scholarly journals HIV Continuum of Care Among People Who Inject Drugs in Iran

2021 ◽  
Author(s):  
Nima Ghalekhani ◽  
Ali Mirzazadeh ◽  
Fatemeh Tavakoli ◽  
Ghazal Mousavian ◽  
Mehrdad Khezri ◽  
...  
Keyword(s):  
People Who Inject Drugs ◽  
Care Service ◽  
Continuum Of Care ◽  
Hiv Treatment ◽  
Hiv Care ◽  
Art Programs ◽  
Treatment Services ◽  
Care Outcomes ◽  
Linkage To Hiv Care ◽  
Hiv Continuum Of Care

Abstract Background:People who inject drugs (PWID) are at higher risk for HIV and may have lower access to care and treatment services when infected. We aimed to assess the HIV continuum of care among PWID in Iran. Methods:We collected data from 2,663 PWIDwho self-reported injection drug use at least once during the past 12 months. They were recruited via respondent-driven sampling to a national bio-behavioral surveillance survey from 11 cities of Iran between June 2019 and March 2020. For participants who were tested positive for HIV in the survey, we asked questions to calculate the proportionwho were 1) aware of their HIV status, 2) linkage to HIV care, 3) initiated an HIV treatment anti-retroviral therapy (ART), 4) retention on ART and 5) virally suppressed (< 1000 copies/mL).Results:Out of 95 PWID were tested positive for HIV, 100% (95% Confidence Intervals (CI): 96,100%) reported that they were aware of their HIV positive status, 57% (95% CI: 46, 66%) were linked to an HIV care service and initiated ART, 49% (95% CI: 39, 59%) retained on ART and only 15% (95% CI: 8, 23%) had viral load less than 1000 cp/ml.Conclusion:Our results indicated that about half of the PWID diagnosed with HIVever started ART, and less than one in six were virally suppressed.Strategies to improve linkage to ART programs, and to improve ART retention and adherence may improve HIV care outcomes among PWID in Iran.

‘What will it take’: addressing alcohol use among people living with HIV in South Africa

2019 ◽  
Vol 30 (11) ◽  
pp. 1049-1054 ◽  
Author(s):  
K Sorsdahl ◽  
NK Morojele ◽  
CD Parry ◽  
CT Kekwaletswe ◽  
N Kitleli ◽  
...  
Keyword(s):  
South Africa ◽  
Alcohol Use ◽  
Brief Intervention ◽  
Hiv Treatment ◽  
Hiv And Aids ◽  
Hiv Care ◽  
People Living With Hiv ◽  
Screening And Brief Intervention ◽  
Treatment Services ◽  
Living With Hiv

Given that hazardous and harmful alcohol use has been identified as a significant barrier to adherence to antiretroviral therapy (ART) in South Africa, alcohol reduction interventions delivered within HIV treatment services are being investigated. Prior to designing and implementing an alcohol-focused screening and brief intervention (SBI), we explored patients’ perceptions of alcohol as a barrier to HIV treatment, the acceptability of providing SBIs for alcohol use within the context of HIV services and identifying potential barriers to patient uptake of this SBI. Four focus groups were conducted with 23 participants recruited from three HIV treatment sites in Tshwane, South Africa. Specific themes that emerged included: (1) barriers to ART adherence, (2) available services to address problematic alcohol use and (3) barriers and facilitators to delivering a brief intervention to address alcohol use within HIV care. Although all participants in the present study unanimously agreed that there was a great need for SBIs to address alcohol use among people living with HIV and AIDS, our study identified several areas that should be considered prior to implementing such a programme.

scholarly journals The impact of an integrated depression and HIV treatment program on mental health and HIV care outcomes among people newly initiating antiretroviral therapy in Malawi

PLoS ONE ◽  
2020 ◽  
Vol 15 (5) ◽  
pp. e0231872 ◽  
Author(s):  
Melissa A. Stockton ◽  
Michael Udedi ◽  
Kazione Kulisewa ◽  
Mina C. Hosseinipour ◽  
Bradley N. Gaynes ◽  
...  
Keyword(s):  
Mental Health ◽  
Antiretroviral Therapy ◽  
Treatment Program ◽  
Hiv Treatment ◽  
Hiv Care ◽  
Care Outcomes ◽  
The Impact

scholarly journals Getting to 90: linkage to HIV care among men who have sex with men and people who inject drugs in India

AIDS Care ◽  
2016 ◽  
Vol 28 (10) ◽  
pp. 1230-1239 ◽  
Author(s):  
Allison M. McFall ◽  
Shruti H. Mehta ◽  
Aylur K. Srikrishnan ◽  
Gregory M. Lucas ◽  
Canjeevaram K. Vasudevan ◽  
...  
Keyword(s):  
People Who Inject Drugs ◽  
Hiv Care ◽  
Sex With Men ◽  
Linkage To Hiv Care

scholarly journals HIV continuum of care: expanding scope beyond a cross-sectional view to include time analysis: a systematic review

