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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.

Hassan AS, Fielding KL, Thuo NM, Nabwera HM, Sanders EJ, Berkley JA - Trop. Med. Int. Health (2011)

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.

View Article: PubMed Central - PubMed

Affiliation: KEMRI/Wellcome Trust Centre for Geographic Medicine Research (Coast), Kilifi, Kenya. ahassan@kilifi.kemri-wellcome.org

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Related in: MedlinePlus

 Diagram showing the flow of HIV infected adults registered and followed up for routine HIV care for 6 months in a district hospital in Kenya (N = 1242). *Antiretroviral Therapy (ART), **Anti Helminthic Trial (AHT), ***Food By prescription (FBP), ****Lost to follow up (LTFU).
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fig02:  Diagram showing the flow of HIV infected adults registered and followed up for routine HIV care for 6 months in a district hospital in Kenya (N = 1242). *Antiretroviral Therapy (ART), **Anti Helminthic Trial (AHT), ***Food By prescription (FBP), ****Lost to follow up (LTFU).

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).


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.

Hassan AS, Fielding KL, Thuo NM, Nabwera HM, Sanders EJ, Berkley JA - Trop. Med. Int. Health (2011)

 Diagram showing the flow of HIV infected adults registered and followed up for routine HIV care for 6 months in a district hospital in Kenya (N = 1242). *Antiretroviral Therapy (ART), **Anti Helminthic Trial (AHT), ***Food By prescription (FBP), ****Lost to follow up (LTFU).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4230408&req=5

fig02:  Diagram showing the flow of HIV infected adults registered and followed up for routine HIV care for 6 months in a district hospital in Kenya (N = 1242). *Antiretroviral Therapy (ART), **Anti Helminthic Trial (AHT), ***Food By prescription (FBP), ****Lost to follow up (LTFU).
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).

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.

View Article: PubMed Central - PubMed

Affiliation: KEMRI/Wellcome Trust Centre for Geographic Medicine Research (Coast), Kilifi, Kenya. ahassan@kilifi.kemri-wellcome.org

Show MeSH
Related in: MedlinePlus