Correlates of Patient Retention in HIV Care and Treatment Programs in Nigeria

Current HIV Research
Chinenye UgojiWilliam Blattner

Abstract

Long-term retention is a crucial component of HIV care because treatment success can only be measured among retained patients. Understanding determinants of retention will inform retention strategies. We evaluated the correlates of retention in a large HIV program in Nigeria. We reviewed quality of care data for 5320 randomly selected HIV-positive adults aged ≥15 years enrolled in 37 treatment facilities in Nigeria between 2005 and 2009. Retention was described as having one or more clinic visits in the one year (2010) review period. Patient-related correlates of retention were determined using logistic regression. 144 patients exited the program through deaths or transferrals. Of the 5176 with no documented exits, 3231 (62.4%) were retained (65.6% female; median age: 35.6 years). 2938 (75.8%) patients on ART, and 286 (23.4%) pre-ART patients were retained. Being on ART (OR=10.3, p<0.001), Age 30-60 years (30 - 45 years: OR=1.36, p<0.001 and >45 - 60 years: OR=1.47, p<0.001) compared to patients <30 years; Female gender (OR=1.18, p=0.006), baseline CD4 cell count (100-350 cells/mm(3): OR=1.24, p=0.006) vs <100 cells/mm(3) and lower WHO stage at baseline (WHO Stage IV, III, II: OR=0.50,0.51,0.77 respectively) vs Stage I were ass...Continue Reading

Citations

Oct 11, 2017·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Aima A AhonkhaiKenneth A Freedberg
Aug 5, 2017·Journal of the International AIDS Society·Priscilla Ruvimbo TsondaiAndrew Boulle
Dec 19, 2016·AIDS and Behavior·Shiraze M BulsaraToby R O Newton-John
Aug 26, 2020·Research in Social & Administrative Pharmacy : RSAP·Iyeseun O AsiebaToyin Tofade
Jul 23, 2021·Journal of the International AIDS Society·Catrina MugglinUNKNOWN International epidemiology Databases to Evaluate AIDS in Southern Africa

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