Integration of HIV care into primary care in South Africa: effect on survival of patients needing antiretroviral treatment

Uebel, Kerry E, Lombard, Carl, Joubert, Gina, Fairall, Lara R, Bachmann, Max ORCID: https://orcid.org/0000-0003-1770-3506, Mollentze, Willie F, van Rensburg, Dingie Hcj and Wouters, Edwin (2013) Integration of HIV care into primary care in South Africa: effect on survival of patients needing antiretroviral treatment. Journal of Acquired Immune Deficiency Syndromes, 63 (3). e94-e100. ISSN 1944-7884

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Abstract

INTRODUCTION: Integration of human immunodeficiency virus (HIV) care into primary care is a potential strategy to improve access to antiretroviral therapy (ART) in high-burden countries. This study was conducted to determine the effect of integration of HIV care on survival of patients needing ART. METHODS: A questionnaire was used to measure integration of HIV care into primary care during a randomized controlled trial of task shifting and decentralization of HIV care in South Africa.. Cox proportional hazard ratios were estimated for the effect of 5 different integration scores (total, pre-ART, ART, mainstreaming HIV and internal integration) on survival of patients with CD4=350 cells/µl and not yet on ART. RESULTS: A total of 9,252 patients were followed up for 12-18 months. Cox proportional hazards ratios adjusted for patient and clinic characteristics, showed decreased risk of mortality in clinics with high scores for total integration (HR 0.97; 95% CI 0.95-0.98; p

Item Type:	Article
Uncontrolled Keywords:	sdg 3 - good health and well-being ,/dk/atira/pure/sustainabledevelopmentgoals/good_health_and_well_being
Faculty \ School:	Faculty of Medicine and Health Sciences > Norwich Medical School
UEA Research Groups:	Faculty of Medicine and Health Sciences > Research Groups > Health Services and Primary Care Faculty of Science > Research Groups > Norwich Epidemiology Centre Faculty of Medicine and Health Sciences > Research Groups > Norwich Epidemiology Centre Faculty of Medicine and Health Sciences > Research Centres > Population Health
Depositing User:	Pure Connector
Date Deposited:	26 Jun 2013 10:55
Last Modified:	19 Oct 2023 01:08
URI:	https://ueaeprints.uea.ac.uk/id/eprint/42501
DOI:	10.1097/QAI.0b013e318291cd08

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