Geographic Mobility and HIV Care Engagement among People Living with HIV in Rural Kenya and Uganda.

James AyiekoMarguerite ThorpMonica GetahunMonica GandhiIrene MaeriSarah A GutinJaffer OkiringMoses R KamyaElizabeth A BukusiEdwin D CharleboisMaya PetersenDiane V HavlirCarol S CamlinPamela M Murnane

Published in: Tropical medicine and infectious disease (2023)

We observed both negative and protective effects of recent migration on care engagement and ART use that were most pronounced among men in this cohort. Migration can break ties to ongoing care, but for men, who have more agency in the decision to migrate, may foster new care and treatment strategies. Strategies that enable health facilities to support individuals throughout the process of transferring care could alleviate the risk of care disengagement.

Keyphrases

healthcare
palliative care
quality improvement
pain management
affordable care act
mental health
hiv infected
climate change