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DC Field | Value | Language |
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dc.contributor.author | López Varela, Elisa | - |
dc.contributor.author | Fuente Soro, Laura | - |
dc.contributor.author | Augusto, Orvalho | - |
dc.contributor.author | Sacoor, Charfudin | - |
dc.contributor.author | Nhacolo, Ariel Q. | - |
dc.contributor.author | Karajeanes, Esmeralda | - |
dc.contributor.author | Vaz, Paula | - |
dc.contributor.author | Naniche, Denise | - |
dc.date.accessioned | 2019-02-20T15:56:52Z | - |
dc.date.available | 2019-02-20T15:56:52Z | - |
dc.date.issued | 2018-08-01 | - |
dc.identifier.issn | 1525-4135 | - |
dc.identifier.uri | http://hdl.handle.net/2445/128568 | - |
dc.description.abstract | INTRODUCTION: Context-specific improvements in the continuum of HIV care are needed in order to achieve the UNAIDS target of 90-90-90. This study aimed to assess the linkage to and retention in HIV care according to different testing modalities in rural southern Mozambique. METHODS: Adults newly diagnosed with HIV from voluntary counseling and testing (VCT), provider-initiated (PICT) and home-based HIV testing (HBT) services were prospectively enrolled between 2014- 2015 at the Manhica District. Patients were passively followed-up through chart examination .Tracing was performed at 12-months to ascertain causes of loss to follow-up. Fine and Grey competing risk analysis was performed to determine factors associated with the each step of the cascade. RESULTS: Overall linkage to care as defined by having a CD4 count at 3 months, was 43.7% (95CI% 40.8-46.6) and 25.2% of all participants initiated ART. Factors associated with increased linkage in multivariable analysis included testing at VCT, older age, having been previously tested for HIV, owning a cell phone, presenting with WHO clinical stages III/IV, self-reported illness-associated disability in the previous month , and later calendar month of participant recruitment. Ascertaining deaths and transfers allowed adjustment of the rate of 12-month retention in treatment from 75.6% (95% CI 70.2-80.5) to 84.2% (95% CI 79.2-88.5). CONCLUSIONS: HBT reached a socio-demographically distinct population from that of clinic based testing modalities but low linkage to care points to a need for facilitated linkage interventions. Distinguishing between true treatment defaulting and other causes of loss-to-follow-up can significantly change indicators of retention in care. | - |
dc.format.extent | 9 p. | - |
dc.format.mimetype | application/pdf | - |
dc.language.iso | eng | - |
dc.publisher | Lippincott, Williams & Wilkins | - |
dc.relation.isformatof | Reproducció del document publicat a: http://dx.doi.org/10.1097/QAI.0000000000001720 | - |
dc.relation.ispartof | Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology, 2018, vol. 78, num. 5, p. 527-535 | - |
dc.relation.uri | http://dx.doi.org/ 10.1097/QAI.0000000000001720 | - |
dc.rights | cc by-nc-nd (c) López Varela, 2018 | - |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/es/ | - |
dc.source | Articles publicats en revistes (ISGlobal) | - |
dc.subject.classification | VIH (Virus) | - |
dc.subject.classification | Moçambic | - |
dc.subject.other | HIV (Viruses) | - |
dc.subject.other | Mozambique | - |
dc.title | Continuum of HIV Care in Rural Mozambique: The Implications of HIV Testing Modality on Linkage and Retention | - |
dc.type | info:eu-repo/semantics/article | - |
dc.type | info:eu-repo/semantics/publishedVersion | - |
dc.date.updated | 2019-02-14T15:50:55Z | - |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | - |
dc.identifier.pmid | 29771786 | - |
Appears in Collections: | Articles publicats en revistes (ISGlobal) |
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00126334-201808150-00007.pdf | 386.58 kB | Adobe PDF | View/Open |
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