Title |
Patient Outcomes in Lubumbashi, Democratic Republic of Congo After a Disruption in HIV Care Due to Decreased Global Fund Appropriations
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Published in |
AIDS and Behavior, April 2014
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DOI | 10.1007/s10461-014-0761-8 |
Pubmed ID | |
Authors |
Anna Freeman, Modeste Kiumbu, Blaise Mwamba, Joseph Atibu, Henri Mukumbi, Louis Mwila, Christopher Cummiskey, Kristen Stolka, Jennifer Hemingway-Foday, Jamie E. Newman |
Abstract |
This study examines care seeking behaviors, clinical outcomes, and satisfaction with care of HIV-positive adults in Lubumbashi, DRC, one year after a disruption in care due to decreased global fund appropriations. We describe outcomes before and after the disruption. We compared characteristics of those who completed the survey and those who did not using the Wald F test. Most patients sought care after the disruption and continued antiretroviral therapy (ART), though use of cotrimoxizole prophylaxis declined. Though there was little change in WHO clinical stage at the new site of care, the majority of participants lost weight, adherence decreased, support group participation dropped, and satisfaction with care worsened. Patients were more likely to participate in the study if they were taking ART. This study highlights the importance of provider-patient communication during a transfer and the vulnerability of pre-ART patients to becoming lost to follow-up. |
X Demographics
Geographical breakdown
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Unknown | 1 | 100% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 1 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 57 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Master | 11 | 19% |
Researcher | 8 | 14% |
Student > Ph. D. Student | 8 | 14% |
Student > Bachelor | 4 | 7% |
Librarian | 3 | 5% |
Other | 12 | 21% |
Unknown | 11 | 19% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 19 | 33% |
Social Sciences | 7 | 12% |
Nursing and Health Professions | 6 | 11% |
Psychology | 5 | 9% |
Biochemistry, Genetics and Molecular Biology | 2 | 4% |
Other | 5 | 9% |
Unknown | 13 | 23% |