The Linkage Outcomes of a Large-scale, Rapid Transfer of HIV-infected Patients From Hospital-based to Community-based Clinics in South Africa.

Open Forum Infectious Diseases
Christie CloeteIngrid V Bassett

Abstract

President's Emergency Plan for AIDS Relief (PEPFAR) funding changes have resulted in human immunodeficiency virus (HIV) clinic closures. We evaluated linkage to care following a large-scale patient transfer from a PEPFAR-funded, hospital-based HIV clinic to government-funded, community-based clinics in Durban. All adults were transferred between March and June 2012. Subjects were surveyed 5-10 months post-transfer to assess self-reported linkage to the target clinic. We validated self-reports by auditing records at 8 clinics. Overall success of transfer was estimated using linkage to care data for both reached and unreached subjects, adjusted for validation results. Of the 3913 transferred patients, 756 (19%) were assigned to validation clinics; 659 (87%) of those patients were reached. Among those reached, 468 (71%) had a validated clinic record visit. Of the 46 who self-reported attending a different validation clinic than originally assigned, 39 (85%) had a validated visit. Of the 97 patients not reached, 59 (61%) had a validated visit at their assigned clinic. Based on the validation rates for reached and unreached patients, the estimated success of transfer for the cohort overall was 82%. Most patients reported successful ...Continue Reading

References

Dec 9, 2004·AIDS Research and Human Retroviruses·J B NachegaA S Karstaedt
Aug 19, 2008·SAHARA J : Journal of Social Aspects of HIV/AIDS Research Alliance·Brian ForsythJanis Grobbelaar
Mar 21, 2009·Transactions of the Royal Society of Tropical Medicine and Hygiene·M MassaquoiAnthony D Harries
Oct 21, 2010·Tropical Medicine & International Health : TM & IH·Marielle BemelmansMoses Massaquoi
Aug 23, 2011·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Cara O'ConnorAmbereen Jaffer
Aug 30, 2011·BMC Health Services Research·Rachel MukoraAlan Karstaedt
Mar 28, 2012·Journal of Pain & Palliative Care Pharmacotherapy·UNKNOWN Institute of Medicine
Apr 16, 2013·PLoS Medicine·Leigh F JohnsonUNKNOWN International Epidemiologic Databases to Evaluate AIDS Southern Africa Collaboration
Oct 11, 2013·The New England Journal of Medicine·Ingrid T KatzAlexi A Wright
Nov 28, 2013·Journal of the International AIDS Society·Ingrid T KatzAlexander C Tsai
Aug 12, 2014·The Lancet Global Health·Chris Collins, Chris Beyrer

❮ Previous
Next ❯

Citations

Nov 13, 2015·AIDS Research and Human Retroviruses·Jonathan ColasantiVincent C Marconi
Apr 22, 2016·International Journal of Cancer. Journal International Du Cancer·Mazvita SengayiJulia Bohlius
Sep 16, 2016·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Ingrid V BassettElena Losina
Jan 7, 2017·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Ingrid V BassettElena Losina
Feb 14, 2017·The Pediatric Infectious Disease Journal·Lynn Ramirez-AvilaIngrid V Bassett

❮ Previous
Next ❯

Software Mentioned

Stata

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.