Factors associated with retention in HIV care at Sediba Hope Medical Centre

Southern African Journal of HIV Medicine

Field Value
Title Factors associated with retention in HIV care at Sediba Hope Medical Centre
Creator Ramdas, Nishana Meyer, Johanna C. Cameron, David
Subject Infectious Diseases; Medicine; Pharmacy; Public Health antiretrovirals; HIV; AIDS; lost to follow-up; retention in care
Description Background: Lost to follow-up (LTFU) is a major challenge that hinders the success of antiretroviral treatment (ART).Objective: To identify factors conducted to a low LTFU rate.Methods: We conducted a two-part descriptive and quantitative study. Part 1 comprised interviews with clinic staff to determine their perspectives on LTFU and to establish the clinic’s follow-up procedures for patients on ART. Part 2 of the study was a retrospective review of clinic and patient records. LTFU patients were identified and those with contact details were contacted for telephonic interview to determine if they were still on ART and/or their reasons for becoming LTFU.Results: A low LTFU rate (7.9%; N = 683) was identified. Work-related stress, and lack of transport and funds were reported reasons for LTFU. Monthly visits, non-adherent defaulters and LTFU patients were tracked by an electronic system (SOZO). Factors contributing to high rates of retention in care were: location of the clinic in the inner city, thus in close proximity to patients’ homes or work; clinic operating on Saturdays, which was convenient for patients who could not attend during the week; an appointment/booking system that was in place and strictly adhered to; a reminder SMS being sent out the day before an appointment; individual counselling sessions at each visit and referrals where necessary; and a stable staff complement and support group at the clinic.Conclusion: Achieving a low LTFU rate is possible by having a patient-centred approach and monitoring systems in place.
Publisher AOSIS
Contributor University of Limpopo, Medunsa Campus, Department of Pharmacy Foundation for Professional Development
Date 2015-07-01
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Two-part descriptive and quantitative study
Format text/html application/octet-stream text/xml application/pdf
Identifier 10.4102/sajhivmed.v16i1.347
Source Southern African Journal of HIV Medicine; Vol 16, No 1 (2015); 6 pages 2078-6751 1608-9693
Language eng
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://sajhivmed.org.za/index.php/hivmed/article/view/347/537 https://sajhivmed.org.za/index.php/hivmed/article/view/347/538 https://sajhivmed.org.za/index.php/hivmed/article/view/347/539 https://sajhivmed.org.za/index.php/hivmed/article/view/347/508
Coverage Sediba Hope Medical Centre; Pretoria; South Africa 2010 - 2013 Gender; Marital status; Educational level; Employment status
Rights Copyright (c) 2015 Nishana Ramdas, Johanna C. Meyer, David Cameron https://creativecommons.org/licenses/by/4.0