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Decentralizing ART supply for stable HIV patients to community-based distribution centers: program outcomes from an urban context in Kinshasa, DRC | Journal Article / Short Report | MSF Science Portal
Journal Article
|Short Report

Decentralizing ART supply for stable HIV patients to community-based distribution centers: program outcomes from an urban context in Kinshasa, DRC

Vogt F, Kalenga L, Lukela J, Salumu F, Diallo I, Nico E, Lampart E, Van Den Berg R, Shah SK, Ogundahunsi O, Zachariah R, van Griensven J
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Abstract
Facility-based antiretroviral therapy (ART) provision for stable patients with HIV congests health services in resource-limited countries. We assessed outcomes and risk factors for attrition after decentralization to community-based ART refill centers among 2603 patients with HIV in Kinshasa, Democratic Republic of Congo, using a multilevel Poisson regression model. Death, loss to follow-up, and transfer out were 0.3%, 9.0%, and 0.7%, respectively, at 24 months. Overall attrition was 5.66/100 person-years. Patients with >3 years on ART, >500 cluster of differentiation type-4 count, body mass index >18.5, and receiving nevirapine but not stavudine showed reduced attrition. ART refill centers are a promising task-shifting model in low-prevalence urban settings with high levels of stigma and poor ART coverage.

Countries

Democratic Republic of Congo

Subject Area

models of careHIV/AIDS

Languages

English
DOI
10.1097/QAI.0000000000001215
Published Date
01 Mar 2017
PubMed ID
27787343
Journal
Journal of Acquired Immune Deficiency Syndromes (1999)
Volume | Issue | Pages
Volume 74, Issue 3, Pages 326-331
Issue Date
2017-03-01
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