Early outcomes after implementation of treat all in Rwanda: an interrupted time series study.

ABSTRACT:

Introduction

Nearly all countries in sub-Saharan Africa have adopted policies to provide antiretroviral therapy (ART) to all persons living with HIV (Treat All), though HIV care outcomes of these programmes are not well-described. We estimated changes in ART initiation and retention in care following Treat All implementation in Rwanda in July 2016.

Methods

We conducted an interrupted time series analysis of adults enrolling in HIV care at ten Rwandan health centres from July 2014 to September 2017. Using segmented linear regression, we assessed changes in levels and trends of 30-day ART initiation and six-month retention in care before and after Treat All implementation. We compared modelled outcomes with counterfactual estimates calculated by extrapolating baseline trends.

SUBMITTER: Ross J 

PROVIDER: S-EPMC6468264 | biostudies-literature | 2019 Apr

REPOSITORIES: biostudies-literature