Missed opportunities for retention in pre-ART care in Cape Town, South Africa

Simple item page
dc.contributor.authordu Toit, Elizabethen_ZA
dc.contributor.authorvan Schalkwyk, Carien_ZA
dc.contributor.authorDunbar, Roryen_ZA
dc.contributor.authorJennings, Karenen_ZA
dc.contributor.authorYang, Bliaen_ZA
dc.contributor.authorCoetzee, Daviden_ZA
dc.contributor.authorBeyers, Nuldaen_ZA
dc.date.accessioned2016-01-02T05:08:41Z
dc.date.available2016-01-02T05:08:41Z
dc.date.issued2014en_ZA
dc.description.abstractBACKGROUND: Few studies have evaluated access to and retention in pre-ART care. Objectives To evaluate the proportion of People Living With HIV (PLWH) in pre-ART and ART care and factors associated with retention in pre-ART and ART care from a community cohort. METHODS: A cross sectional survey was conducted from February - April 2011. Self reported HIV positive, negative or participants of unknown status completed a questionnaire on their HIV testing history, access to pre-ART and retention in pre-ART and ART care. RESULTS: 872 randomly selected adults who reported being HIV positive in the ZAMSTAR 2010 prevalence survey were included and revisited. 579 (66%) reconfirmed their positive status and were included in this analysis. 380 (66%) had initiated ART with 357 of these (94%) retained in ART care. 199 (34%) had never initiated ART of whom 186 (93%) accessed pre-ART care, and 86 (43%) were retained in pre-ART care. In a univariable analysis none of the factors analysed were significantly associated with retention in care in the pre-ART group. Due to the high retention in ART care, factors associated with retention in ART care, were not analysed further. CONCLUSION: Retention in ART care was high; however it was low in pre-ART care. The opportunity exists, if care is better integrated, to engage with clients in primary health care facilities to bring them back to, and retain them in, pre-ART care.en_ZA
dc.identifier.apacitationdu Toit, E., van Schalkwyk, C., Dunbar, R., Jennings, K., Yang, B., Coetzee, D., & Beyers, N. (2014). Missed opportunities for retention in pre-ART care in Cape Town, South Africa. <i>PLoS One</i>, http://hdl.handle.net/11427/16189en_ZA
dc.identifier.chicagocitationdu Toit, Elizabeth, Cari van Schalkwyk, Rory Dunbar, Karen Jennings, Blia Yang, David Coetzee, and Nulda Beyers "Missed opportunities for retention in pre-ART care in Cape Town, South Africa." <i>PLoS One</i> (2014) http://hdl.handle.net/11427/16189en_ZA
dc.identifier.citationdu Toit, E., van Schalkwyk, C., Dunbar, R., Jennings, K., Yang, B., Coetzee, D., & Beyers, N. (2013). Missed opportunities for retention in pre-ART care in Cape Town, South Africa. PloS one, 9(5), e96867. doi:10.1371/journal.pone.0096867en_ZA
dc.identifier.ris TY - Journal Article AU - du Toit, Elizabeth AU - van Schalkwyk, Cari AU - Dunbar, Rory AU - Jennings, Karen AU - Yang, Blia AU - Coetzee, David AU - Beyers, Nulda AB - BACKGROUND: Few studies have evaluated access to and retention in pre-ART care. Objectives To evaluate the proportion of People Living With HIV (PLWH) in pre-ART and ART care and factors associated with retention in pre-ART and ART care from a community cohort. METHODS: A cross sectional survey was conducted from February - April 2011. Self reported HIV positive, negative or participants of unknown status completed a questionnaire on their HIV testing history, access to pre-ART and retention in pre-ART and ART care. RESULTS: 872 randomly selected adults who reported being HIV positive in the ZAMSTAR 2010 prevalence survey were included and revisited. 579 (66%) reconfirmed their positive status and were included in this analysis. 380 (66%) had initiated ART with 357 of these (94%) retained in ART care. 199 (34%) had never initiated ART of whom 186 (93%) accessed pre-ART care, and 86 (43%) were retained in pre-ART care. In a univariable analysis none of the factors analysed were significantly associated with retention in care in the pre-ART group. Due to the high retention in ART care, factors associated with retention in ART care, were not analysed further. CONCLUSION: Retention in ART care was high; however it was low in pre-ART care. The opportunity exists, if care is better integrated, to engage with clients in primary health care facilities to bring them back to, and retain them in, pre-ART care. DA - 2014 DB - OpenUCT DO - 10.1371/journal.pone.0096867 DP - University of Cape Town J1 - PLoS One LK - https://open.uct.ac.za PB - University of Cape Town PY - 2014 T1 - Missed opportunities for retention in pre-ART care in Cape Town, South Africa TI - Missed opportunities for retention in pre-ART care in Cape Town, South Africa UR - http://hdl.handle.net/11427/16189 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/16189
dc.identifier.urihttp://dx.doi.org/10.1371/journal.pone.0096867
dc.identifier.vancouvercitationdu Toit E, van Schalkwyk C, Dunbar R, Jennings K, Yang B, Coetzee D, et al. Missed opportunities for retention in pre-ART care in Cape Town, South Africa. PLoS One. 2014; http://hdl.handle.net/11427/16189.en_ZA
dc.language.isoengen_ZA
dc.publisherPublic Library of Scienceen_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.rightsThis is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.en_ZA
dc.rights.holder© 2014 du Toit et alen_ZA
dc.rights.urihttp://creativecommons.org/licenses/by/4.0en_ZA
dc.sourcePLoS Oneen_ZA
dc.source.urihttp://journals.plos.org/plosoneen_ZA
dc.subject.otherHIVen_ZA
dc.subject.otherAntiretroviral therapyen_ZA
dc.subject.otherAdultsen_ZA
dc.subject.otherHealth care facilitiesen_ZA
dc.subject.otherTuberculosisen_ZA
dc.subject.otherData managementen_ZA
dc.subject.otherHIV diagnosis and managementen_ZA
dc.subject.otherQuestionnairesen_ZA
dc.titleMissed opportunities for retention in pre-ART care in Cape Town, South Africaen_ZA
dc.typeJournal Articleen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
Toit_Missed_Opportunities_2014.pdf
Size:
236.22 KB
Format:
Adobe Portable Document Format
Description:
Download
Collections
Journal Articles