Factors Associated with Retention in HIV Care at Sediba Hope Medical Centre
South. Afr. j. HIV med. (Online)
;
16(1): 1-5, 2015.
Article
in English
| AIM
| ID: biblio-1272191
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
Full text:
Available
Index:
AIM (Africa)
Main subject:
HIV Infections
/
Retrospective Studies
/
Anti-Retroviral Agents
Type of study:
Observational study
/
Prognostic study
/
Risk factors
Language:
English
Journal:
South. Afr. j. HIV med. (Online)
Year:
2015
Type:
Article
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