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Research Article
Retention in Differentiated Care: Multiple Measures Analysis for a Decentralized HIV Care and Treatment Program in North Central Nigeria
Author(s): Patricia A Agaba, Becky L Genberg, Atiene S Sagay, Oche O Agbaji, Seema T Meloni, Nancin Y Dadem, Grace O Kolawole, Prosper Okonkwo, Phyllis J Kanki and Norma C WarePatricia A Agaba, Becky L Genberg, Atiene S Sagay, Oche O Agbaji, Seema T Meloni, Nancin Y Dadem, Grace O Kolawole, Prosper Okonkwo, Phyllis J Kanki and Norma C Ware
Objective: Differentiated care refers collectively to flexible service models designed to meet the differing needs of HIV-infected persons in resource-scarce settings. Decentralization is one such service model. Retention is a key indicator for monitoring the success of HIV treatment and care programs. We used multiple measures to compare retention in a cohort of patients receiving HIV care at “hub” (central) and “spoke” (decentralized) sites in a large public HIV treatment program in north central Nigeria. Methods: This retrospective cohort study utilized longitudinal program data representing central and decentralized levels of care in the Plateau State Decentralization Initiative, north central Nigeria. We examined retention with patientlevel (retention at fixed times, loss-to-follow-up [LTFU]) and visit-level (gaps-in.. Read More»
DOI:
10.4172/2155-6113.1000756
Journal of AIDS & Clinical Research received 5264 citations as per Google Scholar report