Retention to Care of HIV-Positive Postpartum Females in Kumasi, Ghana
Identifieur interne : 000869 ( Ncbi/Merge ); précédent : 000868; suivant : 000870Retention 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.
Abstract
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.
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.
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 (
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:
DOI: 10.1177/2325957415603507
PubMed: 26319433
PubMed Central: 4811741
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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Background</title>
<p id="P1">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.</p>
</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>
</sec>
<sec id="S3"><title>Results</title>
<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>
= .006) and family planning (FP; OR 2.3, CI 1.0-5.3; <italic>P</italic>
= .041) were predictive of optimal follow-up.</p>
</sec>
<sec id="S4"><title>Conclusion</title>
<p id="P4">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.</p>
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<p id="P1">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.</p>
</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>
</sec>
<sec id="S3"><title>Results</title>
<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>
= .006) and family planning (FP; OR 2.3, CI 1.0-5.3; <italic>P</italic>
= .041) were predictive of optimal follow-up.</p>
</sec>
<sec id="S4"><title>Conclusion</title>
<p id="P4">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.</p>
</sec>
</div>
</front>
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<author><name sortKey="Kwara, Awewura" sort="Kwara, Awewura" uniqKey="Kwara A" first="Awewura" last="Kwara">Awewura Kwara</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Infectious Diseases, Warren Alpert School of Medicine, Brown University Providence, RI, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Infectious Diseases, Warren Alpert School of Medicine, Brown University Providence, RI</wicri:regionArea>
<placeName><region type="state">Rhode Island</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Flanigan, Timothy" sort="Flanigan, Timothy" uniqKey="Flanigan T" first="Timothy" last="Flanigan">Timothy Flanigan</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Infectious Diseases, Warren Alpert School of Medicine, Brown University Providence, RI, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Infectious Diseases, Warren Alpert School of Medicine, Brown University Providence, RI</wicri:regionArea>
<placeName><region type="state">Rhode Island</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Rana, Aadia" sort="Rana, Aadia" uniqKey="Rana A" first="Aadia" last="Rana">Aadia Rana</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Infectious Diseases, Warren Alpert School of Medicine, Brown University Providence, RI, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Infectious Diseases, Warren Alpert School of Medicine, Brown University Providence, RI</wicri:regionArea>
<placeName><region type="state">Rhode Island</region>
</placeName>
</affiliation>
</author>
</analytic>
<series><title level="j">Journal of the International Association of Providers of AIDS Care</title>
<idno type="eISSN">2325-9582</idno>
<imprint><date when="2016" type="published">2016</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">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.</div>
</front>
</TEI>
</pubmed>
</double>
</record>
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