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K. Tayler-Smith, R. Zachariah, M. Manzi, W. Kizito, A. Vandenbulcke, S. Dunkley, D. von Rege, T. Reid, L. Arnould, A. Suleh and A. D. Harries, “Demographic Characteristics and Opportunistic Diseases Associated with Attrition during Preparation for Antiretroviral Therapy in Primary Health Centres in Kibera, Kenya,” Tropical Medicine & International Health, Vol. 16, No. 5, 2011, pp. 579-584. doi:10.1111/j.1365-3156.2011.02740.x

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• TITLE: Retention in HIV Care among Patients Testing Positive for HIV and Ineligible to Start Antiretroviral Therapy

  AUTHORS: Kenneth Anene Agu, Mohammed Alfa Isah, Dorothy Oqua, Rosalyn C. King, Anthony K. Wutoh

  KEYWORDS: Retention; Attrition; HIV Care; Patients; Nigeria

  JOURNAL NAME: World Journal of AIDS, Vol.2 No.4, December 12, 2012

  ABSTRACT: Background: The failure to monitor and link patients from HIV testing to HIV care and retain them in care until they are eligible for ART is a major barrier to early ART initiation. This study evaluated the retention in pre-ART care of HIV-positive patients who are ineligible to start ART in Nigeria. Methods: Out of 1766 ART-ineligible HIV-positive patients enrolled into pre-ART care (during 1st March to 31st December 2007), 1,098 patients were randomly selected for a five-year (ending 30th April 2012) retrospective cohort assessment using routine data in two health facilities. Retention was defined as remaining connected to pre-ART care once entered until ART initiation or transfer-out to continue care elsewhere. Probability of retention was estimated using Kaplan-Meier survival method and log-rank test. Cox proportional hazards model was used for attrition and P P P P = 0.000]. Socio-demographic characteristics, CD4 cells count and WHO clinical stage at pre-ART enrolment were not associated with attrition (P > 0.05). Conclusion: Retention in pre-ART care was somewhat poor. Uptake of CPT significantly improved retention. Majority of attrition occurred in first year of pre-ART care. Close monitoring and tracking of patients during this period is recommended.