ArticleRwanda journal of medicine and health sciences2025
Effect of Differentiated Service Delivery Model on Retention to Care among People Living with HIV in Rwanda: A Retrospective Cohort Analysis.
Article in Rwanda journal of medicine and health sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
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.
Who cites it
1 citing paper in PubMed.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: The differentiated service delivery (DSD) model, characterized by early antiretroviral therapy (ART) initiation, is supported by peer educators to enhance treatment adherence to improve retention in care among People Living with HIV (PLHIV). The study assessed effect of the DSD model on retention among PLHIV in Kigali City, Rwanda. Methods: A retrospective cohort study design was used to evaluate the effect of the DSD model on retention by comparing pre- and post-DSD cohorts of 976 ART-naïve PLHIV aged ≥ 17 years who initiated ART between 2014 and 2019. To assess the effect of the DSD model on retention, we used multivariable logistic regression models to estimate the adjusted odds ratio (aOR) and the corresponding 95% confidence intervals (CI). Covariates, namely demographics, body weight, immunological status, and adherence, were included in the multivariable model. Results: Of 976 participants evaluated, 903 participants (92.5%) were retained in care. While the DSD model did not significantly affect retention in care [aOR = 1.11, (95% CI: 0.67 - 1.85), p = 0.675)], adherence ≥ 90% was strongly associated with higher retention [aOR = 2.20, (95% CI: 1.31-3.68), p = 0.003). Conclusion: These findings align with the latest literature, showing comparable retention patterns before and after introducing the DSD.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.