Community-Based Interventions to Reach 95-95-95 for Children and Adolescents: An Exploratory Programmatic Review From Lesotho
| Autor: | Esther Tumbare, Anthony Isavwa, Matsitso Mohoanyane, Ian Membe, Seema Ntjabane, Anouk Amzel, Justine K Mirembe, Victoria Ryan, Meena Srivastava, Peter Raliile, Jill Sanders |
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| Rok vydání: | 2018 |
| Předmět: |
0301 basic medicine
Program evaluation Adolescent Child Health Services Psychological intervention MEDLINE HIV Infections Young Adult 03 medical and health sciences Environmental health Retention in Care Humans Medicine Pharmacology (medical) Community Health Services Viral suppression Young adult Child Retrospective Studies Community based intervention business.industry Health Plan Implementation Retrospective cohort study Viral Load 030112 virology Lesotho Infectious Diseases Anti-Retroviral Agents Child Preschool Health Facilities business Viral load Program Evaluation |
| Zdroj: | JAIDS Journal of Acquired Immune Deficiency Syndromes. 78:S81-S87 |
| ISSN: | 1525-4135 |
| DOI: | 10.1097/qai.0000000000001735 |
| Popis: | Background Viral suppression is the desired outcome for children and adolescents with HIV. In this article, data from districts supporting community interventions (implementation districts) were reviewed and compared with data from districts without community interventions (nonimplementation districts) to explore a potential correlation between community interventions and clinical outcomes. Setting The study was based on data collected from facilities in 6 districts in Lesotho. Methods Twelve-month retention, viral load coverage, and viral suppression data from patients with ART between ages 5 and 24 from facilities in both district types were collected retrospectively. Results Implementation districts showed retention rates of 75%, with 5365 patients (47% of all patients on ART) having documented viral load results and 4641 (87%) being virally suppressed. Retention comparison demonstrated significantly higher rates in implementation districts (73%) as compared to (63%) in nonimplementation districts (P = 0.023). Viral load coverage and suppression comparison found that implementation district hospitals reported 632 (37% of total on ART) patients with a documented viral load, with 539 (85%) virally suppressed, whereas nonimplementation district hospitals reported 220 (31%) patients with viral load results, of whom 181 (82%) were suppressed. Conclusions Overall, retention rates in the implementation districts were reasonable and were significantly better than the rates in the nonimplementation districts. |
| Databáze: | OpenAIRE |
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