Distribution of antiretroviral treatment through self-forming groups of patients in Tete province, Mozambique

Hdl Handle:
http://hdl.handle.net/10144/120331
Title:
Distribution of antiretroviral treatment through self-forming groups of patients in Tete province, Mozambique
Authors:
Decroo, Tom; Telfer, Barbara; Biot, Marc; Maïkéré, Jacob; Dezembro, Sergio; Cumba, Luisa Isabel; Dores, Carla das; Chu, Kathryn; Ford, Nathan
Journal:
Journal of Acquired Immune Deficiency Syndromes (JAIDS)
Abstract:
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, have 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 six months were informed about the community ART group model and invited to form groups. Group members had four 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 six months. Group members visit the health centre on a rotational basis such that each group member has contact with the health service every six months. RESULTS:: Between February 2008 and May 2010, 1,384 members were enrolled into 291 groups. Median follow up time within a group was 12.9 months (8.5-14.1). During this time 83 (6%) were transferred out, and of the 1,301 patients still in community groups, 1,269 (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.
Affiliation:
Medecins Sans Frontieres, Tete, Mozambique; Medecins Sans Frontieres, Maputo, Mozambique; Provincial Health Department, Tete, Mozambique; Medecins Sans Frontieres, Cape Town, South Africa; Department of International Health, Johns Hopkins School of Public Health, Baltimore, MD; and Centre for Infectious Disease Epidemiology and Research, University of Cape Town, Cape Town, South Africa
Issue Date:
13-Nov-2010
URI:
http://hdl.handle.net/10144/120331
DOI:
10.1097/QAI.0b013e3182055138
PubMed ID:
21084990
Additional Links:
http://journals.lww.com/jaids/Fulltext/2011/02010/Distribution_of_Antiretroviral_Treatment_Through.10.aspx
Submitted date:
2011-01-21
Type:
Article
Language:
en
ISSN:
1944-7884
Appears in Collections:
HIV/AIDS

Full metadata record

DC FieldValue Language
dc.contributor.authorDecroo, Tomen
dc.contributor.authorTelfer, Barbaraen
dc.contributor.authorBiot, Marcen
dc.contributor.authorMaïkéré, Jacoben
dc.contributor.authorDezembro, Sergioen
dc.contributor.authorCumba, Luisa Isabelen
dc.contributor.authorDores, Carla dasen
dc.contributor.authorChu, Kathrynen
dc.contributor.authorFord, Nathanen
dc.date.accessioned2011-01-25T16:45:09Z-
dc.date.available2011-01-25T16:45:09Z-
dc.date.issued2010-11-13-
dc.date.submitted2011-01-21-
dc.identifier.citationJ Acquir Immune Defic Syndr 2011;56(2):e39-44en
dc.identifier.issn1944-7884-
dc.identifier.pmid21084990-
dc.identifier.doi10.1097/QAI.0b013e3182055138-
dc.identifier.urihttp://hdl.handle.net/10144/120331-
dc.description.abstractBACKGROUND:: 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, have 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 six months were informed about the community ART group model and invited to form groups. Group members had four 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 six months. Group members visit the health centre on a rotational basis such that each group member has contact with the health service every six months. RESULTS:: Between February 2008 and May 2010, 1,384 members were enrolled into 291 groups. Median follow up time within a group was 12.9 months (8.5-14.1). During this time 83 (6%) were transferred out, and of the 1,301 patients still in community groups, 1,269 (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.en
dc.languageENG-
dc.language.isoenen
dc.relation.urlhttp://journals.lww.com/jaids/Fulltext/2011/02010/Distribution_of_Antiretroviral_Treatment_Through.10.aspxen
dc.rightsArchived with thanks to Journal of acquired immune deficiency syndromes (1999)en
dc.subject.meshAntiretroviral Therapyen
dc.subject.meshMozambiqueen
dc.subject.meshPatient-Centered Careen
dc.subject.meshPatient Advocacyen
dc.titleDistribution of antiretroviral treatment through self-forming groups of patients in Tete province, Mozambiqueen
dc.typeArticleen
dc.contributor.departmentMedecins Sans Frontieres, Tete, Mozambique; Medecins Sans Frontieres, Maputo, Mozambique; Provincial Health Department, Tete, Mozambique; Medecins Sans Frontieres, Cape Town, South Africa; Department of International Health, Johns Hopkins School of Public Health, Baltimore, MD; and Centre for Infectious Disease Epidemiology and Research, University of Cape Town, Cape Town, South Africaen
dc.identifier.journalJournal of Acquired Immune Deficiency Syndromes (JAIDS)en

Related articles on PubMed

All Items in MSF are protected by copyright, with all rights reserved, unless otherwise indicated.