1. Late entry to HIV and AIDS care and treatment, Juba Teaching Hospital, Juba, South Sudan, 2013-2016
- Author
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Waqo Boru, Muki Johnson, Adelina D David, James Ransom, Hillary L Tonny, and Benjamin L Lemi
- Subjects
Adult ,Male ,medicine.medical_specialty ,Delayed Diagnosis ,Human immunodeficiency virus (HIV) ,030204 cardiovascular system & hematology ,medicine.disease_cause ,World Health Organization ,Teaching hospital ,antiretroviral therapy, insecurity, late diagnosis, mortality, women ,03 medical and health sciences ,0302 clinical medicine ,Virology ,Antiretroviral Therapy, Highly Active ,medicine ,Humans ,030212 general & internal medicine ,Medical diagnosis ,Hospitals, Teaching ,South Sudan ,Retrospective Studies ,Acquired Immunodeficiency Syndrome ,Descriptive statistics ,Late entry ,business.industry ,Public health ,Public Health, Environmental and Occupational Health ,HIV ,General Medicine ,Middle Aged ,Antiretroviral therapy ,CD4 Lymphocyte Count ,Infectious Diseases ,Late diagnosis ,Family medicine ,Female ,Public Health ,business - Abstract
Late diagnosis of HIV and enrolment to care are global public health challenges. This study aimed to characterise late HIV diagnoses and initiation of treatment among patients at Juba Teaching Hospital (JTH) in South Sudan. We conducted a retrospective review of lab-confirmed HIV patients at JTH, 2013–2016. Demographic, clinical, and laboratory data were entered into and descriptive statistics were calculated using Microsoft Excel. We identified 401 patients, with mean age 33.71±4.54 years, 235 (59%) were female, 307 (77%) were late entry, 64 (16%) were lost to follow-up, and 57 (14%) died within 12 months of diagnosis. Among patients who presented late, 122 (57%) were female, and 112 (53%) were 2 at diagnosis. Late diagnosis of HIV infection is a significant public health problem in South Sudan, particularly for younger and female patients.Keywords: antiretroviral therapy, insecurity, late diagnosis, mortality, women
- Published
- 2018