Treatment Initiation, Program Attrition and Patient Treatment Outcomes Associated with Scale-Up and Decentralization of HIV Care in Rural Malawi

Autor: Annette Heinzelmann, Elisabeth Szumilin, Simon D Makombe, Loretxu Pinoges, Mar Pujades-Rodriguez, Rupa Kanapathipillai, Martha Huckabee, Megan McGuire, Tamika Munyenyembe
Jazyk: angličtina
Rok vydání: 2012
Předmět:
Male
Rural Population
Pediatrics
Malawi
Non-Clinical Medicine
Epidemiology
lcsh:Medicine
HIV Infections
Logistic regression
Global Health
Risk Factors
Health care
Clinical Epidemiology
Longitudinal Studies
lcsh:Science
Health Systems Strengthening
education.field_of_study
Multidisciplinary
Mortality rate
HIV diagnosis and management
Middle Aged
AIDS
Treatment Outcome
HIV epidemiology
Medicine
Infectious diseases
Female
Public Health
Viral load
Research Article
Cart
Adult
medicine.medical_specialty
Patient Dropouts
Clinical Research Design
Anti-HIV Agents
Population
Sexually Transmitted Diseases
Viral diseases
Infectious Disease Epidemiology
medicine
Humans
education
Retrospective Studies
Health Care Policy
business.industry
lcsh:R
HIV
Retrospective cohort study
Confidence interval
CD4 Lymphocyte Count
Cross-Sectional Studies
lcsh:Q
Rural Health Services
business
Zdroj: PLoS ONE
PLoS ONE, Vol 7, Iss 10, p e38044 (2012)
ISSN: 1932-6203
Popis: Objective To describe patient antiretroviral therapy (cART) outcomes associated with intensive decentralization of services in a rural HIV program in Malawi. Methods Longitudinal analysis of data from HIV-infected patients starting cART between August 2001 and December 2008 and of a cross-sectional immunovirological assessment conducted 12 (±2) months after therapy start. One-year mortality, lost to follow-up, and attrition (deaths and lost to follow-up) rates were estimated with exact Poisson 95% confidence intervals (CI) by type of care delivery and year of initiation. Association of virological suppression (
Databáze: OpenAIRE
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