Attrition rate and its predictors among adults receiving anti-retroviral therapy following the implementation of the 'Universal Test and Treat strategy' at public health institutions in Northern Ethiopia. A retrospective follow-up study

Autor: Berihun Bantie, Moges Wubneh Abate, Adane Birhanu Nigat, Tekalign Amera Birlie, Tadila Dires, Tigabu Minuye, Gashaw Kerebeh, Chalie Marew Tiruneh, Natnael Moges, Ermias Sisay Chanie, Dejen Getaneh Feleke, Animut Tilahun Mulu, Biruk Demssie, Tigabinesh Assfaw Fentie, Melsew Dagne Abate, Makda Abate, Awole Seid, Getenet Dessie
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Heliyon, Vol 8, Iss 11, Pp e11527- (2022)
Druh dokumentu: article
ISSN: 2405-8440
DOI: 10.1016/j.heliyon.2022.e11527
Popis: Introduction: Since 2016, the Ethiopian Federal Ministry of Health has adopted a “Universal Test and Treat” strategy to treat human immunodeficiency virus (HIV)/acquired immune deficiency syndrome (AIDS). In this test and treat era, access to anti-retroviral therapy (ART) has been rapidly expanded. On the other hand, poor retention of patients on ART remains a serious concern for reaching ART program goals. Thus, this study is targeted at investigating the attrition rate and its predictors among HIV-positive adults following the implementation of the “test and treat” strategy in Ethiopia. Methods: An institution-based retrospective follow-up study was conducted among 1048 HIV-positive adults receiving ART at public health institutions in Bahir Dar city, Northern Ethiopia. Data were extracted from randomly selected patient charts, entered into Epidata 4.6 and exported to Stata 14.2 for analysis. Kaplan-Meier curve was used to estimate individuals' attrition-free probability at each specific point in time. Both bivariable and multivariable cox regression models were fitted, and variables with a P-value of
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