Title
Patients who return to care after tracking remain at high risk of attrition: experience from a large HIV clinic, UgandaPatients who return to care after tracking remain at high risk of attrition: experience from a large HIV clinic, Uganda
Author
Faculty/Department
Faculty of Medicine and Health Sciences
Research group
Epidemiology and social medicine (ESOC)
Publication type
article
Publication
Subject
Human medicine
Source (journal)
INTERNATIONAL JOURNAL OF STD & AIDS
Volume/pages
26(2015):1, p. 42-47
ISSN
0956-4624
ISI
000346077300007
Carrier
E
Target language
English (eng)
Full text (Publishers DOI)
Affiliation
University of Antwerp
Abstract
We determined the retention rate of patients infected with HIV who resumed care after being tracked at the Infectious Diseases Clinic (IDC) in Kampala, Uganda. Between April 2011 and September 2013, patients who missed their clinic appointment for 8-90 days were tracked, and those who returned to the clinic within 120 days were followed up. The proportion of patients retained among tracked patients, and those who resumed care before tracking started was compared. At 18 months of follow up, 33 (39%) of the tracked patients and 72 (61%) of those who had resumed care before tracking started were retained in care. The most important cause of attrition among the traceable was self-transfer to another clinic (38 [73%] patients), whereas among those who resumed care before tracking was loss to follow up (LTFU) (32 [71%] patients). Tracked patients who resume care following a missed appointment are at high risk of attrition. To increase retention, antiretroviral therapy clinics need to adopt a chronic care model which takes into consideration patients' changing needs and their preference for self-management.
E-info
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https://repository.uantwerpen.be/docman/iruaauth/d3bd4e/122739.pdf
Handle