Decentralization of viral load testing to improve HIV care and treatment cascade in rural Tanzania: observational study from the Kilombero and Ulanga Antiretroviral Cohort

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
Full text is not displayed to guests.
More Details
ISSN:14712334
DOI:10.1186/s12879-023-08155-6
Published in:BMC Infectious Diseases
Language:English