Bibliographic Details
Title: |
Decentralization of viral load testing to improve HIV care and treatment cascade in rural Tanzania: observational study from the Kilombero and Ulanga Antiretroviral Cohort |
Authors: |
Dorcas Mnzava, James Okuma, Robert Ndege, Namvua Kimera, Alex Ntamatungiro, Amina Nyuri, Theonestina Byakuzana, Faraji Abilahi, Paul Mayeka, Emmy Temba, Teddy Fanuel, Tracy Renée Glass, Thomas Klimkait, Fiona Vanobberghen, Maja Weisser, on behalf of the KIULARCO Study Group |
Source: |
BMC Infectious Diseases, Vol 23, Iss 1, Pp 1-11 (2023) |
Publisher Information: |
BMC, 2023. |
Publication Year: |
2023 |
Collection: |
LCC:Infectious and parasitic diseases |
Subject Terms: |
HIV cascade, Viral load testing, Viral suppression, Failure, Low level viremia, Infectious and parasitic diseases, RC109-216 |
More Details: |
Abstract Introduction Monitoring HIV viral load (HVL) in people living with HIV (PLHIV) on antiretroviral therapy (ART) is recommended by the World Health Organization. Implementation of HVL testing programs have been affected by logistic and organizational challenges. Here we describe the HVL monitoring cascade in a rural setting in Tanzania and compare turnaround times (TAT) between an on-site and a referral laboratory. Methods In a nested study of the prospective Kilombero and Ulanga Antiretroviral Cohort (KIULARCO) we included PLHIV aged ≥ 15 years, on ART for ≥ 6 months after implementation of routine HVL monitoring in 2017. We assessed proportions of PLHIV with a blood sample taken for HVL, whose results came back, and who were virally suppressed (HVL |
Document Type: |
article |
File Description: |
electronic resource |
Language: |
English |
ISSN: |
1471-2334 |
Relation: |
https://doaj.org/toc/1471-2334 |
DOI: |
10.1186/s12879-023-08155-6 |
Access URL: |
https://doaj.org/article/96857c58c78a4f72833269aad32a00f9 |
Accession Number: |
edsdoj.96857c58c78a4f72833269aad32a00f9 |
Database: |
Directory of Open Access Journals |
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