Targeting the third ‘90’: introducing the viral load champion
| Autor: | Richard A. Murphy, P Msimango, K K Naidu, R N Adams, Mark J. Siedner, T J Hatlen, Rajesh T. Gandhi, S Pillay, M-Y S Moosa, K Naidoo, Vincent C. Marconi, Henry Sunpath |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
0301 basic medicine
medicine.medical_specialty business.industry Health Policy Public Health Environmental and Occupational Health Human immunodeficiency virus (HIV) Champion Original Articles medicine.disease_cause medicine.disease 030112 virology Treatment failure 03 medical and health sciences 0302 clinical medicine Acquired immunodeficiency syndrome (AIDS) Completion rate Internal medicine medicine Chart audit 030212 general & internal medicine business Viral load |
| Zdroj: | Public Health Action. 8:225-231 |
| ISSN: | 2220-8372 |
| DOI: | 10.5588/pha.18.0063 |
| Popis: | Objective: To move closer to achieving the third target of the UNAIDS 90-90-90 goals, we prospectively implemented a viral load (VL) champion (VLC) program aimed at enhancing VL monitoring and recognition of treatment failure. Design: Three clinics in eThekwini, Kwa-Zulu Natal (low-, medium- and high-volume, encompassing 9184 patients overall) were each assigned a VLC. We employed a descriptive analysis (chart audit) to compare the pre-intervention period to a 1-year post-intervention period. The number of patients with a VL test performed 6 and 12 months after the intervention was calculated as a proportion of VL tests due at those time points (VL completion rate). Results: The pre-implementation VL completion rate at the three sites was respectively 68% (140/205 patients), 54% (84/155 patients) and 64% (323/504 patients), and the 6-month post-implementation completion rate increased to 83% (995/1194 patients), 90% (793/878 patients) and 99% (3101/3124 patients) (P 90% across all facilities. Conclusion: We demonstrate a successful, multifaceted, quality-improvement intervention centered on a clinic-level VLC which, taken to scale, has important implications for attaining the third UNAIDS 90-90-90 target. |
| Databáze: | OpenAIRE |
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