Low levels of viral suppression among refugees and host nationals accessing antiretroviral therapy in a Kenyan refugee camp

Autor: Joshua B. Mendelsohn, Paul Spiegel, Alison Grant, Sathyanarayanan Doraiswamy, Marian Schilperoord, Natasha Larke, John Wagacha Burton, Jully A. Okonji, Clement Zeh, Bosco Muhindo, Ibrahim M. Mohammed, Irene N. Mukui, Njogu Patterson, Egbert Sondorp, David A. Ross
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: Conflict and Health, Vol 11, Iss 1, Pp 1-11 (2017)
Druh dokumentu: article
ISSN: 1752-1505
DOI: 10.1186/s13031-017-0111-3
Popis: Abstract Background Refugees and host nationals who accessed antiretroviral therapy (ART) in a remote refugee camp in Kakuma, Kenya (2011–2013) were compared on outcome measures that included viral suppression and adherence to ART. Methods This study used a repeated cross-sectional design (Round One and Round Two). All adults (≥18 years) receiving care from the refugee camp clinic and taking antiretroviral therapy (ART) for ≥30 days were invited to participate. Adherence was measured by self-report and monthly pharmacy refills. Whole blood was measured on dried blood spots. HIV-1 RNA was quantified and treatment failures were submitted for drug resistance testing. A remedial intervention was implemented in response to baseline testing. The primary outcome was viral load
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