Twelve months antiretroviral therapy retention among clients newly enrolled to care and treatment services in Geita region, Tanzania: does universal test and treat matter?

Rachel Masuke, Yohane Kihaga, Michael Mashala, Saimon Ndalio, Omari Sukari, Onna Panga
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Abstract

Introduction: sustaining high rates of retention is critical for management of HIV clients, newly initiated antiretroviral therapy (ART). In low resource settings including Tanzania, retention among clients on ART was challenging due to inaccessible infrastructure, gender-based violence, inadequate skilled staff and socio-economic disparities. Low retention leads to increased morbidity and mortality. Tanzania adopted universal test and treat (UTT) strategy in mid of 2016 as recommended by Joint United Nations Program on HIV/AIDS (UNAID) that set goals for HIV epidemic control globally. Studies demonstrated controversial findings on whether UTT strategy improves retention, until now there is limited information on the effect of UTT on retaining HIV patients in our settings.
在坦桑尼亚盖塔地区新登记参加护理和治疗服务的客户中,抗逆转录病毒治疗维持12个月:普遍检测和治疗重要吗?
导言:维持较高的保留率对于管理艾滋病毒客户,新开始的抗逆转录病毒治疗(ART)至关重要。在包括坦桑尼亚在内的资源匮乏环境中,由于缺乏基础设施、基于性别的暴力、缺乏熟练的工作人员和社会经济差距,在抗逆转录病毒治疗的客户中保持下去是一项挑战。低潴留导致发病率和死亡率增加。根据联合国艾滋病毒/艾滋病联合规划署(UNAID)的建议,坦桑尼亚于2016年年中采用了普遍检测和治疗(UTT)战略,该战略为全球艾滋病毒流行控制设定了目标。研究表明,关于UTT策略是否能提高HIV患者滞留率的研究结果存在争议,迄今为止,关于UTT对我们的环境中HIV患者滞留率的影响的信息有限。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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