Outcomes of patients on second- and third-line ART enrolled in ART adherence clubs in Maputo, Mozambique.

ABSTRACT:

Objectives

Adherence clubs (AC) offer patient-centred access to antiretroviral therapy (ART) while reducing the burden on health facilities. AC were implemented in a health centre in Mozambique specialising in patients with a history of HIV treatment failure. We explored the impact of AC on retention in care and VL suppression of these patients.

Methods

We performed a retrospective analysis of patients enrolled in AC receiving second- or third-line ART. The Kaplan-Meier estimates were used to analyse retention in care in health facility, retention in AC and viral load (VL) suppression (VL < 1000 copies/mL). Predictors of attrition and VL rebound (VL ≥ 1000 copies/mL) were assessed using multivariable proportional hazards regression.

Results

The analysed cohort contain

SUBMITTER: Finci I 

PROVIDER: S-EPMC7756444 | biostudies-literature | 2020 Dec

REPOSITORIES: biostudies-literature