Evidence map›Paper›PMID 26910847›Full record

ArticlePloS one2016

Enrollment in HIV Care Two Years after HIV Diagnosis in the Kingdom of Swaziland: An Evaluation of a National Program of New Linkage Procedures.

Duncan A MacKellar, Daniel Williams, Nosipho Storer, Velephi Okello, Charles Azih, Jennifer Drummond, Harriet Nuwagaba-Biribonwoha, Peter Preko, Rebecca L Morgan, Makhosazana Dlamini and 6 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
3.6field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 11 institutions in 5 countries.

Duncan A MacKellarDivision of Global HIV/AIDS, National Center for Global Health, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.
Daniel WilliamsDivision of Global HIV/AIDS, National Center for Global Health, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.
Nosipho StorerICAP at Columbia University, Mbabane, Swaziland.
Velephi OkelloSwaziland National AIDS Programme, Swaziland Ministry of Health, Mbabane, Swaziland.
Charles AzihSwaziland National AIDS Programme, Swaziland Ministry of Health, Mbabane, Swaziland.
Jennifer DrummondDivision of Global HIV/AIDS, National Center for Global Health, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.
Harriet Nuwagaba-BiribonwohaICAP at Columbia University, Mbabane, Swaziland.
Peter PrekoCTS Global assigned to Centers for Disease Control and Prevention Country Office, Mbabane, Swaziland.
Rebecca L MorganMcMaster University, Hamilton, Ontario, Canada.
Makhosazana DlaminiPopulation Services International Country Program, Mbabane, Swaziland.
Johnita ByrdICF International, Atlanta, Georgia, United States of America.
Simon AgoloryDivision of Global HIV/AIDS, National Center for Global Health, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.
Andrew L BaughmanDivision of Global HIV/AIDS, National Center for Global Health, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.
Margaret L McNairyICAP at Columbia University, New York, New York, United States of America.
Ruben SahaboICAP at Columbia University, Mbabane, Swaziland.
Peter EhrenkranzBill & Melinda Gates Foundation, Seattle, Washington, United States of America.
Centers for Disease Control and Prevention · USCenter for Global Health · USEswatini Economic Policy Analysis and Research Centre · SZMinistry of Health · SZBill & Melinda Gates Foundation · USCenters for Disease Control and Prevention · UGColumbia University · USICAP Global HealthICF International (United States) · USMcMaster University · CAPopulation Services International · ZM

Funding

NCHHSTP CDC HHS U2G PS002005PEPFARPHS HHS U2GPS002005
6 · The paper itself

Abstract

To improve early enrollment in HIV care, the Swaziland Ministry of Health implemented new linkage procedures for persons HIV diagnosed during the Soka Uncobe male circumcision campaign (SOKA, 2011-2012) and the Swaziland HIV Incidence Measurement Survey (SHIMS, 2011). Abstraction of clinical records and telephone interviews of a retrospective cohort of HIV-diagnosed SOKA and SHIMS clients were conducted in 2013-2014 to evaluate compliance with new linkage procedures and enrollment in HIV care at 92 facilities throughout Swaziland. Of 1,105 clients evaluated, within 3, 12, and 24 months of diagnosis, an estimated 14.0%, 24.3%, and 37.0% enrolled in HIV care, respectively, after adjusting for lost to follow-up and non-response. Kaplan-Meier functions indicated lower enrollment probability among clients 14-24 (P = 0.0001) and 25-29 (P = 0.001) years of age compared with clients >35 years of age. At 69 facilities to which clients were referred for HIV care, compliance with new linkage procedures was low: referral forms were located for less than half (46.8%) of the clients, and few (9.6%) were recorded in the appointment register or called either before (0.3%) or after (4.9%) their appointment. Of over one thousand clients newly HIV diagnosed in Swaziland in 2011 and 2012, few received linkage services in accordance with national procedures and most had not enrolled in HIV care two years after their diagnosis. Our findings are a call to action to improve linkage services and early enrollment in HIV care in Swaziland.

Indexed as

HIV-1National Health ProgramsAdultEswatiniFemaleHIV InfectionsHumansMale

Identifiers

PMID26910847
PMCPMC4766101
OpenAlexW2279894434

What OpenQuestion holds

Textmetadata
LicenceCC0
Read underepoch 390

Registered trials

None linked

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.