Retention in care among HIV-infected patients in resource-limited settings: Emerging insights and new directions

被引：217

作者：

Geng E.H. ^{[1
]}

Nash D. ^{[1
]}

Kambugu A. ^{[1
]}

Zhang Y. ^{[1
]}

Braitstein P. ^{[1
]}

Christopoulos K.A. ^{[1
]}

Muyindike W. ^{[1
]}

Bwana M.B. ^{[1
]}

Yiannoutsos C.T. ^{[1
]}

Petersen M.L. ^{[1
]}

Martin J.N. ^{[1
]}

机构：

[1] Division of HIV, AIDS at San Francisco General Hospital, Building 80, San Francisco, CA 94110

来源：

Current HIV/AIDS Reports | 2010年 / 7卷 / 4期

关键词：

Access to care; HIV care and treatment; Loss to follow-up; Resource-limited settings; Retention in care;

D O I：

10.1007/s11904-010-0061-5

中图分类号：

学科分类号：

摘要：

In resource-limited settings-where a massive scale up of HIV services has occurred in the last 5 years-both understanding the extent of and improving retention in care presents special challenges. First, retention in care within the decentralizing network of services is likely higher than existing estimates that account only for retention in clinic, and therefore antiretroviral therapy services may be more effective than currently believed. Second, both magnitude and determinants of patient retention vary substantially and therefore encouraging the conduct of locally relevant epidemiology is needed to inform programmatic decisions. Third, socio-structural factors such as program characteristics, transportation, poverty, work/child care responsibilities, and social relations are the major determinants of retention in care, and therefore interventions to improve retention in care should focus on implementation strategies. Research to assess and improve retention in care for HIV-infected patients can be strengthened by incorporating novel methods such as sampling-based approaches and a causal analytic framework. © 2010 Springer Science+Business Media, LLC.

引用

页码：234 / 244

页数：10

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