Retention in Care of Adult HIV Patients Initiating Antiretroviral Therapy in Tigray, Ethiopia: A Prospective Observational Cohort Study

PloS One
Raffaella BucciardiniCASA-project Health Facilities

Abstract

Although Ethiopia has been scaling up the antiretroviral therapy (ART) services, low retention in care of patients remains one of the main obstacles to treatment success. We report data on retention in care and its associated determinants in Tigray, Ethiopia. We used data from the CASA project, a prospective observational and multi-site study of a cohort of HIV-infected patients who initiated ART for the first time in Tigray. Four participating health facilities (HFs) located in the South of Tigray were considered for this study. Patients were followed for one year after ART initiation. The main outcome measure was represented by the current retention in care, defined as the proportion of patients who were alive and receiving ART at the same HF one year after ART initiation. Patients who started ART between January 1, 2013 and December 31, 2013 were included in this analysis. Patients were followed for one year after ART initiation. The determinants of retention were analysed using univariate and multivariate Cox Proportional Hazards model with robust sandwich estimates to account for within HF correlation. The four participating HFs in Tigray were able to retain overall 85.1% of their patients after one year from starting ART....Continue Reading

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Citations

Sep 19, 2020·Patient Preference and Adherence·Abraham Aregay DestaTewolde Wubayehu Woldearegay
Feb 5, 2021·PloS One·Sylvia KusemererwaNelson Kawulukusi Sewankambo

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