Missed opportunities for retention in pre-ART care in Cape Town, South Africa

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dc.contributor.authorDu Toit, Elizabeth
dc.contributor.authorVan Schalkwyk, Cari
dc.contributor.authorDunbar, Rory
dc.contributor.authorJennings, Karen
dc.contributor.authorYang, Blia
dc.contributor.authorCoetzee, David
dc.contributor.authorBeyers, Nulda
dc.contributor.editorFox, Matthew
dc.date.accessioned2014-05-29T09:29:42Z
dc.date.available2014-05-29T09:29:42Z
dc.date.issued2014-05
dc.descriptionPublication of this article was funded by the Stellenbosch University Open Access Fund.en_ZA
dc.descriptionThe original publication is available at http://www.plosone.org/en_ZA
dc.descriptionPlease site as follows:en_ZA
dc.descriptionDu Toit, E. et al. 2014. Missed Opportunities for Retention in Pre-ART Care in Cape Town, South Africa. PLoS ONE, 9(5): e96867, doi:10.1371/journal.pone.0096867.en_ZA
dc.description.abstractBackground: Few studies have evaluated access to and retention in pre-ART care. Objectives: To evaluate the proportion of People Living With HIV (PLWH) in pre-ART and ART care and factors associated with retention in pre-ART and ART care from a community cohort. Methods: A cross sectional survey was conducted from February – April 2011. Self reported HIV positive, negative or participants of unknown status completed a questionnaire on their HIV testing history, access to pre-ART and retention in pre-ART and ART care. Results: 872 randomly selected adults who reported being HIV positive in the ZAMSTAR 2010 prevalence survey were included and revisited. 579 (66%) reconfirmed their positive status and were included in this analysis. 380 (66%) had initiated ART with 357 of these (94%) retained in ART care. 199 (34%) had never initiated ART of whom 186 (93%) accessed pre-ART care, and 86 (43%) were retained in pre-ART care. In a univariable analysis none of the factors analysed were significantly associated with retention in care in the pre-ART group. Due to the high retention in ART care, factors associated with retention in ART care, were not analysed further. Conclusion: Retention in ART care was high; however it was low in pre-ART care. The opportunity exists, if care is better integrated, to engage with clients in primary health care facilities to bring them back to, and retain them in, pre-ART care.en_ZA
dc.description.sponsorshipStellenbosch Universityen_ZA
dc.description.sponsorshipUnited States Agency for International Development (USAID) Cooperative Agreement (TREAT TB – Agreement No. GHN-A-00-08-00004-00).
dc.description.versionPublishers' Versionen_ZA
dc.format.extent6 p. : ill.
dc.identifier.citationDu Toit, E. et al. 2014. Missed Opportunities for Retention in Pre-ART Care in Cape Town, South Africa. PLoS ONE, 9(5): e96867, doi:10.1371/journal.pone.0096867.en_ZA
dc.identifier.issn1932-6203 (online)
dc.identifier.otherdoi:10.1371/journal.pone.0096867
dc.identifier.urihttp://hdl.handle.net/10019.1/86855
dc.language.isoen_ZAen_ZA
dc.publisherPublic Library of Science -- PLoSen_ZA
dc.rights.holderAuthors retain copyrighten_ZA
dc.subjectPre-ART Careen_ZA
dc.subjectHIV infections -- Patients -- Treatment -- Western Capeen_ZA
dc.subjectRetention in pre-ART careen_ZA
dc.subjectHighly active antiretroviral therapyen_ZA
dc.subjectHIV-positive persons -- Diagnosis -- Treatmenten_ZA
dc.titleMissed opportunities for retention in pre-ART care in Cape Town, South Africaen_ZA
dc.typeArticleen_ZA
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