Outcomes of antiretroviral treatment: a comparison between hospitals and health centers in ethiopia.
(2010) In Journal of the International Association of Physicians in AIDS Care 9(5). p.318-324- Abstract
- Objective: The objective of this study was to compare the outcomes of antiretroviral therapy (ART) between hospital and health center levels in Ethiopia. METHODS: Medical records of 1709 ART patients followed for 24 months at 2 hospitals and 3 health centers in the Oromia region of Ethiopia were reviewed. Noted outcomes of ART were currently alive and on treatment; lost to follow-up (LTFU); transferred out (TO); and died (D). RESULTS: Of 1709 HIV-positive patients started on ART between September 2006 and February 2007, 1044 (61%) remained alive and were on treatment after 24-month follow-up. In all, 835 (57%) of ART patients at hospitals and 209 (83%) at health centers were retained in the program. Of those who were alive and receiving... (More)
- Objective: The objective of this study was to compare the outcomes of antiretroviral therapy (ART) between hospital and health center levels in Ethiopia. METHODS: Medical records of 1709 ART patients followed for 24 months at 2 hospitals and 3 health centers in the Oromia region of Ethiopia were reviewed. Noted outcomes of ART were currently alive and on treatment; lost to follow-up (LTFU); transferred out (TO); and died (D). RESULTS: Of 1709 HIV-positive patients started on ART between September 2006 and February 2007, 1044 (61%) remained alive and were on treatment after 24-month follow-up. In all, 835 (57%) of ART patients at hospitals and 209 (83%) at health centers were retained in the program. Of those who were alive and receiving ART, 79% of patients at health centers and 72% at hospitals were clinically or immunologically improving. In addition, 331 (23%) patients at hospitals were LFTU as compared to 24 (10%) of patients at health centers (relative risk [RR] at 95% confidence interval [CI]: .358 [.231-.555]). While 11% was the mortality rate at hospitals, 5% of patients at health centers also died (RR at 95% CI: .360 [.192-.673]). CONCLUSION: Antiretroviral therapy at health centers was associated with more favorable outcomes than at hospitals. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/1711385
- author
- Balcha, Taye LU and Jeppsson, Anders LU
- organization
- publishing date
- 2010
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Journal of the International Association of Physicians in AIDS Care
- volume
- 9
- issue
- 5
- pages
- 318 - 324
- publisher
- SAGE Publications
- external identifiers
-
- pmid:20923956
- scopus:78650830894
- ISSN
- 1545-1097
- DOI
- 10.1177/1545109710367518
- language
- English
- LU publication?
- yes
- id
- 138ca963-2655-4aba-a8e7-2392e79f850b (old id 1711385)
- alternative location
- http://www.ncbi.nlm.nih.gov/pubmed/20923956
- http://jia.sagepub.com/content/9/5/318.long
- date added to LUP
- 2016-04-01 12:53:54
- date last changed
- 2022-01-27 08:12:36
@article{138ca963-2655-4aba-a8e7-2392e79f850b, abstract = {{Objective: The objective of this study was to compare the outcomes of antiretroviral therapy (ART) between hospital and health center levels in Ethiopia. METHODS: Medical records of 1709 ART patients followed for 24 months at 2 hospitals and 3 health centers in the Oromia region of Ethiopia were reviewed. Noted outcomes of ART were currently alive and on treatment; lost to follow-up (LTFU); transferred out (TO); and died (D). RESULTS: Of 1709 HIV-positive patients started on ART between September 2006 and February 2007, 1044 (61%) remained alive and were on treatment after 24-month follow-up. In all, 835 (57%) of ART patients at hospitals and 209 (83%) at health centers were retained in the program. Of those who were alive and receiving ART, 79% of patients at health centers and 72% at hospitals were clinically or immunologically improving. In addition, 331 (23%) patients at hospitals were LFTU as compared to 24 (10%) of patients at health centers (relative risk [RR] at 95% confidence interval [CI]: .358 [.231-.555]). While 11% was the mortality rate at hospitals, 5% of patients at health centers also died (RR at 95% CI: .360 [.192-.673]). CONCLUSION: Antiretroviral therapy at health centers was associated with more favorable outcomes than at hospitals.}}, author = {{Balcha, Taye and Jeppsson, Anders}}, issn = {{1545-1097}}, language = {{eng}}, number = {{5}}, pages = {{318--324}}, publisher = {{SAGE Publications}}, series = {{Journal of the International Association of Physicians in AIDS Care}}, title = {{Outcomes of antiretroviral treatment: a comparison between hospitals and health centers in ethiopia.}}, url = {{http://dx.doi.org/10.1177/1545109710367518}}, doi = {{10.1177/1545109710367518}}, volume = {{9}}, year = {{2010}}, }