SidaGhanaV1, Main, Exploration, bibRecord, 000277

Retention to Care of HIV-Positive Postpartum Females in Kumasi, Ghana

Identifieur interne : 000277 ( Main/Exploration ); précédent : 000276; suivant : 000278

Retention to Care of HIV-Positive Postpartum Females in Kumasi, Ghana

Auteurs : Rebecca Reece [États-Unis] ; Betty Norman [Ghana] ; Awewura Kwara [États-Unis] ; Timothy Flanigan [États-Unis] ; Aadia Rana [États-Unis]

Source :

Journal of the International Association of Providers of AIDS Care [ 2325-9574 ] ; 2015.

RBID : PMC:4811741

Abstract

Background

Despite the success of prevention of mother-to-child transmission programs, transition to care in the postpartum period is vulnerable to being lost to care.

Methods

The authors performed a 2-year retrospective study of postpartum HIV-infected patients at Komfo Anokye Teaching Hospital in Kumasi, Ghana. The outcome was classified as optimal follow-up, suboptimal follow-up, and loss to follow-up (LTFU). Univariate and multivariate analyses were used to identify factors associated with optimal retention.

Results

Follow-up was optimal in 66%, suboptimal in 16%, and LTFU in 18% of patients. The rate of LTFU was 22% among women diagnosed at pregnancy and 13% among those with known HIV diagnosis (P = .078). Adherence counseling (odds ratio [OR] 5.0, confidence interval [CI] 1.6-15.7; P = .006) and family planning (FP; OR 2.3, CI 1.0-5.3; P = .041) were predictive of optimal follow-up.

Conclusion

At 1 year, only two-thirds of postpartum women remained in care. Investigating barriers to adherence counseling and FP may impact engagement in care among HIV-infected women.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4811741

DOI: 10.1177/2325957415603507
PubMed: 26319433
PubMed Central: 4811741

Affiliations:

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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Background</title>
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</sec>
<sec id="S2"><title>Methods</title>
<p id="P2">The authors performed a 2-year retrospective study of postpartum HIV-infected patients at Komfo Anokye Teaching Hospital in Kumasi, Ghana. The outcome was classified as optimal follow-up, suboptimal follow-up, and loss to follow-up (LTFU). Univariate and multivariate analyses were used to identify factors associated with optimal retention.</p>
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<p id="P3">Follow-up was optimal in 66%, suboptimal in 16%, and LTFU in 18% of patients. The rate of LTFU was 22% among women diagnosed at pregnancy and 13% among those with known HIV diagnosis (<italic>P</italic>
 = .078). Adherence counseling (odds ratio [OR] 5.0, confidence interval [CI] 1.6-15.7; <italic>P</italic>
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Le SIDA au Ghana (serveur d'exploration)

Retention to Care of HIV-Positive Postpartum Females in Kumasi, Ghana

Retention to Care of HIV-Positive Postpartum Females in Kumasi, Ghana

Source :

Abstract

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