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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Linkage to HIV care and survival following inpatient HIV counseling and testing
AIDS and Behavior, Volume 15, No. 4, Year 2011
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Description
Linkage to HIV care and survival in sub-Saharan Africa is not well documented. In 2004 we conducted a randomized trial among medical inpatients in Mulago Hospital to assess the impact of HIV counseling and testing (HCT) on linkage to care and survival. Participants were randomized to inpatient HCT (intervention) or outpatient HCT 1 week post-discharge (control); inpatient HCT was not available at Mulago during the study. Among 590 eligible patients, 85% (500) agreed to participate; 98.8% (248) in the intervention arm received HCT compared to 68.7% (171) in the control arm. Within 6 months, 62.2% (92) of surviving HIV-infected participants received HIV care; 15.0% (20) received antiretroviral medications (ARVs). Overall mortality among HIV-infected participants was 34.6% (72). HCT had significant impact on linkage to care among surviving participants. Referral for HCT was a missed opportunity for diagnosis. There is need for earlier diagnosis and linkage to HIV care among inpatients. © 2010 Springer Science+Business Media, LLC.
Authors & Co-Authors
Wanyenze, Rhoda Kitti
Uganda, Kampala
Makerere University
Hahn, Judith A.
United States, San Francisco
University of California, San Francisco
Liechty, Cheryl A.
United States
Glen Cove Internal Medicine
Ragland, Kathleen
United States, San Francisco
University of California, San Francisco
Ronald, Allan R.
Uganda, Kampala
Infectious Diseases Institute
Mayanja-Kizza, Harriet
Uganda, Kampala
Makerere University
Coates, Thomas J.
United States, Los Angeles
University of California, Los Angeles
Kamya, Moses Robert K.
Uganda, Kampala
Makerere University
Bangsberg, David R.
United States, Boston
Massachusetts General Hospital
Statistics
Citations: 63
Authors: 9
Affiliations: 6
Identifiers
Doi:
10.1007/s10461-010-9704-1
ISSN:
10907165
Research Areas
Health System And Policy
Infectious Diseases
Study Design
Randomised Control Trial