TITLE:
Transfer out Patients Receiving Antiretroviral Therapy from Programme Clinic: A Potential “Leak” in the HIV Treatment Cascade
AUTHORS:
Manisha Ghate, Sunil Zirpe, Nilam Gurav, Ramesh Paranjape, Bharat Rewari, Raman Gangakhedkar
KEYWORDS:
HIV, AIDS, Transfer out, ART Centre
JOURNAL NAME:
World Journal of AIDS,
Vol.4 No.4,
November
14,
2014
ABSTRACT: Background: India has
scaled up ART programme very rapidly. Though there are reports on retention of
patients in the national programme, data on transfer out patients within the
ART centers are scanty in India. Methods: This is a retrospective study of
patients receiving antiretroviral treatment between January 2006 and July 2013.
The patients who were transferred out from the ART center at National AIDS
Research Institute in Pune were included in the study. The data on whether they
reached the respective ART centers were collected either by making telephonic
calls to the patients and/or to
the respective ART centers. Results: Of the total 3015 patients ever started on treatment from the ART
center, 158 (5.24%) were transferred out to other ART centers. Of these, 123
(77.8%) patients reached other centres and they were “transferred in”. However,
15 (9.5%) did not reach to respective ART centers and information could not be
obtained for 20 (12.7%) transferred out patients. The analysis showed that
those who were not living with their partners were 4.53 times more likely to
not to reach the preferred ART centre after taking transfer [OR, 95% CI: (1.24
- 16.51), p = 0.022]. Conclusion: Our data suggest that significant number of
transfer out patients is lost in HIV treatment cascade. Considering the total
PLHIV on treatment in the country, this group adds significantly to the burden
of lost to follow up patients. It is important to strengthen the system of
tracking the transfer out patients in the programme which will help in patching
an important leak in the cascade of HIV care.