Scale-up of Kenya's national HIV viral load program: Findings and lessons learned.
Matilu MwauCatherine Akinyi SyeundaMaureen AdhiamboPriska BwanaLucy KithinjiJoy MwendeLaura OyiengoMartin SirengoCaroline E BoekePublished in: PloS one (2018)
Coverage of viral load testing dramatically increased in Kenya to >50% of patients on antiretroviral therapy (ART) by early 2016 and represents a relatively efficient laboratory system. However, strengthening of patient tracking mechanisms and viral load result utilization may be necessary to further improve the system. Additional focus is needed on paediatric/adolescent patients to improve viral suppression in these groups. Kenya's national viral load database has demonstrated its usefulness in assessing laboratory programs, tracking trends in patient characteristics, monitoring scale-up of new policies and programs, and identifying problem areas for further investigation.
Keyphrases
- antiretroviral therapy
- end stage renal disease
- hiv infected
- ejection fraction
- chronic kidney disease
- newly diagnosed
- public health
- quality improvement
- peritoneal dialysis
- hiv aids
- emergency department
- prognostic factors
- mental health
- young adults
- healthcare
- sars cov
- hiv infected patients
- patient reported outcomes
- men who have sex with men
- hiv testing