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dc.contributor.authorDecroo, T
dc.contributor.authorPanunzi, I
dc.contributor.authordas Dores, C
dc.contributor.authorMaldonado, F
dc.contributor.authorBiot, M
dc.contributor.authorFord, N
dc.contributor.authorChu, K
dc.date.accessioned2009-07-14T14:13:36Z
dc.date.available2009-07-14T14:13:36Z
dc.date.issued2009-05-06
dc.identifier.citationLessons learned during down referral of antiretroviral treatment in Tete, Mozambique. 2009, 12 (1):6notJ Int AIDS Socen
dc.identifier.issn1758-2652
dc.identifier.pmid19419543
dc.identifier.doi10.1186/1758-2652-12-6
dc.identifier.urihttp://hdl.handle.net/10144/73775
dc.description.abstractABSTRACT: As sub-Saharan African countries continue to scale up antiretroviral treatment, there has been an increasing emphasis on moving provision of services from hospital level to the primary health care clinic level. Delivery of antiretroviral treatment at the clinic level increases the number of entry points to care, while the greater proximity of services encourages retention in care.In Tete City, Mozambique, patients on antiretrovirals were rapidly down referred from a provincial hospital to four urban clinics in large numbers without careful planning, resulting in a number of patients being lost to follow-up.We outline some key lessons learned to support down referral, including the need to improve process management, clinic infrastructure, monitoring systems, and patient preparation. Down referral can be avoided by initiating patients' antiretroviral treatment at clinic level from the outset.
dc.language.isoenen
dc.rightsArchived with thanks to Journal of the International AIDS Societyen
dc.titleLessons learned during down referral of antiretroviral treatment in Tete, Mozambique.en
dc.contributor.departmentSouth African Medical Unit, Médecins Sans Frontières, Johannesburg, South Africa. kathyrn.chu@joburg.msf.org.en
dc.identifier.journalJournal of the International AIDS Societyen
refterms.dateFOA2019-03-04T14:21:48Z
html.description.abstractABSTRACT: As sub-Saharan African countries continue to scale up antiretroviral treatment, there has been an increasing emphasis on moving provision of services from hospital level to the primary health care clinic level. Delivery of antiretroviral treatment at the clinic level increases the number of entry points to care, while the greater proximity of services encourages retention in care.In Tete City, Mozambique, patients on antiretrovirals were rapidly down referred from a provincial hospital to four urban clinics in large numbers without careful planning, resulting in a number of patients being lost to follow-up.We outline some key lessons learned to support down referral, including the need to improve process management, clinic infrastructure, monitoring systems, and patient preparation. Down referral can be avoided by initiating patients' antiretroviral treatment at clinic level from the outset.


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