Implications of the human immunodeficiency virus test and treat strategy on antiretroviral treatment uptake and retention outcomes in Cameroon

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dc.contributor.authorAwoh, Rogers A.en_US
dc.contributor.authorEkane, Halle G.en_US
dc.contributor.authorDzudie, Anastaseen_US
dc.contributor.authorThomas, Egbe O.en_US
dc.contributor.authorAdedimeji, Adebolaen_US
dc.contributor.authorJules, Assob N.en_US
dc.date.accessioned2020-05-06T08:58:13Z
dc.date.available2020-05-06T08:58:13Z
dc.date.issued2019-11
dc.description.abstractBackground: Success of the human immunodeficiency virus (HIV) test-and-treat (T&T) strategy requires high antiretroviral (ART) uptake and retention. However, low ART uptake and retention continue to be reported in ART programs. This study assessed ART uptake and retention outcomes of the HIV T&T strategy in three HIV clinics in Cameroon.Methods: A retrospective chart review was done for 423 patients who initiated HIV care within a period of three months prior to the implementation of the HIV T&T strategy, and for another 423 patients who initiated HIV care within a three-month period following the HIV T&T strategy implementation. For each group, sociodemographic, ART uptake and retention data were collected. Chi square and Student T tests were used to test for differences proportions and means between the two groups at p <0.05 and 95% confidence interval.Results: The mean ages (years) in the pre-T&T and the T&T groups were 39.73 and 39.72, and the proportion of female were 65.85% and 65.08% respectively. ART uptake proportion was higher amongst those enrolled under the T&T strategy (98.08% vs 95.39%, p=0.02). A greater proportion of the patients in the T&T group initiated ART within 2 weeks following HIV diagnosis (55.84% vs 48.17%, p=0.03). However, ART retention at 24th month was lower in the T&T group (78.83% vs. 85.79%, p=0.01).Conclusions: The findings suggest that the T&T strategy is associated with higher ART uptake, earlier ART initiation, and lower ART retention. This underscores a need for strategies to improve ART retention under the HIV T&T guidelines.en_US
dc.identifier.affiliationsDepartment of Public Health and Hygiene, University of Buea, Cameroon, Africaen_US
dc.identifier.affiliationsClinical Research Education Networking and Consultancy, Yaounde, Cameroon, Africaen_US
dc.identifier.affiliationsDepartment of Public Health and Hygiene, University of Buea, Cameroon, Africaen_US
dc.identifier.affiliationsClinical Research Education Networking and Consultancy, Yaounde, Cameroon, Africaen_US
dc.identifier.affiliationsDepartment of Epidemiology of Population Health, Albert Einstein College of Medicine, New York City, United States of Americaen_US
dc.identifier.affiliationsDepartment of Public Health and Hygiene, University of Buea, Cameroon, Africaen_US
dc.identifier.affiliationsDepartment of Public Health and Hygiene, University of Buea, Cameroon, Africaen_US
dc.identifier.citationAwoh Rogers A., Ekane Halle G., Dzudie Anastase, Thomas Egbe O., Adedimeji Adebola, Jules Assob N.. Implications of the human immunodeficiency virus test and treat strategy on antiretroviral treatment uptake and retention outcomes in Cameroon. International Journal of Community Medicine and Public Health. 2019 Nov; 6(11): 4716-4724en_US
dc.identifier.issn2394-6032
dc.identifier.issn2394-6040
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/201821
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber11en_US
dc.relation.volume6en_US
dc.source.urihttps://dx.doi.org/10.18203/2394-6040.ijcmph20195045en_US
dc.subjectHuman immunodeficiency virus test and treat strategyen_US
dc.subjectAntiretroviral treatment uptakeen_US
dc.subjectAntiretroviral treatment retentionen_US
dc.subjectCameroonen_US
dc.titleImplications of the human immunodeficiency virus test and treat strategy on antiretroviral treatment uptake and retention outcomes in Cameroonen_US
dc.typeJournal Articleen_US
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