Factors associated with retention in HIV care at Sediba Hope Medical Centre

dc.contributor.authorRamdas, Nishana
dc.contributor.authorMeyer, Johanna Catharina
dc.contributor.authorCameron, David A.
dc.date.accessioned2015-09-18T08:38:03Z
dc.date.available2015-09-18T08:38:03Z
dc.date.issued2015-07-01
dc.description.abstractBACKGROUND : 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.librarianam2015en_ZA
dc.description.urihttp://www.sajhivmed.org.za/en_ZA
dc.identifier.citationRamdas 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.issn1608-9693 (print)
dc.identifier.issn2078-6751 (online)
dc.identifier.other10.4102/sajhivmed.v16i1.347
dc.identifier.urihttp://hdl.handle.net/2263/49974
dc.language.isoenen_ZA
dc.publisherHealth and Medical Publishing Groupen_ZA
dc.rights© 2015. The Authors. Licensee: AOSIS OpenJournals. This work is licensed under the Creative Commons Attribution License.en_ZA
dc.subjectAntiretroviral therapy (ART)en_ZA
dc.subjectPatientsen_ZA
dc.subjectClinicen_ZA
dc.subjectSupport groupen_ZA
dc.subjectLost to follow-up (LTFU)en_ZA
dc.subject.otherHealth sciences articles SDG-03
dc.subject.otherSDG-03: Good health and well-being
dc.titleFactors associated with retention in HIV care at Sediba Hope Medical Centreen_ZA
dc.typeArticleen_ZA

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