Antiretroviral therapy programme outcomes in Tshwane district, South Africa : A 5-year retrospective study

Show simple item record Mlangeni, N. Senkubuge, Flavia 2016-05-30T05:53:28Z 2016-05-30T05:53:28Z 2016-04
dc.description.abstract BACKGROUND. Scaling up of antiretroviral therapy (ART) in South Africa (SA) has resulted in an increase in the number of patients on the national ART programme and an increased workload for ART service providers nationwide. OBJECTIVES. To ascertain patient retention on ART after 5 years on treatment in one district of Gauteng Province, SA, establish the number of patients who remained alive on ART after 5 years of treatment, and identify patient-related factors that contributed towards the outcome of each indicator. METHODS. A retrospective cohort study of patients initiated on highly active antiretroviral therapy (HAART) between January and March 2007 was carried out. A sample of 381 patients was randomly selected from 1 004 records, and their records were reviewed for visits over the previous 60 months. Summary statistics, Pearson’s χ2 test and linear regression tests were performed. RESULTS. Of 381 patients, 156 (40.9%) remained alive and active on HAART at their initial sites. The overall mortality rate was 5.0% and the rate of long-term retention in care was 57.4%, excluding those transferred to another site. After 6 months on HAART the mean rise in CD4 count was 113 cells/μL, and after 60 months it was 288 cells/μL. Viral load suppression to <400 copies/mL was achieved in 74.0% of patients at 6 months and 91.0% at 60 months. CONCLUSIONS. Immunological and virological outcomes after 5 years on treatment were good. Both these positive outcomes showed that the ART programme was a success. Improved data quality and patient follow-up will further strengthen programme outcomes. en_ZA
dc.description.department School of Health Systems and Public Health (SHSPH) en_ZA
dc.description.librarian am2016 en_ZA
dc.description.uri en_ZA
dc.identifier.citation Mlangeni, N & Senkubuge, F 2016, 'Antiretroviral therapy programme outcomes in Tshwane district, South Africa : A 5-year retrospective study', South African Medical Journal, vol. 106, no. 4, pp. 365-368. en_ZA
dc.identifier.issn 0256-9574 (print)
dc.identifier.issn 2078-5135 (online)
dc.identifier.other 10.7196/SAMJ.2016.v106i4.9375
dc.language.iso en en_ZA
dc.publisher Health and Medical Publishing Group en_ZA
dc.rights © 2016 Health & Medical Publishing Group. This work is licensed under a Creative Commons Attribution-NonCommercial Works License (CC BY-NC 3.0). en_ZA
dc.subject Patients en_ZA
dc.subject ART Programme en_ZA
dc.subject South Africa (SA) en_ZA
dc.subject Antiretroviral therapy (ART) en_ZA
dc.subject ART (Antiretroviral therapy) en_ZA
dc.subject Highly active antiretroviral therapy (HAART) en_ZA
dc.subject HAART (Highly active antiretroviral therapy) en_ZA
dc.title Antiretroviral therapy programme outcomes in Tshwane district, South Africa : A 5-year retrospective study en_ZA
dc.type Article en_ZA

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