A Retrospective Study of Characteristics of HIV Infected Individuals Opting Out from Antiretroviral Treatment under National Programme

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dc.contributor.authorGhate, Manishaen_US
dc.contributor.authorZirpe, Sunilen_US
dc.contributor.authorShidhaye, Pallavien_US
dc.contributor.authorGurav, Shraddhaen_US
dc.contributor.authorRao, Amritaen_US
dc.contributor.authorVerma, Vinitaen_US
dc.contributor.authorBamrotiya, Manishen_US
dc.contributor.authorSingh, Sachdeva Kuldeepen_US
dc.contributor.authorGupta, Radhey Shyamen_US
dc.contributor.authorGangakhedkar Ramanen_US
dc.date.accessioned2020-11-18T10:25:16Z
dc.date.available2020-11-18T10:25:16Z
dc.date.issued2019-07
dc.description.abstractBackground: Retention in care is important for optimal treatment outcomes and effective positive prevention. Reports from India and other countries have mentioned various factors affecting retention but the data on 'opting out' from Antiretroviral Treatment (ART) under the National AIDS Control Programme are scanty. Aim and Objectives: To estimate prevalence and predictors for opting out from Antiretroviral Treatment among HIV infected individuals attending ART center at ICMR-National AIDS Research Institute, Pune. Material and Methods: In this retrospective study, records of individuals taking ART between January 2006 and May 2017 were reviewed. An individual who no longer wished to continue treatment with the national programme because of his/her personal choice and stopped visiting the centre was reported as being 'opted out' from the programme. Results: Of the total 3842 individuals ever initiated on ART, 115 (3%) individuals opted out. The possibility of opting out from ART was 4.9 [95% CI: 1.78-13.6, (p=0.002)] times more in individuals who showed declining trend in their CD4 counts and 8.8 [95% CI: 3.33-23.27, (p<0.001)] times more in individuals who received treatment for less than a year. Sixty four (56%) opted out individuals could not be contacted telephonically. Of the 51 (44%) ndividuals that were contacted, 16 replied that they will visit the clinic as per their convenience. The reasons for opting out from RTin remaining 35 patients were inconvenience for coming to the clinic in terms of distance or financial issues (13), taking treatment from private sector (10), side effects of the drugs (5), death (4) and taking treatment from other government programme clinics (3). Conclusion: Efforts should be taken to address the issues of individuals not willing to continue ART from the programme clinics (opted out). The counseling should be strengthened to prevent the individuals opting out from the treatment. The national operational guidelines for ART services need to address the issues of these individuals so that they can be brought back into the programme.en_US
dc.identifier.affiliationsICMR-National AIDS Research Institute, Pune- 411026 (Maharashtra) Indiaen_US
dc.identifier.affiliationsICMR-National AIDS Research Institute, Pune- 411026 (Maharashtra) Indiaen_US
dc.identifier.affiliationsICMR-National AIDS Research Institute, Pune- 411026 (Maharashtra) Indiaen_US
dc.identifier.affiliationsICMR-National AIDS Research Institute, Pune- 411026 (Maharashtra) Indiaen_US
dc.identifier.affiliationsNational AIDS Control Organization, New Delhi- 110001(New Delhi) Indiaen_US
dc.identifier.affiliationsNational AIDS Control Organization, New Delhi- 110001(New Delhi) Indiaen_US
dc.identifier.affiliationsNational AIDS Control Organization, New Delhi- 110001(New Delhi) Indiaen_US
dc.identifier.affiliationsNational AIDS Control Organization, New Delhi- 110001(New Delhi) Indiaen_US
dc.identifier.affiliationsIndian Council of Medical Research, New Delhi110001(New Delhi) Indiaen_US
dc.identifier.citationGhate Manisha, Zirpe Sunil, Shidhaye Pallavi, Gurav Shraddha, Rao Amrita, Verma Vinita, Bamrotiya Manish, Singh Sachdeva Kuldeep, Gupta Radhey Shyam, Gangakhedkar Raman. A Retrospective Study of Characteristics of HIV Infected Individuals Opting Out from Antiretroviral Treatment under National Programme. Journal of Krishna Institute of Medical Sciences University. 2019 Jul; 8(3): 19-26en_US
dc.identifier.issn2231-4261
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/215613
dc.languageenen_US
dc.publisherKrishna Institute of Medical Sciences Universityen_US
dc.relation.issuenumber3en_US
dc.relation.volume8en_US
dc.source.urihttps://www.jkimsu.com/jkimsu-vol8no3/JKIMSU,%20Vol.%208,%20No.%203,%20July-September%202019%20Page%2019-26.pdfen_US
dc.subjectHIVen_US
dc.subjectAIDSen_US
dc.subjectARTCenteren_US
dc.subjectopted outen_US
dc.titleA Retrospective Study of Characteristics of HIV Infected Individuals Opting Out from Antiretroviral Treatment under National Programmeen_US
dc.typeJournal Articleen_US
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