Factors Associated with Retention in HIV Care at Sediba Hope Medical Centre
South. Afr. j. HIV med. (Online)
; 16(1): 1-5, 2015.
Artigo
em Inglês
| AIM
| ID: biblio-1272191
Biblioteca responsável:
CG1.1
ABSTRACT
Background:
Lost to follow-up (LTFU) is a major challenge that hinders the success of antiretroviral treatment (ART).Objective:
To identify factors conducted to a low LTFU rate.Methods:
We conducted a two-part descriptive and quantitative study. Part 1 comprised interviews with clinic staff to determine their perspectives on LTFU and to establish the clinic's follow-up procedures for patients on ART. Part 2 of the study was a retrospective review of clinic and patient records. LTFU patients were identified and those with contact details were contacted for telephonic interview to determine if they were still on ART and/or their reasons for becoming LTFU.Results:
A low LTFU rate (7.9%; N = 683) was identified. Work-related stress; and lack of transport and funds were reported reasons for LTFU. Monthly visits; non-adherent defaulters and LTFU patients were tracked by an electronic system (SOZO). Factors contributing to high rates of retention in care were location of the clinic in the inner city; thus in close proximity to patients' homes or work; clinic operating on Saturdays; which was convenient for patients who could not attend during the week; an appointment/booking system that was in place and strictly adhered to; a reminder SMS being sent out the day before an appointment; individual counselling sessions at each visit and referrals where necessary; and a stable staff complement and support group at the clinic.Conclusion:
Achieving a low LTFU rate is possible by having a patient-centred approach and monitoring systems in place
Texto completo:
DisponíveL
Índice:
AIM (África)
Assunto principal:
Infecções por HIV
/
Estudos Retrospectivos
/
Antirretrovirais
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
/
Fatores de risco
Idioma:
Inglês
Revista:
South. Afr. j. HIV med. (Online)
Ano de publicação:
2015
Tipo de documento:
Artigo
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