Early loss to follow-up of recently diagnosed HIV-infected adults from routine pre-ART care in a rural district hospital in Kenya: a cohort study.
Bottom Line: Distance and marital status were independently associated with LTFU before the second visit, while distance, education status and seasonality showed weak evidence of predicting LTFU after the second visit.HIV disease severity did not predict pre-ART LTFU.These findings warrant consideration of an enhanced pre-ART care package aimed at improving retention and timely ART initiation.
Affiliation: KEMRI/Wellcome Trust Centre for Geographic Medicine Research (Coast), Kilifi, Kenya. email@example.comShow MeSH
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Mentions: Of the 1242 clients registering for care at the CCRC between July 2008 and August 2009, 868 were adults aged ≥15 years recently diagnosed with HIV. Of these, 530 (61.1%) were not eligible for ART at enrolment and were included in this analysis. During the 6-month follow-up period, 184 of these clients enrolled in the AHT [61 (11.5%)] and/or FBP [75 (14.2%)], while 89 (16.8%) started ART; 178 (33.6%) were LTFU, of whom 96 (53.9%) were LTFU before the second visit (Figure 2).
Affiliation: KEMRI/Wellcome Trust Centre for Geographic Medicine Research (Coast), Kilifi, Kenya. firstname.lastname@example.org