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Title: Reengagement of HIV-infected children lost to follow-up after active mobile phone tracing in a rural area of Mozambique
Author: Fernández Luis, Sheila
Fuente-Soro, Laura
Augusto, Orvalho
Bernardo, Edson
Nhampossa, Tacilta
Maculuve, Sonia
Manning Hernández, Terence
Naniche, Denise
López Varela, Elisa
Keywords: VIH (Virus)
Geografia rural
HIV (Viruses)
Rural geography
Issue Date: 7-Aug-2018
Publisher: Oxford University Press
Abstract: Introduction: Retention in care and reengagement of lost to follow-up (LTFU) patients are priority challenges in pediatric HIV care. We aimed to assess whether a telephone-call active tracing program facilitated reengagement in care (RIC) in the Manhiça District Hospital, Mozambique. Methods: Telephone tracing of LTFU children was performed from July 2016 to March 2017. Both ART (antiretroviral treatment) and preART patients were included in this study. LTFU was defined as not attending the clinic for ≥120 days after last attended visit. Reengagement was determined 3 months after an attempt to contact. Results: A total of 144 children initially identified as LTFU entered the active tracing program and 37 were reached by means of telephone tracing. RIC was 57% (95% CI, 39–72%) among children who could be reached versus 18% (95% CI, 11–26%) of those who could not be reached (p = 0.001). Conclusion: Telephone tracing could be an effective tool for facilitating reengagement in pediatric HIV care. However, the difficulty of reaching patients is an obstacle that can undermine the program.
Note: Versió postprint del document publicat a: 10.1093/tropej/fmy041
It is part of: Journal of Tropical Pediatrics, 2019
Related resource: 10.1093/tropej/fmy041
ISSN: 0142-6338
Appears in Collections:Articles publicats en revistes (ISGlobal)
Articles publicats en revistes (Medicina)

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