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Lessons learned during down referral of antiretroviral treatment in Tete, Mozambique | Journal Article / Research | MSF Science Portal
Journal Article
|Research

Lessons learned during down referral of antiretroviral treatment in Tete, Mozambique

Decroo T, Panunzi I, das Dores C, Maldonado F, Biot M, Ford NP, Chu KM
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Abstract
As sub-Saharan African countries continue to scale up antiretroviral treatment, there has been an increasing emphasis on moving provision of services from hospital level to the primary health care clinic level. Delivery of antiretroviral treatment at the clinic level increases the number of entry points to care, while the greater proximity of services encourages retention in care.

In Tete City, Mozambique, patients on antiretrovirals were rapidly down referred from a provincial hospital to four urban clinics in large numbers without careful planning, resulting in a number of patients being lost to follow-up.

We outline some key lessons learned to support down referral, including the need to improve process management, clinic infrastructure, monitoring systems, and patient preparation. Down referral can be avoided by initiating patients' antiretroviral treatment at clinic level from the outset.

Countries

Mozambique

Subject Area

models of careHIV/AIDS

Languages

English
DOI
10.1186/1758-2652-12-6
Published Date
06 May 2009
PubMed ID
19419543
Journal
Journal of the International AIDS Society
Volume | Issue | Pages
Volume 12, Issue 1, Pages 6
Issue Date
2009-02-01
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