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Understanding the Time Needed to Link to Care and Start ART in Seven HPTN 071 (PopART) Study Communities in Zambia and South Africa
- Publication Year :
- 2018
- Publisher :
- Springer (part of Springer Nature), 2018.
-
Abstract
- To achieve UNAIDS 90:90:90 targets at population-level, knowledge of HIV status must be followed by timely linkage to care, initiation and maintenance of antiretroviral therapy (ART) for all people living with HIV (PLHIV). Interpreting quantitative patterns using qualitative data, we investigate time taken to link to care and initiate ART amongst individuals aware of their HIV-status in high HIV-prevalence urban communities in the HPTN 071 (PopART) study, a community-randomised trial of a combination HIV prevention package, including universal testing and treatment, in 21 communities in Zambia and South Africa. Data are drawn from the seven intervention communities where immediate ART irrespective if CD4 count was offered from the trial-start in 2014. Median time from HIV-diagnosis to ART initiation reduced after 2 years of delivering the intervention from 10 to 6 months in both countries but varied by gender and community of residence. Social and health system realities impact decisions made by PLHIV about ART initiation.
- Subjects :
- Adult
Male
Adolescent
Anti-HIV Agents
Social Sciences
Zambia
Linkage to care and ART
HIV Infections
HPTN 071 (PopART) study team
Health Services Accessibility
Time-to-Treatment
1117 Public Health and Health Services
Anti-retroviral treatment
HIV TREATMENT
INITIATION
South Africa
Young Adult
ANTIRETROVIRAL THERAPY
Antiretroviral Therapy, Highly Active
Prevalence
Humans
Healthcare Disparities
Referral and Consultation
Public, Environmental & Occupational Health
Aged
Science & Technology
CHALLENGES
TREAT
HIV
Continuity of Patient Care
Middle Aged
Patient Acceptance of Health Care
CLUSTER-RANDOMIZED TRIAL
PREVENTION
Biomedical Social Sciences
Access
Social Sciences, Biomedical
CD4 Lymphocyte Count
HIGH-RISK
Female
HEALTH
Public Health
Southern Africa
VIRAL-LOAD
Life Sciences & Biomedicine
Subjects
Details
- Language :
- English
- ISSN :
- 10907165
- Database :
- OpenAIRE
- Accession number :
- edsair.dedup.wf.001..88129e952d9881f97b6cb371ca1fc24a