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

Research output: Contribution to journalA1: Web of Science-article

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 languageEnglish
JournalPublic Health Action
Volume10
Issue number1
Pages (from-to)33-37
Number of pages5
ISSN2220-8372
DOIs
Publication statusPublished - 2020

Fingerprint Dive into the research topics of 'Retention and sustained viral suppression in HIV patients transferred to community refill centres in Kinshasa, DRC'. Together they form a unique fingerprint.

Cite this