A decade of HIV care in rural Tanzania: Trends in clinical outcomes and impact of clinic optimisation in an open, prospective cohort.

Fiona VanobberghenEmilio LetangAnna GamellDorcas K MnzavaDiana FainiLameck B LuwandaHerry MapesiKim MwameloGeorge SikalengoMarcel TannerChristoph HatzHansjakob FurrerManuel BattegayTracy R Glassnull null

Published in: PloS one (2017)

In this cohort, ART usage improved dramatically and is approaching targets of 90%. Improved screening led to increases in detection of OIs and laboratory abnormalities, suggesting that a large number of these co-morbidities previously went undetected and untreated. Further work will address the high LTFU rates and implications for mortality estimates, and the management and outcomes of co-morbidities.

Keyphrases

primary care
south africa
cardiovascular events
hiv infected
risk factors
metabolic syndrome
type diabetes
antiretroviral therapy
real time pcr
adipose tissue
insulin resistance