Retention in care among HIV-infected women initiating ART during pregnancy: a cohort study

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dc.contributor.advisorMyer, Landonen_ZA
dc.contributor.advisorMcIntyre, Jamesen_ZA
dc.contributor.authorPhillips, Tammyen_ZA
dc.date.accessioned2015-09-15T10:26:12Z
dc.date.available2015-09-15T10:26:12Z
dc.date.issued2014en_ZA
dc.description.abstractBackground: Recent international guidelines call for universal use of triple-drug antiretroviral therapy (ART) in HIV-infected women during pregnancy and postpartum. There are however concerns regarding potentially high levels of non-adherence and/or loss to follow-up (LTF) that may attenuate the benefits of ART for HIV transmission and maternal health. We investigated missed visits and LTF among women initiating ART during pregnancy in Cape Town, South Africa. Methodology: A retrospective cohort study was conducted of women starting ART between January 2011 and September 2012, at a large primary care antenatal clinic. Eligible women were identified in prevention of mother-to-child transmission (PMTCT) services based on CD4 ≤350 cells/μl, and women initiated a regimen of tenofovir, lamivudine and efavirenz. Women eligible for ART were either referred to general adult ART services nearby (January-December 2011) or received ART integrated into ANC services (January-September 2012). Outcomes were measured up to six months postpartum: (i) LTF (no attendance within 56 days of a scheduled visit) and (ii) missed visit (returning to care 14-56 days late for a scheduled visit).en_ZA
dc.identifier.apacitationPhillips, T. (2014). <i>Retention in care among HIV-infected women initiating ART during pregnancy: a cohort study</i>. (Thesis). University of Cape Town ,Faculty of Health Sciences ,Department of Public Health and Family Medicine. Retrieved from http://hdl.handle.net/11427/13977en_ZA
dc.identifier.chicagocitationPhillips, Tammy. <i>"Retention in care among HIV-infected women initiating ART during pregnancy: a cohort study."</i> Thesis., University of Cape Town ,Faculty of Health Sciences ,Department of Public Health and Family Medicine, 2014. http://hdl.handle.net/11427/13977en_ZA
dc.identifier.citationPhillips, T. 2014. Retention in care among HIV-infected women initiating ART during pregnancy: a cohort study. University of Cape Town.en_ZA
dc.identifier.ris TY - Thesis / Dissertation AU - Phillips, Tammy AB - Background: Recent international guidelines call for universal use of triple-drug antiretroviral therapy (ART) in HIV-infected women during pregnancy and postpartum. There are however concerns regarding potentially high levels of non-adherence and/or loss to follow-up (LTF) that may attenuate the benefits of ART for HIV transmission and maternal health. We investigated missed visits and LTF among women initiating ART during pregnancy in Cape Town, South Africa. Methodology: A retrospective cohort study was conducted of women starting ART between January 2011 and September 2012, at a large primary care antenatal clinic. Eligible women were identified in prevention of mother-to-child transmission (PMTCT) services based on CD4 ≤350 cells/μl, and women initiated a regimen of tenofovir, lamivudine and efavirenz. Women eligible for ART were either referred to general adult ART services nearby (January-December 2011) or received ART integrated into ANC services (January-September 2012). Outcomes were measured up to six months postpartum: (i) LTF (no attendance within 56 days of a scheduled visit) and (ii) missed visit (returning to care 14-56 days late for a scheduled visit). DA - 2014 DB - OpenUCT DP - University of Cape Town LK - https://open.uct.ac.za PB - University of Cape Town PY - 2014 T1 - Retention in care among HIV-infected women initiating ART during pregnancy: a cohort study TI - Retention in care among HIV-infected women initiating ART during pregnancy: a cohort study UR - http://hdl.handle.net/11427/13977 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/13977
dc.identifier.vancouvercitationPhillips T. Retention in care among HIV-infected women initiating ART during pregnancy: a cohort study. [Thesis]. University of Cape Town ,Faculty of Health Sciences ,Department of Public Health and Family Medicine, 2014 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/13977en_ZA
dc.language.isoengen_ZA
dc.publisher.departmentDepartment of Public Health and Family Medicineen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.subject.otherEpidemiologyen_ZA
dc.titleRetention in care among HIV-infected women initiating ART during pregnancy: a cohort studyen_ZA
dc.typeMaster Thesis
dc.type.qualificationlevelMasters
dc.type.qualificationnameMPHen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceThesisen_ZA
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