Details:

Alternative Title:
BMC Public Health
Publisher's site:
http://dx.doi.org/10.1186/1471-2458-13-1016
Personal Author:
Nuwagaba-Biribonwoha, Harriet ; Kilama, Bonita ; Antelman, Gretchen ; Khatib, Ahmed ; Almeida, Annette ; ... More +
Nuwagaba-Biribonwoha, Harriet ; Kilama, Bonita ; Antelman, Gretchen ; Khatib, Ahmed ; Almeida, Annette ; Reidy, William ; Ramadhani, Gongo ; Lamb, Matthew R ; Mbatia, Redempta ; Abrams, Elaine J Less -
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.


Subject:
[+]
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

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
5U2GPS001537/PHS HHS/United States ; 5U62PS223540/PS/NCHHSTP CDC HHS/United States Less -
Place as Subject:
Tanzania
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:07c7db48d7596a6de8968877fd519fccb0f048b388ed1479f09688bd01ace921
File Type:

Supporting Files

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