Original Research
Factors associated with retention in HIV care at Sediba Hope Medical Centre
Submitted: 09 January 2015 | Published: 01 July 2015
About the author(s)
Nishana Ramdas, Department of Pharmacy, Sefako Makgatho Health Sciences University, South Africa; Foundation for Professional Development, Pretoria, South AfricaJohanna C. Meyer, Department of Pharmacy, Sefako Makgatho Health Sciences University, South Africa
David Cameron, Foundation for Professional Development, Pretoria, South Africa; Department of Family Medicine, University of Pretoria, South Africa
Abstract
Background: Lost to follow-up (LTFU) is a major challenge that hinders the success of antiretroviral treatment (ART).
Objective: To identify factors conducted to a low LTFU rate.
Methods: We conducted a two-part descriptive and quantitative study. Part 1 comprised interviews with clinic staff to determine their perspectives on LTFU and to establish the clinic’s follow-up procedures for patients on ART. Part 2 of the study was a retrospective review of clinic and patient records. LTFU patients were identified and those with contact details were contacted for telephonic interview to determine if they were still on ART and/or their reasons for becoming LTFU.
Results: A low LTFU rate (7.9%; N = 683) was identified. Work-related stress, and lack of transport and funds were reported reasons for LTFU. Monthly visits, non-adherent defaulters and LTFU patients were tracked by an electronic system (SOZO). Factors contributing to high rates of retention in care were: location of the clinic in the inner city, thus in close proximity to patients’ homes or work; clinic operating on Saturdays, which was convenient for patients who could not attend during the week; an appointment/booking system that was in place and strictly adhered to; a reminder SMS being sent out the day before an appointment; individual counselling sessions at each visit and referrals where necessary; and a stable staff complement and support group at the clinic.
Conclusion: Achieving a low LTFU rate is possible by having a patient-centred approach and monitoring systems in place.
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Crossref Citations
1. Where is the evidence? The use of routinely-collected patient data to retain adults on antiretroviral treatment in low and middle income countries–a state of the evidence review
Nena do Nascimento, Catherine Barker, Isabel Brodsky
AIDS Care vol: 30 issue: 3 first page: 267 year: 2018
doi: 10.1080/09540121.2017.1381330