Reviewing progress: 7 year trends in characteristics of adults and children enrolled at HIV care and treatment clinics in the United Republic of Tanzania

Details

• Alternative Title:
  BMC Public Health
• Personal Author:
  Nuwagaba-Biribonwoha, Harriet ; Kilama, Bonita ; Antelman, Gretchen ; Khatib, Ahmed ; Almeida, Annette ; Reidy, William ; Ramadhani, Gongo ; Lamb, Matthew R ; Mbatia, Redempta ; Abrams, Elaine J
• Description:
  Background
  
  To evaluate the on-going scale-up of HIV programs, we assessed trends in patient characteristics at enrolment and ART initiation over 7 years of implementation.
  
  Methods
  
  Data were from Optimal Models, a prospective open cohort study of HIV-infected (HIV+) adults (≥15 years) and children (<15 years) enrolled from January 2005 to December 2011 at 44 HIV clinics in 3 regions of mainland Tanzania (Kagera, Kigoma, Pwani) and Zanzibar. Comparative statistics for trends in characteristics of patients enrolled in 2005–2007, 2008–2009 and 2010–2011 were examined.
  
  Results
  
  Overall 62,801 HIV + patients were enrolled: 58,102(92.5%) adults, (66.5% female); 4,699(7.5%) children.
  
  Conclusions
  
  Over time, the proportion of pregnant women and of adults and children enrolled from PMTCT programs increased. There was a decline in adults and children with advanced HIV disease at enrolment and initiation of stavudine. Pediatric age at enrolment and ART initiation declined. Results suggest HIV program maturation from an emergency response.
  
  
• Subjects:
  Adolescent Adult Anti-HIV Agents Antiretroviral Therapy, Highly Active Child Child, Preschool Female HIV Infections Humans Infant Male Middle Aged Pregnancy Program Evaluation Prospective Studies Young Adult

  More +
• Source:
  BMC Public Health. 2013; 13:1016.
• Pubmed ID:
  24160907
• Pubmed Central ID:
  PMC3937235
• Document Type:
  Journal Article
• Funding:
  5U2GPS001537/PHS HHS/United States ; 5U62PS223540/PS/NCHHSTP CDC HHS/United States
• Place as Subject:
  Tanzania
• Volume:
  13
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:07c7db48d7596a6de8968877fd519fccb0f048b388ed1479f09688bd01ace921
• Download URL:
  https://stacks.cdc.gov/view/cdc/22500/cdc_22500_DS1.pdf
• File Type:
  [PDF - 810.64 KB ]