Time taken to link newly identified HIV positive clients to care following a home-base index case HIV testing: Experience from two provinces in Zimbabwe

Autor: Mula Mpofu, Nyikadzino Mahachi, Taurayi A. Tafuma, Tendai Nyagura, Chengetai Dziwa, Peter Marowa, Tinashe Chimbidzikai, Auxillia Muchedzi, Tafara Moga
Jazyk: angličtina
Rok vydání: 2018
Předmět:
0301 basic medicine
Male
RNA viruses
Bacterial Diseases
Health Care Providers
Human immunodeficiency virus (HIV)
Nurses
lcsh:Medicine
HIV Infections
medicine.disease_cause
Pathology and Laboratory Medicine
Community Networks
Geographical Locations
0302 clinical medicine
Health facility
Immunodeficiency Viruses
Interquartile range
Mass Screening
Public and Occupational Health
030212 general & internal medicine
Medical Personnel
lcsh:Science
Index case
Referral and Consultation
Multidisciplinary
HIV diagnosis and management
Vaccination and Immunization
Professions
Infectious Diseases
Health Education and Awareness
Medical Microbiology
Viral Pathogens
Viruses
Tuberculosis Diagnosis and Management
Female
Pathogens
Research Article
Adult
Zimbabwe
medicine.medical_specialty
Referral
Immunology
MEDLINE
Antiretroviral Therapy
Hiv testing
Microbiology
03 medical and health sciences
Antiviral Therapy
Retroviruses
medicine
Humans
Tuberculosis
Serologic Tests
Microbial Pathogens
Retrospective Studies
Medicine and health sciences
business.industry
Lentivirus
lcsh:R
Organisms
HIV
Biology and Life Sciences
Retrospective cohort study
Patient Acceptance of Health Care
Tropical Diseases
030112 virology
Diagnostic medicine
Health Care
Family medicine
People and Places
Africa
Population Groupings
lcsh:Q
Reagent Kits
Diagnostic
Preventive Medicine
business
Zdroj: PLoS ONE, Vol 13, Iss 8, p e0201018 (2018)
PLoS ONE
ISSN: 1932-6203
Popis: BACKGROUND Homebased index case HIV testing (HHTC) has shown higher uptake and good yield than traditional HIV testing methods. World Health Organization has called for increased operational research to evaluate HIV care processes particularly linkage to care. In this paper, we present project results of the time taken to link newly identified PLHIV to care after HHTC in the Manicaland and Midlands provinces of Zimbabwe. METHODS We retrospectively reviewed community-facility referral data from the Zimbabwe HIV Care and Treatment project for newly diagnosed PLHIV for the period March-September 2016. A referral slip was given to a client after receiving a positive HIV results and was presented and filed upon reaching a health facility. In July 2016, the project started working with trained expert clients to assist with linkage to care. Data was entered in a spreadsheet and then imported for descriptive statistical analysis with EpiInfoTM Version 7.2.0.1. Odd ratios were used to identify factors associated with linkage to care within seven days. RESULTS Out of 1004 newly identified PLHIV between March and September 2016, 650 (64.7%) were linked to care. The median time taken to be linked to care was four days (Interquartile range 19 days). Overall, 63.1% (410) of PLHIV were linked to care within seven days of diagnosis and 85% within 30 days. PLHIV were more likely to be linked to care within seven days of diagnosis between July and September 2016 (OR = 4.1; p< 0.001), a period when ZHCT started working with expert clients to support linkage to care. CONCLUSION HHTC resulted in almost 63% of newly diagnosed PLHIV being linked into care within seven days, and 85% within 30 days. Linkage to care within seven days was significantly associated with the period of engaging expert clients in the project. We recommend community based HIV testing programs to work with expert clients to ensure timely linkages of new PLHIV.
Databáze: OpenAIRE
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