Rebecca Reece1, Betty Norman2, Awewura Kwara3, Timothy Flanigan3, Aadia Rana3. 1. Department of Infectious Diseases, Warren Alpert School of Medicine, Brown University Providence, RI, USA rreece@lifespan.org. 2. Komfo Anokye Teaching Hospital (KATH), Kwame Nkrumah University of Science and Technology, Kumasi, Ghana. 3. Department of Infectious Diseases, Warren Alpert School of Medicine, Brown University Providence, RI, USA.
Abstract
BACKGROUND: Despite the success of prevention of mother-to-child transmission programs, transition to care in the postpartum period is vulnerable to being lost to care. METHODS: The authors performed a 2-year retrospective study of postpartum HIV-infected patients at Komfo Anokye Teaching Hospital in Kumasi, Ghana. The outcome was classified as optimal follow-up, suboptimal follow-up, and loss to follow-up (LTFU). Univariate and multivariate analyses were used to identify factors associated with optimal retention. RESULTS: Follow-up was optimal in 66%, suboptimal in 16%, and LTFU in 18% of patients. The rate of LTFU was 22% among women diagnosed at pregnancy and 13% among those with known HIV diagnosis (P = .078). Adherence counseling (odds ratio [OR] 5.0, confidence interval [CI] 1.6-15.7; P = .006) and family planning (FP; OR 2.3, CI 1.0-5.3; P = .041) were predictive of optimal follow-up. CONCLUSION: At 1 year, only two-thirds of postpartum women remained in care. Investigating barriers to adherence counseling and FP may impact engagement in care among HIV-infected women.
BACKGROUND: Despite the success of prevention of mother-to-child transmission programs, transition to care in the postpartum period is vulnerable to being lost to care. METHODS: The authors performed a 2-year retrospective study of postpartum HIV-infectedpatients at Komfo Anokye Teaching Hospital in Kumasi, Ghana. The outcome was classified as optimal follow-up, suboptimal follow-up, and loss to follow-up (LTFU). Univariate and multivariate analyses were used to identify factors associated with optimal retention. RESULTS: Follow-up was optimal in 66%, suboptimal in 16%, and LTFU in 18% of patients. The rate of LTFU was 22% among women diagnosed at pregnancy and 13% among those with known HIV diagnosis (P = .078). Adherence counseling (odds ratio [OR] 5.0, confidence interval [CI] 1.6-15.7; P = .006) and family planning (FP; OR 2.3, CI 1.0-5.3; P = .041) were predictive of optimal follow-up. CONCLUSION: At 1 year, only two-thirds of postpartum women remained in care. Investigating barriers to adherence counseling and FP may impact engagement in care among HIV-infectedwomen.
Authors: F J Palella; K M Delaney; A C Moorman; M O Loveless; J Fuhrer; G A Satten; D J Aschman; S D Holmberg Journal: N Engl J Med Date: 1998-03-26 Impact factor: 91.245
Authors: Bingxia Wang; Elena Losina; Ruth Stark; Alison Munro; Rochelle P Walensky; Marisa Wilke; Des Martin; Zhigang Lu; Kenneth A Freedberg; Robin Wood Journal: S Afr Med J Date: 2011-04
Authors: Elvin H Geng; Denis Nash; Andrew Kambugu; Yao Zhang; Paula Braitstein; Katerina A Christopoulos; Winnie Muyindike; Mwebesa Bosco Bwana; Constantin T Yiannoutsos; Maya L Petersen; Jeffrey N Martin Journal: Curr HIV/AIDS Rep Date: 2010-11 Impact factor: 5.071
Authors: Victor Akelo; Sonali Girde; Craig B Borkowf; Frank Angira; Kevin Achola; Richard Lando; Lisa A Mills; Timothy K Thomas; Shirley Lee Lecher Journal: PLoS One Date: 2013-08-26 Impact factor: 3.240
Authors: Christina M Meade; Martina Badell; Stephanie Hackett; C Christina Mehta; Lisa B Haddad; Andres Camacho-Gonzalez; Joy Ford; Marcia M Holstad; Wendy S Armstrong; Anandi N Sheth Journal: Infect Dis Obstet Gynecol Date: 2019-02-14
Authors: Thomas A Odeny; Maricianah Onono; Kevin Owuor; Anna Helova; Iris Wanga; Elizabeth A Bukusi; Janet M Turan; Lisa L Abuogi Journal: Trials Date: 2018-01-29 Impact factor: 2.279
Authors: Kwame S Sakyi; Margaret Y Lartey; Caitlin E Kennedy; Julie A Dension; Luke C Mullany; Prince G Owusu; Emma Sacks; Emily A Hurley; Pamela J Surkan Journal: BMC Pregnancy Childbirth Date: 2020-07-17 Impact factor: 3.007