Inadequate monitoring in advanced stages of disease with lack of supportive counseling increases attrition among patients on antiretroviral treatment at a large urban clinic in Uganda

A. Nakiwogga-Muwanga, S. Alamo-Talisuna, J. Musaazi, A. Kambugu, P. Ssekawungu, E. Katabira, Robert Colebunders

    Research output: Contribution to journalA2: International peer reviewed article (not A1-type)

    Abstract

    Background:The purpose of this case-control study was to identify risk factors for loss to follow-up (LTFU). Methods:Cases and controls were selected from HIV-positive patients, aged 18 years and older, on antiretroviral therapy (ART) at the Infectious Diseases Clinic (IDC) in January 2008. As cases, we selected 209 patients who in 2008 did not return to the clinic within 90 days of their scheduled appointment date. As controls, we randomly selected 626 patients from the 5872 patients who were following up at the end of December 2008. Results:In multivariable logistic regression analysis, urban or semiurban residence, World Health Organization disease stage III or IV at ART initiation, a median CD4 count at last visit
    Original languageEnglish
    JournalJournal of the International Association of Providers of AIDS Care
    Volume13
    Issue number6
    Pages (from-to)547-555
    Number of pages9
    ISSN2325-9574
    DOIs
    Publication statusPublished - 2014

    Keywords

    • Viral diseases
    • HIV
    • AIDS
    • HAART
    • Antiretrovirals
    • Loss to follow-up
    • Risk factors
    • Monitoring
    • Staging
    • Disease progression
    • Supportive care
    • Counseling
    • Urban
    • Uganda
    • Africa-East

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