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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Distribution of antiretroviral treatment through self-forming groups of patients in Tete Province, Mozambique
Journal of Acquired Immune Deficiency Syndromes, Volume 56, No. 2, Year 2011
Notification
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Description
Background: As antiretroviral treatment cohorts continue to expand, ensuring patient retention over time is an increasingly important concern. This, together with capacity and human resource constraints, has led to the consideration of out-of-clinic models for the delivery of antiretroviral therapy (ART). In 2008, Médecins Sans Frontières and the Provincial authorities launched a model of ART distribution and adherence monitoring by community groups in Tete Province, Mozambique. Programme approach: Patients who were stable on ART for 6 months were informed about the community ART group model and invited to form groups. Group members had 4 key functions: facilitate monthly ART distribution to other group members in the community, provide adherence and social support, monitor outcomes, and ensure each group member undergoes a clinical consultation at least once every 6 months. Group members visit the health centre on a rotational basis, such that each group member has contact with the health service every 6 months. Results: Between February 2008 and May 2010, 1384 members were enrolled into 291 groups. Median follow-up time within a group was 12.9 months (IQR 8.5-14.1). During this time, 83 (6%) were transferred out, and of the 1301 patients still in community groups, 1269 (97.5%) were remaining in care, 30 (2%) had died, and 2 (0.2%) were lost to follow-up. Discussion: The Community ART Group model was initiated by patients to improve access, patient retention, and decongest health services. Early outcomes are highly satisfactory in terms of mortality and retention in care, lending support to such out-of-clinic approaches. © 2011 Lippincott Williams & Wilkins.
Authors & Co-Authors
Decroo, Tom
Switzerland, Geneva
Medecins Sans Frontieres
Telfer, Barbara L.
Switzerland, Geneva
Medecins Sans Frontieres
Biot, Marc
Switzerland, Geneva
Medecins Sans Frontieres
Maïkéré, Jacob
Switzerland, Geneva
Medecins Sans Frontieres
Dezembro, Sergio
Switzerland, Geneva
Medecins Sans Frontieres
Cumba, Luisa Isabel G.
Mozambique
Provincial Health Department
das Dores, Carla
Mozambique
Provincial Health Department
Chu, Kathryn M.
Switzerland, Geneva
Medecins Sans Frontieres
United States, Baltimore
Johns Hopkins Bloomberg School of Public Health
Ford, Nathan P.
Switzerland, Geneva
Medecins Sans Frontieres
South Africa, Cape Town
University of Cape Town
Statistics
Citations: 193
Authors: 9
Affiliations: 4
Identifiers
Doi:
10.1097/QAI.0b013e3182055138
ISSN:
15254135
Research Areas
Health System And Policy
Study Design
Cohort Study
Study Locations
Mozambique