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Clin Infect Dis ; 54 Suppl 4: S306-12, 2012 May.
Article in English | MEDLINE | ID: mdl-22544193

ABSTRACT

Antiretroviral therapy (ART) retention and 5 early-warning indicators (EWIs) of HIV drug resistance (HIVDR) were abstracted at 27 adult and 4 pediatric clinics in Vietnam in 2009. Of 4531 adults and 313 children, 81.2% and 84.4% respectively were still on ART at 12 months. More than 90% of the clinics monitored achieved the World Health Organization (WHO) targets for lost-to-follow-up (LTFU), ART prescribing practices, and ARV supply continuity. Only 83.9% of the clinics met the target for first-line ART retention and 79.3% met the target for clinic appointment-keeping. Clinic factors (i.e. number of patients, administrative level, and geographical region) were associated with ART retention and LFTU. Data were useful in guiding public health action to optimize ART services.


Subject(s)
Anti-Retroviral Agents/pharmacology , HIV Infections/drug therapy , HIV Infections/epidemiology , Adult , Ambulatory Care Facilities/statistics & numerical data , Anti-Retroviral Agents/supply & distribution , Anti-Retroviral Agents/therapeutic use , Child , Cohort Studies , Drug Resistance, Viral , Humans , Lost to Follow-Up , National Health Programs , Odds Ratio , Patient Compliance/statistics & numerical data , Population Surveillance , Vietnam/epidemiology , World Health Organization
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