Evidence map›Paper›PMID 28572840›Full record

ArticleConflict and health2017

Low levels of viral suppression among refugees and host nationals accessing antiretroviral therapy in a Kenyan refugee camp.

Joshua B Mendelsohn, Paul Spiegel, Alison Grant, Sathyanarayanan Doraiswamy, Marian Schilperoord, Natasha Larke, John Wagacha Burton, Jully A Okonji, Clement Zeh, Bosco Muhindo and 5 more

Abstract read
In one paragraph

Article in Conflict and health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Joshua B MendelsohnCollege of Health Professions, Pace University, New York, NY USA.
Paul SpiegelPublic Health and HIV Unit, United Nations High Commissioner for Refugees, Geneva, Switzerland.
Alison GrantDepartment of Clinical Research, London School of Hygiene and Tropical Medicine, London, United Kingdom.
Sathyanarayanan DoraiswamyEast Africa Regional Office, United Nations High Commissioner for Refugees, Nairobi, Kenya.
Marian SchilperoordPublic Health and HIV Unit, United Nations High Commissioner for Refugees, Geneva, Switzerland.
Natasha LarkeMRC Tropical Epidemiology Group, Department of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, United Kingdom.
John Wagacha BurtonDepartment of Clinical Research, London School of Hygiene and Tropical Medicine, London, United Kingdom.
Jully A OkonjiCenter for Global Health Research and HIV-Research Laboratory, Kenya Medical Research Institute, Kisumu, Kenya.
Clement ZehCenter for Global Health Research and HIV-Research Laboratory, Kenya Medical Research Institute, Kisumu, Kenya.
Bosco MuhindoDepartment of Clinical Research, London School of Hygiene and Tropical Medicine, London, United Kingdom.
Ibrahim M MohammedNational AIDS/STD Control Program, Nairobi, Kenya.
Irene N MukuiNational AIDS/STD Control Program, Nairobi, Kenya.
Njogu PattersonPublic Health and HIV Unit, United Nations High Commissioner for Refugees, Geneva, Switzerland.
Egbert SondorpDepartment of Global Health and Development, London School of Hygiene and Tropical Medicine, London, United Kingdom.
David A RossMRC Tropical Epidemiology Group, Department of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, United Kingdom.

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundRefugees and host nationals who accessed antiretroviral therapy (ART) in a remote refugee camp in Kakuma, Kenya (2011-2013) were compared on outcome measures that included viral suppression and adherence to ART.

methodsThis study used a repeated cross-sectional design (

resultsAmong eligible adults, 86% (73/85) of refugees and 84% (86/102) of Kenyan host nationals participated in the

conclusionsVirologic outcomes among refugees and host nationals were similar but unacceptably low. Slight improvements were observed after a remedial intervention. Virologic monitoring was important for identifying an underperforming ART program in a remote facility that serves refugees alongside host nationals. This work highlights the importance of careful laboratory monitoring of vulnerable populations accessing ART in remote settings.

Indexed as

AdherenceAntiretroviral therapyHIVKenyaMigrationRefugee

Identifiers

PMID28572840
PMCPMC5450054

What OpenQuestion holds

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Registered trials

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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.