Retention and viral suppression in a cohort of HIV patients on antiretroviral therapy in Zambia: Regionally representative estimates using a multistage-sampling-based approach.
Izukanji SikazweIngrid Eshun-WilsonKombatende SikombeNancy CzaickiPaul SomweAaloke ModySandra SimbezaDavid V GliddenElizabeth ChizemaLloyd B MulengaNancy PadianChris J DuncombeCarolyn Bolton MooreLaura K BeresCharles B HolmesElvin Hsing GengPublished in: PLoS medicine (2019)
In this region of Zambia, routine program data underestimated retention, and the point prevalence of unsuppressed HIV RNA was high when lost patients were accounted for. Viremia was prevalent among patients who unofficially transferred: Sustained engagement remains a challenge among HIV patients in Zambia, and targeted sampling is an effective strategy to identify such gaps in the care cascade and monitor programmatic progress.
Keyphrases
- antiretroviral therapy
- end stage renal disease
- hiv infected
- ejection fraction
- human immunodeficiency virus
- newly diagnosed
- chronic kidney disease
- hiv aids
- healthcare
- hepatitis c virus
- prognostic factors
- palliative care
- quality improvement
- peritoneal dialysis
- sars cov
- drug delivery
- social media
- chronic pain
- patient reported