ArticleJournal of acquired immune deficiency syndromes (1999)2009
Loss to follow-up of adults in public HIV care systems in central Mozambique: identifying obstacles to treatment.
Article in Journal of acquired immune deficiency syndromes (1999), 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 90 papers, 5 of them syntheses that pooled it.
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Who cites it
90 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Factors related to loss to follow-up among people living with HIV: a systematic review.Revista do Instituto de Medicina Tropical de Sao Paulo · 2025Pooled it
- Retention of Adult Patients on Antiretroviral Therapy in Low- and Middle-Income Countries: Systematic Review and Meta-analysis 2008-2013.Journal of acquired immune deficiency syndromes (1999) · 2015Pooled it
- Loss to programme between HIV diagnosis and initiation of antiretroviral therapy in sub-Saharan Africa: systematic review and meta-analysis.Tropical medicine & international health : TM & IH · 2012Pooled it
- Quantifying and addressing losses along the continuum of care for people living with HIV infection in sub-Saharan Africa: a systematic review.Journal of the International AIDS Society · 2012Pooled it
- Retention in HIV care between testing and treatment in sub-Saharan Africa: a systematic review.PLoS medicine · 2011Pooled it
- SEARCH Human Immunodeficiency Virus (HIV) Streamlined Treatment Intervention Reduces Mortality at a Population Level in Men With Low CD4 Counts.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021Trial
- Trial
- High HIV prevalence and incidence among women in Southern Mozambique: Evidence from the MDP microbicide feasibility study.PloS one · 2017Trial
- The prevention of mother-to-child transmission of HIV cascade analysis tool: supporting health managers to improve facility-level service delivery.BMC research notes · 2014Trial
- A combination strategy for enhancing linkage to and retention in HIV care among adults newly diagnosed with HIV in Mozambique: study protocol for a site-randomized implementation science study.BMC infectious diseases · 2014Trial
- Systems analysis and improvement to optimize pMTCT (SAIA): a cluster randomized trial.Implementation science : IS · 2014Trial
- Gender and stigma in antiretroviral treatment adherence in Mozambique: A qualitative study.PLOS global public health · 2024Article
- Dyadic Validation of Relational Processes in Seroconcordant Mozambican Couples: Social Support, Physician Trust, and Stigma.AIDS and behavior · 2022Article
- Same-day antiretroviral therapy initiation hub model at the Thai Red Cross Anonymous Clinic in Bangkok, Thailand: an observational cohort study.Journal of the International AIDS Society · 2021Observational
- Cascade Analysis: An Adaptable Implementation Strategy Across HIV and Non-HIV Delivery Platforms.Journal of acquired immune deficiency syndromes (1999) · 2019Article
- Qualitative Assessment of Health and Care-Seeking Behaviors among Hiv-Infected Adults and Health Care Providers in Mozambique.Cross current international journal of medical and biosciences · 2019Article
- The everyday practice of supporting health system development: learning from how an externally-led intervention was implemented in Mozambique.Health policy and planning · 2018Article
- A Successful Model of Expedited Antiretroviral Therapy for Clinically Stable Patients Living With HIV in Haiti.Journal of acquired immune deficiency syndromes (1999) · 2018Article
- Continuum of HIV Care in Rural Mozambique: The Implications of HIV Testing Modality on Linkage and Retention.Journal of acquired immune deficiency syndromes (1999) · 2018Article
- Partners-based HIV treatment for seroconcordant couples attending antenatal and postnatal care in rural Mozambique: A cluster randomized trial protocol.Contemporary clinical trials · 2018Article
30 more citing papers are in PubMed but not listed here.
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Authors and funding
10 authors.
Funding
Abstract
introductionAccess to antiretroviral treatment (ART) has expanded dramatically in resource-limited settings. Evaluating loss to follow-up from HIV testing through post-ART care can help identify obstacles to care.
methodsRoutine data were analyzed for adults receiving services in 2 public HIV care systems in central Mozambique. The proportion of people passing through the following steps was determined: (1) HIV testing, (2) enrollment at an ART clinic, (3) CD4 testing, (4) starting ART if eligible, and (5) adhering to ART.
resultsDuring the 12-month study period (2004-2005), an estimated 23,430 adults were tested for HIV and 7005 (29.9%) were HIV positive. Only 3956 (56.5%) of those HIV positive enrolled at an ART clinic < or =30 days after testing. CD4 testing was obtained in 77.1% < or =30 days of enrollment. Of 1506 eligible for ART, 471 (31.3%) started ART < or =90 days after CD4 testing. Of 382 with > or =180 days of potential follow-up time on ART, 317 (83.0%) had pharmacy-based adherence rates > or =90%. DISCUSSION: Substantial drop-offs were observed for each step between HIV testing and treatment but were highest for referral from HIV testing to treatment sites and for starting ART. Interventions are needed to improve follow-up and ensure that people benefit from available HIV services.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.