Academic Commons

Articles

Determinants of Mortality and Loss to Follow-Up among Adults Enrolled in HIV Care Services in Rwanda

Mugisha, Veronicah; Teasdale, Chloe A.; Wang, Chunhui; Lahuerta Sanau, Maria; Nuwagaba-Biribonwoha, Harriet; Tayebwa, Edwin; Ingabire, Eugenie; Ingabire, Pacifique; Sahabo, Ruben; Twyman, Peter; Abrams, Elaine J.

Antiretroviral therapy (ART) improves morbidity and mortality in patients with HIV, however high rates of loss to follow-up (LTF) and mortality have been documented in HIV care and treatment programs. We analyzed routinely-collected data on HIV-infected patients ≥15 years enrolled at 41 healthcare facilities in Rwanda from 2005 to 2010. LTF was defined as not attending clinic in the last 12 months for pre-ART patients and 6 months for ART patients. For the pre-ART period, sub-distribution hazards models were constructed to estimate LTF and death to account for competing risks. Kaplan-Meier (KM) and Cox proportional hazards models were used for patients on ART. Low rates of LTF and death were founds among pre-ART and ART patients in Rwanda but greater efforts are needed to retain patients in care prior to ART initiation, particularly among those who are healthy at enrollment.

Geographic Areas

Subjects

Files

  • thumnail for determinants_of_mortality_and_loss_to_follow-up.pdf determinants_of_mortality_and_loss_to_follow-up.pdf binary/octet-stream 319 KB Download File

Also Published In

More About This Work

Academic Units
International Center for AIDS Care and Treatment Programs
Publisher
Public Library of Science
Published Here
February 14, 2014