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Georgia Vourli ◽  
Ioannis Katsarolis ◽  
Nikos Pantazis ◽  
Giota Touloumi
Keyword(s):  
Risk Estimation ◽  
Estimation Method ◽  
Continuum Of Care ◽  
Hiv Care ◽  
Cross Sectional ◽  
Effective Response ◽  
Factors Affecting ◽  
Modelling Studies ◽  
The Cross ◽  
Hiv Continuum Of Care

Abstract Introduction The continuum of care (CoC) model has been used to describe the main pillars of HIV care. This study aims to systematically review methods and elucidate gaps in the CoC analyses, especially in terms of the timing of the progression through steps, recognized nowadays as a critical parameter for an effective response to the epidemic. Methods A PubMed and EMBASE databases search up to December 2019 resulted in 1918 articles, of which 209 were included in this review; 84 studies presented in major HIV conferences were also included. Studies that did not provide explicit definitions, modelling studies and those reporting only on metrics for subpopulations or factors affecting a CoC stage were excluded. Included articles reported results on 1 to 6 CoC stages. Results Percentage treated and virally suppressed was reported in 78%, percentage diagnosed and retained in care in 58%, percentage linked to care in 54% and PLHIV in 36% of the articles. Information for all stages was provided in 23 studies. Only 6 articles use novel CoC estimates: One presents a dynamic CoC based on multistate analysis techniques, two base their time-to-next-stage estimates on a risk estimation method based on the cumulative incidence function, weighted for confounding and censoring and three studies estimated the HIV infection time based on mathematical modelling. Conclusion A limited number of studies provide elaborated time analyses of the CoC. Although time analyses lack the straightforward interpretation of the cross-sectional CoC, they provide valuable insights for the timely response to the HIV epidemic. A future goal would be to develop a model that retains the simplicity of the cross-sectional CoC but also incorporates timing between stages.

scholarly journals Resilience-Focused HIV Care to Promote Psychological Well-Being During COVID-19 and Other Catastrophes

2021 ◽  
Vol 9 ◽  
Author(s):  
L. Lauren Brown ◽  
Erika G. Martin ◽  
Hannah K. Knudsen ◽  
Heather J. Gotham ◽  
Bryan R. Garner
Keyword(s):  
Systems Of Care ◽  
Well Being ◽  
Hiv Treatment ◽  
Hiv Care ◽  
People Living With Hiv ◽  
Psychological Wellness ◽  
Multi Level ◽  
Definition Of ◽  
Hiv Continuum Of Care ◽  
Hiv Treatment Outcomes

The COVID-19 pandemic has adversely affected people with HIV due to disruptions in prevention and care services, economic impacts, and social isolation. These stressors have contributed to worse physical health, HIV treatment outcomes, and psychological wellness. Psychological sequelae associated with COVID-19 threaten the overall well-being of people with HIV and efforts to end the HIV epidemic. Resilience is a known mediator of health disparities and can improve psychological wellness and behavioral health outcomes along the HIV Continuum of Care. Though resilience is often organically developed in individuals as a result of overcoming adversity, it may be fostered through multi-level internal and external resourcing (at psychological, interpersonal, spiritual, and community/neighborhood levels). In this Perspective, resilience-focused HIV care is defined as a model of care in which providers promote optimum health for people with HIV by facilitating multi-level resourcing to buffer the effects of adversity and foster well-being. Adoption of resilience-focused HIV care may help providers better promote well-being among people living with HIV during this time of increased psychological stress and help prepare systems of care for future catastrophes. Informed by the literature, we constructed a set of core principles and considerations for successful adoption and sustainability of resilience-focused HIV care. Our definition of resilience-focused HIV care marks a novel contribution to the knowledge base and responds to the call for a multidimensional definition of resilience as part of HIV research.

scholarly journals A modified HIV continuum of care: A six-year evaluation of a viral load cascade at a hospital-based clinic in Kingston, Jamaica

2019 ◽  
Vol 30 (8) ◽  
pp. 748-755 ◽  
Author(s):  
Geoffrey J Barrow ◽  
Margaret L Brandeau
Keyword(s):  
Viral Load ◽  
Statistical Analysis ◽  
Viral Suppression ◽  
Care Delivery ◽  
Continuum Of Care ◽  
Hiv Care ◽  
Viral Load Suppression ◽  
Outcome Indicators ◽  
Care Continuum ◽  
Hiv Continuum Of Care

