dc.contributor.author |
Ramdas, Nishana
|
|
dc.contributor.author |
Meyer, Johanna Catharina
|
|
dc.contributor.author |
Cameron, David A.
|
|
dc.date.accessioned |
2015-09-18T08:38:03Z |
|
dc.date.available |
2015-09-18T08:38:03Z |
|
dc.date.issued |
2015-07-01 |
|
dc.description.abstract |
BACKGROUND : Lost to follow-up (LTFU) is a major challenge that hinders the success of
antiretroviral treatment (ART).
OBJECTIVE : To identify factors conducted to a low LTFU rate.
METHODS : We conducted a two-part descriptive and quantitative study. Part 1 comprised
interviews with clinic staff to determine their perspectives on LTFU and to establish the
clinic’s follow-up procedures for patients on ART. Part 2 of the study was a retrospective
review of clinic and patient records. LTFU patients were identified and those with contact
details were contacted for telephonic interview to determine if they were still on ART and/or
their reasons for becoming LTFU.
RESULTS : A low LTFU rate (7.9%; N = 683) was identified. Work-related stress, and lack of
transport and funds were reported reasons for LTFU. Monthly visits, non-adherent defaulters
and LTFU patients were tracked by an electronic system (SOZO). Factors contributing to high
rates of retention in care were: location of the clinic in the inner city, thus in close proximity
to patients’ homes or work; clinic operating on Saturdays, which was convenient for patients
who could not attend during the week; an appointment/booking system that was in place and
strictly adhered to; a reminder SMS being sent out the day before an appointment; individual
counselling sessions at each visit and referrals where necessary; and a stable staff complement
and support group at the clinic.
CONCLUSION : Achieving a low LTFU rate is possible by having a patient-centred approach and
monitoring systems in place. |
en_ZA |
dc.description.librarian |
am2015 |
en_ZA |
dc.description.uri |
http://www.sajhivmed.org.za/ |
en_ZA |
dc.identifier.citation |
Ramdas N, Meyer JC, Cameron D. Factors associated with retention in HIV care at Sediba Hope Medical Centre. S Afr J HIV Med. 2015;16(1), Art. #347, 6 pages. http://dx.DOI.org/ 10.4102/sajhivmed.v16i1.347. |
en_ZA |
dc.identifier.issn |
1608-9693 (print) |
|
dc.identifier.issn |
2078-6751 (online) |
|
dc.identifier.other |
10.4102/sajhivmed.v16i1.347 |
|
dc.identifier.uri |
http://hdl.handle.net/2263/49974 |
|
dc.language.iso |
en |
en_ZA |
dc.publisher |
Health and Medical Publishing Group |
en_ZA |
dc.rights |
© 2015. The Authors.
Licensee: AOSIS
OpenJournals. This work is
licensed under the Creative
Commons Attribution
License. |
en_ZA |
dc.subject |
Antiretroviral therapy (ART) |
en_ZA |
dc.subject |
Patients |
en_ZA |
dc.subject |
Clinic |
en_ZA |
dc.subject |
Support group |
en_ZA |
dc.subject |
Lost to follow-up (LTFU) |
en_ZA |
dc.subject.other |
Health sciences articles SDG-03 |
|
dc.subject.other |
SDG-03: Good health and well-being |
|
dc.title |
Factors associated with retention in HIV care at Sediba Hope Medical Centre |
en_ZA |
dc.type |
Article |
en_ZA |