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dc.contributor.authorMoudachirou, R
dc.contributor.authorvan Cutsem, G
dc.contributor.authorChuy, RI
dc.contributor.authorTweya, H
dc.contributor.authorSenkoro, M
dc.contributor.authorMabhala, M
dc.contributor.authorZolfo, M
dc.date.accessioned2020-06-23T18:21:31Z
dc.date.available2020-06-23T18:21:31Z
dc.date.issued2020-03-21
dc.date.submitted2020-05-28
dc.identifier.issn2220-8372
dc.identifier.pmid32368522
dc.identifier.doi10.5588/pha.19.0067
dc.identifier.urihttp://hdl.handle.net/10144/619624
dc.description.abstractSetting: In 2010, Médecins Sans Frontières set up decentralised community antiretroviral therapy (ART) refill centres ("poste de distribution communautaire", PODI) for the follow-up of stable human immunodeficiency virus (HIV) patients. Objective: To assess retention in care and sustained viral suppression after transfer to three main PODI in Kinshasa, Democratic Republic of Congo (DRC) (PODI Barumbu/Central, PODI Binza Ozone/West and PODI Masina I/East). Design: Retrospective cohort study using routine programme data for adult HIV patients transferred from Kabinda Hospital to PODIs between January 2015 and June 2017. Results: A total of 337 patients were transferred to PODIs: 306 (91%) were on ART for at least 12 months; 118 (39%) had a routine "12-month" viral load (VL) done, 93% (n = 110) of whom had a suppressed VL <1000 copies/ml. Median time from enrolment into PODI to 12-month routine VL was 14.6 months (IQR 12.2-20.8). Kaplan-Meier estimates of retention in care at 6, 12 and 18 months after enrolment into PODIs were respectively 96%, 92% and 88%. Conclusion: Retention in care and viral suppression among patients in PODI with VL results were better than patients in clinic care and national outcomes.en_US
dc.language.isoenen_US
dc.publisherInternational Union Against Tuberculosis and Lung Diseaseen_US
dc.rightsWith thanks to International Union Against Tuberculosis and Lung Disease.en_US
dc.subjectHIV/AIDS
dc.subjectVL suppression
dc.subjectcommunity-based ART supply
dc.subjectretention in care
dc.subjectstable PLWHA
dc.titleRetention and sustained viral suppression in HIV patients transferred to community refill centres in Kinshasa, DRCen_US
dc.typeArticle
dc.identifier.journalPublic Health Actionen_US
dc.source.journaltitlePublic health action
dc.source.volume10
dc.source.issue1
dc.source.beginpage33
dc.source.endpage37
dc.source.countryFrance


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