Patients who return to care after tracking remain at high risk of attrition: experience from a large HIV clinic, Uganda.

Abstract:

:We determined the retention rate of patients infected with HIV who resumed care after being tracked at the Infectious Diseases Clinic (IDC) in Kampala, Uganda. Between April 2011 and September 2013, patients who missed their clinic appointment for 8-90 days were tracked, and those who returned to the clinic within 120 days were followed up. The proportion of patients retained among tracked patients, and those who resumed care before tracking started was compared. At 18 months of follow up, 33 (39%) of the tracked patients and 72 (61%) of those who had resumed care before tracking started were retained in care. The most important cause of attrition among the traceable was self-transfer to another clinic (38 [73%] patients), whereas among those who resumed care before tracking was loss to follow up (LTFU) (32 [71%] patients). Tracked patients who resume care following a missed appointment are at high risk of attrition. To increase retention, antiretroviral therapy clinics need to adopt a chronic care model which takes into consideration patients' changing needs and their preference for self-management.

journal_name

Int J STD AIDS

authors

Nakiwogga-Muwanga A,Musaazi J,Katabira E,Worodria W,Talisuna SA,Colebunders R

doi

10.1177/0956462414529098

subject

Has Abstract

pub_date

2015-01-01 00:00:00

pages

42-7

issue

1

eissn

0956-4624

issn

1758-1052

pii

0956462414529098

journal_volume

26

pub_type

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