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, 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
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
Depositing User: Pure Connector
Date Deposited: 26 Jun 2013 10:55
Last Modified: 18 Jun 2020 23:44
URI: https://ueaeprints.uea.ac.uk/id/eprint/42501
DOI: 10.1097/QAI.0b013e318291cd08

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