Retention and sustained viral suppression in HIV patients transferred to community refill centres in Kinshasa, DRC

R Moudachirou; G Van Cutsem; R I Chuy; H Tweya; M Senkoro; M Mabhala; M Zolfo

doi:10.5588/pha.19.0067

Retention and sustained viral suppression in HIV patients transferred to community refill centres in Kinshasa, DRC

R Moudachirou, G Van Cutsem, R I Chuy, H Tweya, M Senkoro, M Mabhala, M Zolfo

Education Coordination Clinical Sciences

Research output: Contribution to journal › A1: Web of Science-article › peer-review

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Abstract

Setting: In 2010, Médecins Sans Frontières set up decentralised community antiretroviral therapy (ART) refill centres ("poste de distribution communautaire", PODI) for the follow-up of stable human immunodeficiency virus (HIV) patients.

Objective: To assess retention in care and sustained viral suppression after transfer to three main PODI in Kinshasa, Democratic Republic of Congo (DRC) (PODI Barumbu/Central, PODI Binza Ozone/West and PODI Masina I/East).

Design: Retrospective cohort study using routine programme data for adult HIV patients transferred from Kabinda Hospital to PODIs between January 2015 and June 2017.

Results: A total of 337 patients were transferred to PODIs: 306 (91%) were on ART for at least 12 months; 118 (39%) had a routine "12-month" viral load (VL) done, 93% (n = 110) of whom had a suppressed VL <1000 copies/ml. Median time from enrolment into PODI to 12-month routine VL was 14.6 months (IQR 12.2-20.8). Kaplan-Meier estimates of retention in care at 6, 12 and 18 months after enrolment into PODIs were respectively 96%, 92% and 88%.

Conclusion: Retention in care and viral suppression among patients in PODI with VL results were better than patients in clinic care and national outcomes.

Original language	English
Journal	Public Health Action
Volume	10
Issue number	1
Pages (from-to)	33-37
Number of pages	5
ISSN	2220-8372
DOIs	https://doi.org/10.5588/pha.19.0067
Publication status	Published - 2020

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10.5588/pha.19.0067Licence: CC BY

2020phac0033Final published version, 210 KBLicence: CC BY

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title = "Retention and sustained viral suppression in HIV patients transferred to community refill centres in Kinshasa, DRC",

abstract = "Setting: In 2010, M{\'e}decins Sans Fronti{\`e}res set up decentralised community antiretroviral therapy (ART) refill centres ({"}poste de distribution communautaire{"}, PODI) for the follow-up of stable human immunodeficiency virus (HIV) patients.Objective: To assess retention in care and sustained viral suppression after transfer to three main PODI in Kinshasa, Democratic Republic of Congo (DRC) (PODI Barumbu/Central, PODI Binza Ozone/West and PODI Masina I/East).Design: Retrospective cohort study using routine programme data for adult HIV patients transferred from Kabinda Hospital to PODIs between January 2015 and June 2017.Results: A total of 337 patients were transferred to PODIs: 306 (91%) were on ART for at least 12 months; 118 (39%) had a routine {"}12-month{"} viral load (VL) done, 93% (n = 110) of whom had a suppressed VL <1000 copies/ml. Median time from enrolment into PODI to 12-month routine VL was 14.6 months (IQR 12.2-20.8). Kaplan-Meier estimates of retention in care at 6, 12 and 18 months after enrolment into PODIs were respectively 96%, 92% and 88%.Conclusion: Retention in care and viral suppression among patients in PODI with VL results were better than patients in clinic care and national outcomes.",

author = "R Moudachirou and {Van Cutsem}, G and Chuy, {R I} and H Tweya and M Senkoro and M Mabhala and M Zolfo",

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T1 - Retention and sustained viral suppression in HIV patients transferred to community refill centres in Kinshasa, DRC

AU - Moudachirou, R

AU - Van Cutsem, G

AU - Chuy, R I

AU - Tweya, H

AU - Senkoro, M

AU - Mabhala, M

AU - Zolfo, M

PY - 2020

Y1 - 2020

N2 - Setting: In 2010, Médecins Sans Frontières set up decentralised community antiretroviral therapy (ART) refill centres ("poste de distribution communautaire", PODI) for the follow-up of stable human immunodeficiency virus (HIV) patients.Objective: To assess retention in care and sustained viral suppression after transfer to three main PODI in Kinshasa, Democratic Republic of Congo (DRC) (PODI Barumbu/Central, PODI Binza Ozone/West and PODI Masina I/East).Design: Retrospective cohort study using routine programme data for adult HIV patients transferred from Kabinda Hospital to PODIs between January 2015 and June 2017.Results: A total of 337 patients were transferred to PODIs: 306 (91%) were on ART for at least 12 months; 118 (39%) had a routine "12-month" viral load (VL) done, 93% (n = 110) of whom had a suppressed VL <1000 copies/ml. Median time from enrolment into PODI to 12-month routine VL was 14.6 months (IQR 12.2-20.8). Kaplan-Meier estimates of retention in care at 6, 12 and 18 months after enrolment into PODIs were respectively 96%, 92% and 88%.Conclusion: Retention in care and viral suppression among patients in PODI with VL results were better than patients in clinic care and national outcomes.

AB - Setting: In 2010, Médecins Sans Frontières set up decentralised community antiretroviral therapy (ART) refill centres ("poste de distribution communautaire", PODI) for the follow-up of stable human immunodeficiency virus (HIV) patients.Objective: To assess retention in care and sustained viral suppression after transfer to three main PODI in Kinshasa, Democratic Republic of Congo (DRC) (PODI Barumbu/Central, PODI Binza Ozone/West and PODI Masina I/East).Design: Retrospective cohort study using routine programme data for adult HIV patients transferred from Kabinda Hospital to PODIs between January 2015 and June 2017.Results: A total of 337 patients were transferred to PODIs: 306 (91%) were on ART for at least 12 months; 118 (39%) had a routine "12-month" viral load (VL) done, 93% (n = 110) of whom had a suppressed VL <1000 copies/ml. Median time from enrolment into PODI to 12-month routine VL was 14.6 months (IQR 12.2-20.8). Kaplan-Meier estimates of retention in care at 6, 12 and 18 months after enrolment into PODIs were respectively 96%, 92% and 88%.Conclusion: Retention in care and viral suppression among patients in PODI with VL results were better than patients in clinic care and national outcomes.

U2 - 10.5588/pha.19.0067

DO - 10.5588/pha.19.0067

M3 - A1: Web of Science-article

C2 - 32368522

SN - 2220-8372

VL - 10

SP - 33

EP - 37

JO - Public Health Action

JF - Public Health Action

IS - 1

ER -

Retention and sustained viral suppression in HIV patients transferred to community refill centres in Kinshasa, DRC

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