# name
Loss to follow-up and opportunities for reengagement in HIV care in rural Mozambique: A prospective cohort study.

# metadata.dc.description.abstract[].value
"Patients lost to follow-up (LTFU) over the human
immunodeficiency virus (HIV) cascade have poor clinical outcomes
and contribute to onward HIV transmission. We assessed true care
outcomes and factors associated with successful reengagement in
                patients LTFU in southern Mozambique.Newly diagnosed
                HIV-positive adults were consecutively recruited in the
                Manhi\xC3\xA7a District. Patients LTFU within 12 months after
                HIV diagnosis were visited at home from June 2015 to July 2016
                and interviewed for ascertainment of outcomes and reasons for
                LTFU. Factors associated with reengagement in care within 90
                days after the home visit were analyzed by Cox proportional
                hazards model.Among 1122 newly HIV-diagnosed adults, 691 (61.6%)
                were identified as LTFU. Of those, 557 (80.6%) were approached
                at their homes and 321 (57.6%) found at home. Over 50% had died
                or migrated, 10% had been misclassified as LTFU, and 252 (78.5%)
                were interviewed. Following the visit, 79 (31.3%) reengaged in
                care. Having registered in care and a shorter time between LTFU
                and visit were associated with reengagement in multivariate
                analyses: adjusted hazards ratio of 3.54 [95% confidence
                interval (CI): 1.81-6.92; P\xE2\x80\x8A<\xE2\x80\x8A.001] and
                0.93 (95% CI: 0.87-1.00; P\xE2\x80\x8A=\xE2\x80\x8A.045),
                respectively. The most frequently reported barriers were the
                lack of trust in the HIV-diagnosis, the perception of being in
                good health, and fear of being badly treated by health personnel
                and differed by type of LTFU.Estimates of LTFU in rural areas of
                sub-Saharan Africa are likely to be overestimated in the absence
                of active tracing strategies. Home visits are resource-intensive
                but useful strategies for reengagement for at least one-third of
                LTFU patients when applied in the context of differentiated care
                for those LTFU individuals who had already enrolled in HIV care
                at some point."

# metadata.dc.rights[].value
cc by-nc (c) Fuente Soro, Laura et al, 2020

# metadata.dc.source[].value
Articles publicats en revistes (ISGlobal)

# metadata.dc.title[].value
Loss to follow-up and opportunities for reengagement in HIV care in rural Mozambique: A prospective cohort study.