Comparison on treatment outcomes of patients enrolled on anti-retroviral therapy at different levels of the health-care system in a high HIV/AIDS setting.

Mashalla, Yohana J.

Comparison on treatment outcomes of patients enrolled on anti-retroviral therapy at different levels of the health-care system in a high HIV/AIDS setting.

dc.contributor.author	Mashalla, Yohana J.
dc.date.accessioned	2024-01-23T10:01:35Z
dc.date.available	2024-01-23T10:01:35Z
dc.date.issued	2023-01-01
dc.description.abstract	HIV/AIDS prevalence in Botswana is amongst the highest in the world and remains a significant public health problem. however, the introduction of anti-retroviral therapy (ART) lead to a significant reduction in morbidity and mortality. Decentralization of anti-retroviral therapy has improved access to treatment for people living with HIV. Treatment outcomes for patient initiated on treatment at different levels of care is unknown and this study seeks to compare treatment outcomes of patients enrolled on ART at different levels of the health care. This is a retrospective cross-sectional study that included review of data from January 2017 to December 2018. The study was conducted in 2 health districts in the country. Nine hundred and sixty (960) patient's record were included in analysis. More than half (63%) of patients were enrolled at primary care level while 37% were at tertiary level. Sixty one percent (n = 587) were female while 39% (n = 373) were males. There were no statistically significant differences in viral load suppression after 12 months of treatment between patients enrolled at tertiary level and primary care level, x2 = 0.75, p value = 0.56. Time to initiation was longer at tertiary (median = 126) compared to primary are level (median = 18), p < 0.001. We reccommend further decentralization of ART services to lower levels of the health care system to initiate PLWHIV early on treatment and improve their health outcomes and reduce transmission through treatment by prevention.	en_US
dc.identifier.citation	Moali, B., Tlale, L.B., Nkomo, B., Otieno, M., Sirili, N., Nsoh, M., Mgasa, A., Ngum-Busi, A., Taylor, K., Majingo, N. and Seloilwe, E., 2023. Comparison on treatment outcomes of patients enrolled on anti-retroviral therapy at different levels of the health-care system in a high HIV/AIDS setting. AIDS reviews, 25(4), pp.173-178.	en_US
dc.identifier.other	https://doi.org/10.24875/aidsrev.23000016
dc.identifier.uri	http://hdl.handle.net/123456789/1277
dc.language.iso	en	en_US
dc.publisher	Europe PMC	en_US
dc.subject	HIV/AIDS	en_US
dc.subject	ARV therapy	en_US
dc.subject	Botswana	en_US
dc.title	Comparison on treatment outcomes of patients enrolled on anti-retroviral therapy at different levels of the health-care system in a high HIV/AIDS setting.	en_US
dc.type	Article	en_US