HIV Care Cascade among Prisoners of the Mandalay Central Prison in Myanmar: 2011–2018
| Autor: | Thurain Htun, Htun Nyunt Oo, San Hone, Pyae Soan, Nang A Mwe Nom, Khine Wut Yee Kyaw, Ajay M. V. Kumar, Thet Wai Nwe, Thida Thida |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
attrition
medicine.medical_specialty viral suppression HIV Positivity media_common.quotation_subject Population Treatment outcome Psychological intervention Human immunodeficiency virus (HIV) lcsh:Medicine Prison medicine.disease_cause Article 03 medical and health sciences 0302 clinical medicine Secondary analysis mental disorders Medicine 030212 general & internal medicine education media_common education.field_of_study 030505 public health General Immunology and Microbiology business.industry lcsh:R Public Health Environmental and Occupational Health virus diseases people living in closed settings Infectious Diseases Family medicine 0305 other medical science business default incarcerated populations Cohort study |
| Zdroj: | Tropical Medicine and Infectious Disease Volume 5 Issue 1 Tropical Medicine and Infectious Disease, Vol 5, Iss 1, p 4 (2020) |
| ISSN: | 2414-6366 |
| Popis: | Prisoners have a higher HIV prevalence and higher rates of attrition from care as compared with the general population. There is no published evidence on this issue from Myanmar. We assessed (1) HIV test uptake, HIV positivity, and enrollment in care among newly admitted prisoners between 2017 and 18 (2) Treatment outcomes among HIV-positive prisoners enrolled in care between 2011 and 18. This was a cohort study involving secondary analysis of program data. Among 26,767 prisoners admitted to the Mandalay Central Prison between 2017 and 2018, 10,421 (39%) were HIV-tested, 547 (5%) were HIV-positive, and 376 (69%) were enrolled in care. Among the 1288 HIV-positive prisoners enrolled in care between 2011 and 2018, 1178 (92%) were started on antiretroviral therapy. A total of 883 (69%) were transferred out (post-release) to other health facilities, and among these, only 369 (42%) reached their destination health facilities. The final outcomes (censored on 30 June 2019) included the following: (i) Alive and in care 495 (38%), (ii) death 138 (11%), (iii) loss to follow-up 596 (46%), and (iv) transferred out after reaching the health facilities 59 (5%). We found major gaps at every step of the HIV care cascade among prisoners, both inside and outside the prison. Future research should focus on understanding the reasons for these gaps and designing appropriate interventions to fill these gaps. |
| Databáze: | OpenAIRE |
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