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Outcomes of antiretroviral treatment: a comparison between hospitals and health centers in ethiopia.

Balcha, Taye LU and Jeppsson, Anders LU (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)
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author
organization
publishing date
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 Inc.
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
2013-05-14 14:37:42
date last changed
2018-06-24 03:56:52
@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 Inc.},
  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},
  volume       = {9},
  year         = {2010},
}