ArticleOpen forum infectious diseases2014
The Linkage Outcomes of a Large-scale, Rapid Transfer of HIV-infected Patients From Hospital-based to Community-based Clinics in South Africa.
Article in Open forum infectious diseases, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
23 citing papers in PubMed.
- The Treatment Ambassador Program: A Highly Acceptable and Feasible Community-Based Peer Intervention for South Africans Living with HIV Who Delay or Discontinue Antiretroviral Therapy.AIDS and behavior · 2021Trial
- Sizanani: A Randomized Trial of Health System Navigators to Improve Linkage to HIV and TB Care in South Africa.Journal of acquired immune deficiency syndromes (1999) · 2016Trial
- Evaluation of the impact of PEPFAR transition on retention in care in South Africa's Western Cape Province.South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde · 2023Article
- Evaluation of the impact of PEPFAR transition on retention in care in South Africa's Western Cape.medRxiv : the preprint server for health sciences · 2023Article
- Reaching Viral Suppression Among People With HIV With Suspected Treatment Failure who Received Enhanced Adherence Counseling in Southern Nigeria: A Retrospective Analysis.Open forum infectious diseases · 2022Article
- Program sustainability post PEPFAR direct service support in the Western Cape, South Africa.PloS one · 2021Article
- The differential impacts of PEPFAR transition on private for-profit, private not-for-profit and publicly owned health facilities in Uganda.Health policy and planning · 2020Article
- Transfer of primary care patients receiving chronic care: the next step in the continuum of care.International health · 2019Review
- Understanding the role of resilience resources, antiretroviral therapy initiation, and HIV-1 RNA suppression among people living with HIV in South Africa: a prospective cohort study.AIDS (London, England) · 2019Article
- Using national laboratory data to assess cumulative frequency of linkage after transfer to community-based HIV clinics in South Africa.Journal of the International AIDS Society · 2019Article
- When donor funding leaves: an interrupted time-series analysis of the impact of integrating direct HIV care and treatment into public health services in a region of Johannesburg.Cost effectiveness and resource allocation : C/E · 2019Article
- The impact of PEPFAR transition on HIV service delivery at health facilities in Uganda.PloS one · 2019Article
- Assessing the completeness and accuracy of South African National Laboratory CD4 and viral load data: a cross-sectional study.BMJ open · 2018Article
- Treatment guidelines and early loss from care for people living with HIV in Cape Town, South Africa: A retrospective cohort study.PLoS medicine · 2017Observational
- Barriers to Care and 1-Year Mortality Among Newly Diagnosed HIV-Infected People in Durban, South Africa.Journal of acquired immune deficiency syndromes (1999) · 2017Article
- Adolescent Linkage to Care After a Large-scale Transfer From a Hospital-based HIV Clinic to the Public Sector in South Africa.The Pediatric infectious disease journal · 2017Article
- Outcome of Sentinel Hospital-based and CDC-based ART Service Delivery: A Prospective Open Cohort of People Living with HIV in China.Scientific reports · 2017Article
- Cervical Abnormalities in South African Women Living With HIV With High Screening and Referral Rates.Journal of global oncology · 2016Article
- Movement between facilities for HIV care among a mobile population in Kenya: transfer, loss to follow-up, and reengagement.AIDS care · 2016Article
- Record linkage to correct under-ascertainment of cancers in HIV cohorts: The Sinikithemba HIV clinic linkage project.International journal of cancer · 2016Article
Corrections and comments
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Authors and funding
11 authors.
Funding
Abstract
backgroundPresident's Emergency Plan for AIDS Relief (PEPFAR) funding changes have resulted in human immunodeficiency virus (HIV) clinic closures. We evaluated linkage to care following a large-scale patient transfer from a PEPFAR-funded, hospital-based HIV clinic to government-funded, community-based clinics in Durban.
methodsAll adults were transferred between March and June 2012. Subjects were surveyed 5-10 months post-transfer to assess self-reported linkage to the target clinic. We validated self-reports by auditing records at 8 clinics. Overall success of transfer was estimated using linkage to care data for both reached and unreached subjects, adjusted for validation results.
resultsOf the 3913 transferred patients, 756 (19%) were assigned to validation clinics; 659 (87%) of those patients were reached. Among those reached, 468 (71%) had a validated clinic record visit. Of the 46 who self-reported attending a different validation clinic than originally assigned, 39 (85%) had a validated visit. Of the 97 patients not reached, 59 (61%) had a validated visit at their assigned clinic. Based on the validation rates for reached and unreached patients, the estimated success of transfer for the cohort overall was 82%.
conclusionsMost patients reported successful transfer to a community-based clinic, though a quarter attended a different clinic than assigned. Validation of attendance highlights that nearly 20% of patients may not have linked to care and may have experienced a treatment interruption. Optimizing transfers of HIV care to community sites requires collaboration with receiving clinics to ensure successful linkage to care.
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