 person-years). One diagnosis was made posthumously. Deaths (20 of 35; 57%) occurred for individuals linked but not retained in care (6.93/100 person-years), and 70% were HIV-related. Mortality rate for patients in care was 0.79/100 person-years. Retained patients with detectable viremia had a death rate of 2.49/100, which contrasted with 0.28/100 person-years in those with suppressed viremia. Eight of these 15 deaths (53%) were HIV-related. Conclusions.  Over half of deaths occurred in those referred but not effectively linked or retained in HIV care, and these cases may be easily overlooked in standard HIV mortality studies. Inclusion of deaths into the cascade may further enhance its value as a public health metric.

HIV/AIDS challenges the normative model of healthcare delivery in Canada

2001 ◽  
Vol 14 (1) ◽  
pp. 55-61 ◽  
Author(s):  
P. Tsasis
Keyword(s):  
Primary Care ◽  
Human Immunodeficiency Virus ◽  
Chronic Disease ◽  
Care Setting ◽  
Primary Care Setting ◽  
Healthcare Delivery ◽  
Acute Illness ◽  
Hiv Care ◽  
Normative Model ◽  
Immunodeficiency Virus

With advances in therapeutics, effective therapy for human immunodeficiency virus (HIV) has shifted the focus of HIV care from an acute illness to a chronic disease requiring the services of several disciplines in a primary care setting. This article describes a collaborative model in the delivery of HIV care for HIV-infected individuals who remain fragile, both physically and psychosocially.

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