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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Delayed first consultation after diagnosis of HIV infection in Cameroon
AIDS, Volume 23, No. 8, Year 2009
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Description
Objectives: To study the impact of both decentralization of HIV care and individual factors on delayed first consultation (≥6 months) after HIV diagnosis in Cameroon, in the context of the national antiretroviral treatment scale-up program. Design: The national cross-sectional multicenter survey EVAL (ANRS 12-116) was conducted from September 2006 to March 2007 in 27 HIV centers in Cameroon. Methods: Logistic regression was used to characterize patients with delayed first consultation among 3151 HIV-infected adults. Results: Fifteen percent of patients reported a delay of at least 6 months before their first consultation after HIV diagnosis. In the multivariate analysis adjusted for the frequency of visits to the HIV center, independent correlates of reporting a delay of at least 6 months before consulting included the characteristics of the HIV centers (created before 2005 and located in small or medium-size hospitals) and the following individual patient characteristics: sex and matrimonial status (women living in a couple), the circumstances of the HIV diagnosis (test not performed in the hospital providing HIV care, test performed during a voluntary screening campaign) and patient's negative perception of antiretroviral treatment toxicity. Conclusion: Delays before first consultation for HIV care in Cameroon have been reduced, thanks to the full implementation of the national program of decentralization. Results underline the importance of coordinating diagnosis with treatment activities and the need to develop counseling actions, focusing on the balance between antiretroviral treatment effectiveness and its potential side effects. Counseling should also be part of patients' follow-up after diagnosis during voluntary screening campaigns. © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins.
Authors & Co-Authors
Marcellin, Fabienne
France, Paris
Inserm
France, Marseille
Aix Marseille Université
France, Marseille
Observatoire Regional de la Sante Provence-alpes-cote D'azur
France, Marseille
Eval Study Group
Abé, Claude
Cameroon, Yaounde
Catholic University of Central Africa
France, Marseille
Eval Study Group
Loubière, Sandrine
France, Paris
Inserm
France, Marseille
Aix Marseille Université
France, Marseille
Observatoire Regional de la Sante Provence-alpes-cote D'azur
France, Marseille
Eval Study Group
Boyer, Sylvie
France, Paris
Inserm
France, Marseille
Aix Marseille Université
France, Marseille
Observatoire Regional de la Sante Provence-alpes-cote D'azur
France, Marseille
Eval Study Group
Jérôme Blanche,
France, Paris
Inserm
France, Marseille
Aix Marseille Université
France, Marseille
Observatoire Regional de la Sante Provence-alpes-cote D'azur
France, Marseille
Eval Study Group
Koulla-Shiro, Sinata
Laos
Ministry of Public Health
France, Marseille
Eval Study Group
Ongolo-Zogo, Pierre
Cameroon, Yaounde
Centre Hospitalier et Universitaire de Yaounde
France, Marseille
Eval Study Group
Moatti, Jean Paul
France, Paris
Inserm
France, Marseille
Aix Marseille Université
France, Marseille
Observatoire Regional de la Sante Provence-alpes-cote D'azur
France, Marseille
Eval Study Group
Spire, Bruno
France, Paris
Inserm
France, Marseille
Aix Marseille Université
France, Marseille
Observatoire Regional de la Sante Provence-alpes-cote D'azur
France, Marseille
Eval Study Group
Carrieri, Patrizia
France, Paris
Inserm
France, Marseille
Aix Marseille Université
France, Marseille
Observatoire Regional de la Sante Provence-alpes-cote D'azur
France, Marseille
Eval Study Group
Statistics
Citations: 22
Authors: 10
Affiliations: 7
Identifiers
Doi:
10.1097/QAD.0b013e32832a5996
e-ISSN:
14735571
Research Areas
Health System And Policy
Infectious Diseases
Study Design
Cross Sectional Study
Cohort Study
Study Approach
Quantitative
Study Locations
Cameroon
Participants Gender
Female