ArticlePloS one2019
Linkage to care of HIV positive clients in a community based HIV counselling and testing programme: A success story of non-governmental organisations in a South African district.
Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 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
30 citing papers in PubMed, 46 citations in OpenAlex.
- Article
- Clinical outcomes and survival of HIV exposed children at 18 months in post-conflict region: insight from the Panzi Interdisciplinary PMTCT cohort (Panzi IPC) study.BMC infectious diseases · 2026Article
- Experiences of nurses in patient adherence to antiretoroviral therapy in Mpumalanga, South Africa.African journal of primary health care & family medicine · 2025Article
- Very high HIV prevalence and incidence among men who have sex with men and transgender women in Indonesia: a retrospective observational cohort study in Bali and Jakarta, 2017-2020.Journal of the International AIDS Society · 2024Observational
- Exploring the role of community health organizations in promoting public health during a health crisis: a qualitative study of COVID-19 responses in South Africa and Zambia.Global health promotion · 2024Article
- Treatment Outcomes After Offering Same-Day Initiation of Human Immunodeficiency Virus Treatment-How to Interpret Discrepancies Between Different Studies.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023Article
- Linkage to HIV Care and Early Retention in Care Rates in the Universal Test-and-Treat Era: A Population-based Prospective Study in KwaZulu-Natal, South Africa.AIDS and behavior · 2023Observational
- A qualitative inquiry into the patient-related barriers to linkage and retention in HIV care within the community setting.Exploratory research in clinical and social pharmacy · 2023Article
- Contribution of community-based organizations in the improvement of Joint United Nations Program on HIV and AIDS 90-90-90: case of the Yaoundé Central Hospital.The Pan African medical journal · 2023Observational
- Evaluation of Community-Based, Mobile HIV-Care, Peer-Delivered Linkage Case Management in Manzini Region, Eswatini.International journal of environmental research and public health · 2022Article
- Five-Year Mortality for Adults Entering Human Immunodeficiency Virus Care Under Universal Early Treatment Compared With the General US Population.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2022Article
- Acceptability and feasibility of leveraging community-based HIV counselling and testing platforms for same-day oral PrEP initiation among adolescent girls and young women in Eastern Cape, South Africa.Journal of the International AIDS Society · 2022Article
- Factors Associated with Linkage to Care following Community-Level Identification of HIV-Positive Clients in Lira District.Advances in public health · 2022Article
- Perspectives on linkage to care for patients diagnosed with HIV: A qualitative study at a rural health center in South Western Uganda.PloS one · 2022Article
- Management in the care of people with HIV in primary health care in times of the new coronavirus.Revista de saude publica · 2022Article
- The geography of emergency department-based HIV testing in South Africa: Can patients link to care?EClinicalMedicine · 2021Article
- Patterns of engagement in HIV care during pregnancy and breastfeeding: findings from a cohort study in North-Eastern South Africa.BMC public health · 2021Article
- Usability and Clinical Performance Characteristics of the Asante HIV1/2 Test by Trained Users in Two African Sites.Diagnostics (Basel, Switzerland) · 2021Article
- Ethical Implications of eHealth Tools for Delivering STI/HIV Laboratory Results and Partner Notifications.Current HIV/AIDS reports · 2021Review
- Predictors of antiretroviral therapy interruptions and factors influencing return to care at the Nkolndongo Health District, Cameroon.African health sciences · 2021Article
Corrections and comments
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Authors and funding
10 authors at 2 institutions in 1 country.
Funding
Abstract
introductionAlthough current data projects South Africa potentially meeting the UN target to test 90% of all people living with HIV by 2020, linking them to HIV care remains a big challenge. In an effort to increase linkage to care (LTC) of HIV positive clients an innovative collaborative intervention between two non-governmental organisations was developed and implemented between 2016 and 2017. This paper investigated the outcome of this collaborative intervention.
methodsWe used a mixed methods approach to assess the outcome of the innovative relationship. This was done by analysing routine programmatic quantitative data on LTC between 2015 and 2017 and qualitatively interviewing five programme managers, four programme implementers and five HIV positive clients on their perceived success/failure factors. Qualitative data were analysed using thematic content analysis while LTC rates were descriptively analysed. Two consultative meetings presented draft findings to programme managers (n = 7) and implementers (n = 10) for feedback, results verification and confirmation.
resultsIn 2015 cumulative LTC rate was 27% and it rose to 85% two years post-intervention in 2017. Six themes emerged as success factors at the health system and structural levels and these include: provision of client escort services, health facility human resource capacity strengthening, inter and intra-organisational teamwork, onsite LTC, facilitated and expedited jumping of queues and shifting administrative tasks to non-clinical staff to protect nurses' time on ART initiation. These measures in turn ensured increased, affordable and swift ART initiation of clients while strengthening client support.
conclusionsWe concluded that multi-faceted interventions that target both health system challenges including staff shortages, efficiencies, and extended facility opening times, and structural inadequacies, including client time and resource limitations due to poverty or nature of jobs, can help to increase LTC.
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