R Moudachirou1, G Van Cutsem2,3, R I Chuy4, H Tweya5,6, M Senkoro7, M Mabhala8, M Zolfo9. 1. Projet SIDA, Médecins Sans Frontières, Operational Centre of Brussels, Kinshasa, Democratic Republic of Congo. 2. Southern Africa Medical Unit, Médecins Sans Frontières, Cape Town, South Africa. 3. 9 Centre for Infectious Disease Epidemiology and Research, University of Cape Town, Cape Town, South Africa. 4. Programme National de Lutte contre le VIH/SIDA et les IST, Kinshasa, DRC. 5. International Union Against Tuberculosis and Lung Disease, Paris, France. 6. The Lighthouse Trust, Lilongwe, Malawi. 7. National Institute for Medical Research, Muhimbili Centre, Dares-Salaam, Tanzania. 8. Department of Public Health and Wellbeing, University of Chester, Chester, UK. 9. Institute of Tropical Medicine, Antwerp, Belgium.
Abstract
SETTING: In 2010, Médecins Sans Frontières set up decentralised community antiretroviral therapy (ART) refill centres ("poste de distribution communautaire", PODI) for the follow-up of stable human immunodeficiency virus (HIV) patients. OBJECTIVE: To assess retention in care and sustained viral suppression after transfer to three main PODI in Kinshasa, Democratic Republic of Congo (DRC) (PODI Barumbu/Central, PODI Binza Ozone/West and PODI Masina I/East). DESIGN: Retrospective cohort study using routine programme data for adult HIV patients transferred from Kabinda Hospital to PODIs between January 2015 and June 2017. RESULTS: A total of 337 patients were transferred to PODIs: 306 (91%) were on ART for at least 12 months; 118 (39%) had a routine "12-month" viral load (VL) done, 93% (n = 110) of whom had a suppressed VL <1000 copies/ml. Median time from enrolment into PODI to 12-month routine VL was 14.6 months (IQR 12.2-20.8). Kaplan-Meier estimates of retention in care at 6, 12 and 18 months after enrolment into PODIs were respectively 96%, 92% and 88%. CONCLUSION: Retention in care and viral suppression among patients in PODI with VL results were better than patients in clinic care and national outcomes.
SETTING: In 2010, Médecins Sans Frontières set up decentralised community antiretroviral therapy (ART) refill centres ("poste de distribution communautaire", PODI) for the follow-up of stable human immunodeficiency virus (HIV) patients. OBJECTIVE: To assess retention in care and sustained viral suppression after transfer to three main PODI in Kinshasa, Democratic Republic of Congo (DRC) (PODI Barumbu/Central, PODI Binza Ozone/West and PODI Masina I/East). DESIGN: Retrospective cohort study using routine programme data for adult HIV patients transferred from Kabinda Hospital to PODIs between January 2015 and June 2017. RESULTS: A total of 337 patients were transferred to PODIs: 306 (91%) were on ART for at least 12 months; 118 (39%) had a routine "12-month" viral load (VL) done, 93% (n = 110) of whom had a suppressed VL <1000 copies/ml. Median time from enrolment into PODI to 12-month routine VL was 14.6 months (IQR 12.2-20.8). Kaplan-Meier estimates of retention in care at 6, 12 and 18 months after enrolment into PODIs were respectively 96%, 92% and 88%. CONCLUSION: Retention in care and viral suppression among patients in PODI with VL results were better than patients in clinic care and national outcomes.
Authors: Florian Vogt; Lucien Kalenga; Jean Lukela; Freddy Salumu; Ibrahim Diallo; Elena Nico; Emmanuel Lampart; Rafael Van den Bergh; Safieh Shah; Olumide Ogundahunsi; Rony Zachariah; Johan Van Griensven Journal: J Acquir Immune Defic Syndr Date: 2017-03-01 Impact factor: 3.731
Authors: Lorraine Pasipamire; Robin C Nesbitt; Sindiso Ndlovu; Gibson Sibanda; Sipho Mamba; Nomthandazo Lukhele; Munyaradzi Pasipamire; Serge M Kabore; Barbarba Rusch; Iza Ciglenecki; Bernhard Kerschberger Journal: J Int AIDS Soc Date: 2018-09 Impact factor: 5.396
Authors: Andrew Medina-Marino; Dana Bezuidenhout; Nondumiso Ngcelwane; Morna Cornell; Milton Wainberg; Chris Beyrer; Linda-Gail Bekker; Joseph Daniels Journal: Am J Mens Health Date: 2022 Sep-Oct
Authors: Lucy Cunnama; Elaine J Abrams; Landon Myer; Tamsin K Phillips; Caitlin M Dugdale; Andrea L Ciaranello; Allison Zerbe; Victoria Iyun; Kim MacQuilkan; Vanessa Daries; Edina Sinanovic Journal: Trop Med Int Health Date: 2020-10-02 Impact factor: 2.622