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Please use this identifier to cite or link to this item:
http://hdl.handle.net/123456789/1139
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| Title: | Linkage to HIV care and survival following inpatient HIV counseling and testing |
| Authors: | Wanyenze, Rhoda K |
| Keywords: | Provider Initiated HIV Testing and Counselling
Inpatient
Access to HIV care
HIV/AIDS
Africa
Mulago Hospital |
| Issue Date: | 2010 |
| Publisher: | Springer |
| Citation: | Wanyenze, R.K., Hahn, J.A., Cheryl A. Liechty, C.A., Ragland, K., Ronald, A., Mayanja-Kizza, H., |
| Abstract: | 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. |
| URI: | http://hdl.handle.net/123456789/1139 |
| Appears in Collections: | Research Articles (Health-Sciences)
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Files in This Item:
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Size | Format |
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| wanyenze-rhoda-k-chs-res.pdf | | 261Kb | Adobe PDF | View/Open |
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