ArticleAIDS care2016
A risk score to identify HIV-infected women most likely to become lost to follow-up in the postpartum period.
Article in AIDS care, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Factors affecting linkage to HIV care and ART initiation following referral for ART by a mobile health clinic in South Africa: evidence from a multimethod study.Journal of behavioral medicine · 2019Trial
- Perspective: Infant Feeding Policies among Women Living with HIV in Latin America and the Caribbean: Should They Be Updated?Advances in nutrition (Bethesda, Md.) · 2026Article
- Experiences and Preferences in Zambia and South Africa for Delivery of HIV Treatment During a Client's First Six Months: Results of the PREFER Study's Cross-Sectional Baseline Survey.AIDS and behavior · 2025Observational
- Improving identification of symptomatic cancer at primary care clinics: A predictive modeling analysis in Botswana.International journal of cancer · 2022Article
- Factors Associated with Retention of HIV Patients on Antiretroviral Therapy in Care: Evidence from Outpatient Clinics in Two Provinces of the Democratic Republic of the Congo (DRC).Tropical medicine and infectious disease · 2022Article
- Trends in post-partum viral load among women living with perinatal HIV infection in the USA: a prospective cohort study.The lancet. HIV · 2020Article
- Developing a triage tool for use in identifying people living with HIV who are at risk for non-retention in HIV care.International journal of STD & AIDS · 2020Article
- Models of service delivery for optimizing a patient's first six months on antiretroviral therapy for HIV: an applied research agenda.Gates open research · 2020Article
- Breastfeeding with HIV: An Evidence-Based Case for New Policy.The Journal of law, medicine & ethics : a journal of the American Society of Law, Medicine & Ethics · 2019Review
- Supporting choices about HIV disclosure in the workplace: A cross-Canada survey of strategies.Work (Reading, Mass.) · 2019Article
- Linkage to care, mobility and retention of HIV-positive postpartum women in antiretroviral therapy services in South Africa.Journal of the International AIDS Society · 2018Article
- Readiness for Antiretroviral Therapy: Implications for Linking HIV-Infected Individuals to Care and Treatment.AIDS and behavior · 2018Article
- Improving postpartum retention in care for women living with HIV in the United States.AIDS (London, England) · 2018Review
- Article
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Authors and funding
11 authors.
Funding
Abstract
Access to lifelong combination antiretroviral therapy (cART) is expanding among HIV-infected pregnant and breastfeeding women throughout sub-Saharan Africa (SSA). For this strategy to meaningfully improve maternal HIV outcomes, retention in HIV care is essential. We developed a risk score to identify women with high likelihood of loss to follow-up (LTFU) at 6 months postpartum from HIV care, using data from public health facilities in Lusaka, Zambia. LTFU was defined as not presenting for HIV care within 60 days of the last scheduled appointment. We used logistic regression to assess demographic, obstetric and HIV predictors of LTFU and to develop a simple risk score. Sensitivity and specificity were assessed at each risk score cut-point. Among 2029 pregnant women initiating cART between 2009 and 2011, 507 (25%) were LTFU by 6 months postpartum. Parity, education, employment status, WHO clinical stage, duration of cART during pregnancy and number of antenatal care visits were associated with LTFU (p-value < .10). A risk score cut-point of 11 (42nd percentile) had 85% sensitivity (95% CI 82%, 88%) and 22% specificity (95% CI 20%, 24%) to detect women LTFU and would exclude 20% of women from a retention intervention. A risk score cut-point of 18 (69th percentile) identified the 23% of women with the highest probability of LTFU and had sensitivity 32% (95% CI 28%, 36%) and specificity 80% (95% CI 78%, 82%). A risk score approach may be useful to triage a subset of women most likely to be LTFU for targeted retention interventions.
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