Differentiated HIV care in South Africa: the effect of fast-track treatment initiation counselling on ART initiation and viral suppression as partial results of an impact evaluation on the impact of a package of services to improve HIV treatment adherence.
Sophie J S PascoeMatthew P FoxAmy N HuberJoshua MurphyMokgadi PhokojoeMarelize GorgensSydney RosenDavid WilsonYogan PillayNicole Fraser-HurtPublished in: Journal of the International AIDS Society (2020)
We saw a short-term ART-initiation benefit to FTIC (particularly in districts where initiation prior to intervention was lower), with no reductions but also no improvement in longer-term retention and viral suppression. This may be due to lack of fidelity to implementation and delivery of those components that support retention and adherence. FTIC must continue to be implemented alongside other interventions to achieve the 90-90-90 cascade and fidelity to post-initiation counselling sessions must be monitored to determine impact on longer-term outcomes. Understanding the cost-benefit and role of FTIC may then be warranted.
Keyphrases
- south africa
- hiv infected
- antiretroviral therapy
- primary care
- hiv testing
- healthcare
- hiv positive
- sars cov
- preterm infants
- randomized controlled trial
- physical activity
- hepatitis c virus
- human immunodeficiency virus
- men who have sex with men
- smoking cessation
- type diabetes
- mental health
- gestational age
- insulin resistance