To achieve the goal of HIV viral suppression, provision of medication alone is not sufficient. Concomitant frameworks to evaluate HIV care delivery programmes are needed. This study examined the care continuum at a hospital-based HIV clinic in Kingston, Jamaica using a modified HIV continuum of care, with an increased focus on viral load indicators (viral load samples taken, results returned and viral suppression). A statistical analysis of patient flow through the care continuum to identify gaps in programme delivery was performed. Key programmatic areas for process improvement and the utility of this approach for viral load suppression interpretation were identified. Between 2010 and 2015, more than 1600 patients had been registered for care and more than 1000 had accessed antiretroviral therapy at this location. Consistent trends in programme performance were seen from 2010 to 2012. Although declines in the proportion of viral load samples taken and results returned occurred because of laboratory failures in 2013, the trend of increasing numbers and proportions of virally suppressed patients continued. Statistical analysis indicated that improvements in laboratory quality (fraction of viral load samples returned with accurate test results) could increase viral load suppression among patients at the clinic by up to 17%. Refining care delivery processes can significantly improve HIV viral load suppression rates. Expanding monitoring frameworks to include all of the essential processes that affect final outcome indicators can provide valuable insight into trends of outcome indicators and programme performance.

scholarly journals Trends in HIV Continuum of Care Outcomes over Ten Years of Follow-Up at a Large HIV Primary Medical Home in the Southeastern United States

2017 ◽  
Vol 33 (10) ◽  
pp. 1027-1034 ◽  
Author(s):  
Michael K. Ghiam ◽  
Peter F. Rebeiro ◽  
Megan Turner ◽  
William B. Rogers ◽  
Sally S. Bebawy ◽  
...  
Keyword(s):  
United States ◽  
Medical Home ◽  
Southeastern United States ◽  
Continuum Of Care ◽  
Care Outcomes ◽  
Hiv Continuum Of Care

scholarly journals Do Symptoms of Depression Interact with Substance Use to Affect HIV Continuum of Care Outcomes?

2018 ◽  
Vol 23 (3) ◽  
pp. 580-591 ◽  
Author(s):  
Anthony T. Fojo ◽  
Catherine R. Lesko ◽  
Keri L. Calkins ◽  
Richard D. Moore ◽  
Mary E. McCaul ◽  
...  
Keyword(s):  
Substance Use ◽  
Continuum Of Care ◽  
Symptoms Of Depression ◽  
Care Outcomes ◽  
Hiv Continuum Of Care

scholarly journals The relationship between adverse neighborhood socioeconomic context and HIV continuum of care outcomes in a diverse HIV clinic cohort in the Southern United States

AIDS Care ◽  
2018 ◽  
Vol 30 (11) ◽  
pp. 1426-1434 ◽  
Author(s):  
Peter F. Rebeiro ◽  
Chanelle J. Howe ◽  
William B. Rogers ◽  
Sally S. Bebawy ◽  
Megan Turner ◽  
...  
Keyword(s):  
United States ◽  
Continuum Of Care ◽  
Southern United States ◽  
Socioeconomic Context ◽  
Care Outcomes ◽  
Hiv Continuum Of Care ◽  
The Relationship

scholarly journals How Follow-Up Counselling Increases Linkage to Care Among HIV-Positive Persons Identified Through Home-Based HIV Counselling and Testing: A Qualitative Study in Uganda

SAGE Open ◽  
2020 ◽  
Vol 10 (1) ◽  
pp. 215824401990016
Author(s):  
Dominic Bukenya ◽  
Janet Seeley ◽  
Grace Tumwekwase ◽  
Elizabeth Kabunga ◽  
Eugene Ruzagira
Keyword(s):  
Qualitative Study ◽  
Partner Violence ◽  
Linkage To Care ◽  
Hiv Treatment ◽  
Hiv Care ◽  
Hiv Positive ◽  
Accurate Information ◽  
Home Based ◽  
Linkage To Hiv Care

We investigated how follow-up counselling had increased linkage to HIV care in a trial of referral to care and follow-up counseling, compared to referral to care only, for participants diagnosed as HIV-positive through home-based HIV counseling and testing. We carried out a cross-sectional qualitative study. Using random stratified sampling, we selected 43 trial participants (26 [60%] in the intervention arm). Sample stratification was by sex, distance to an ART facility, linkage, and nonlinkage to HIV care. Twenty-six in-depth interviews were conducted with participants in the intervention arm: 17 people who had linked to HIV care and 9 who had not linked after 6 months of follow-up. Home-based follow-up counseling helped to overcome worries resulting from an HIV-positive test result. In addition, the counseling offered an opportunity to address questions on HIV treatment side effects, share experiences of intimate partner violence or threats, and general problems linking to care. The counselling encouraged early linkage to HIV care and use of biomedical medicines, discouraging alternative medicine usage. Home-based follow-up counseling also helped to promote HIV sero-status disclosure, facilitating linkage to, retention in and adherence to HIV care and treatment. This study successfully demonstrated that home-based follow-up counselling increased linkage to care through encouragement to seek care, provision of accurate information about HIV care services and supporting the person living with HIV to disclose and manage stigma.

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