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Home >> Publications >> Patient outcomes in Lubumbashi, Democratic Republic of Congo after a disruption in HIV care due to decreased global fund appropriations.

Publication

Author(s):

Freeman A, Kiumbu M, Mwamba B, Atibu J, Mukumbi H, Mwila L, Cummiskey C, Stolka K, Hemingway-Foday J, Newman JE.

Pub Title:

Patient outcomes in Lubumbashi, Democratic Republic of Congo after a disruption in HIV care due to decreased global fund appropriations.

Pub Date:

Nov 30 2014

Pub Region(s):

Central Africa

Journal:

Title: 
AIDS and Behavior
Link: 
http://link.springer.com/article/10.1007%2Fs10461-014-0761-8

PubMed: 24699713
Pub PDF: PDF icon 24699713.pdf

Abstract
This study examines care seeking behaviors, clinical outcomes, and satisfaction with care of HIV-positive adults in Lubumbashi, DRC, one year after a disruption in care due to decreased global fund appropriations. We describe outcomes before and after the disruption. We compared characteristics of those who completed the survey and those who did not using the Wald F test. Most patients sought care after the disruption and continued antiretroviral therapy (ART), though use of cotrimoxizole prophylaxis declined. Though there was little change in WHO clinical stage at the new site of care, the majority of participants lost weight, adherence decreased, support group participation dropped, and satisfaction with care worsened. Patients were more likely to participate in the study if they were taking ART. This study highlights the importance of provider-patient communication during a transfer and the vulnerability of pre-ART patients to becoming lost to follow-up.
 

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Citation:

Freeman A, Kiumbu M, Mwamba B, Atibu J, Mukumbi H, Mwila L, Cummiskey C, Stolka K, Hemingway-Foday J, Newman JE. Patient outcomes in Lubumbashi, Democratic Republic of Congo after a disruption in HIV care due to decreased global fund appropriations. AIDS Behav. 2014 Nov;18(11):2135-43. doi: 10.1007/s10461-014-0761-8. PubMed PMID: 24699713.