Reengagement of HIV-infected children lost to follow-up after active mobile phone tracing in a rural area of Mozambique.
Adult
Ambulatory Care Facilities
Anti-HIV Agents
/ therapeutic use
Cell Phone
Child
Child, Preschool
Delivery of Health Care
/ organization & administration
Female
Follow-Up Studies
HIV Infections
/ drug therapy
Humans
Infant
Lost to Follow-Up
Male
Mozambique
Program Evaluation
Retention in Care
/ statistics & numerical data
Risk Factors
Treatment Outcome
HIV children
lost to follow-up
reengagement in care
retention in HIV care
sub-Saharan Africa
tracing
Journal
Journal of tropical pediatrics
ISSN: 1465-3664
Titre abrégé: J Trop Pediatr
Pays: England
ID NLM: 8010948
Informations de publication
Date de publication:
01 06 2019
01 06 2019
Historique:
pubmed:
14
8
2018
medline:
2
4
2020
entrez:
14
8
2018
Statut:
ppublish
Résumé
Retention in care and reengagement of lost to follow-up (LTFU) patients are priority challenges in pediatric HIV care. We aimed to assess whether a telephone-call active tracing program facilitated reengagement in care (RIC) in the Manhiça District Hospital, Mozambique. Telephone tracing of LTFU children was performed from July 2016 to March 2017. Both ART (antiretroviral treatment) and preART patients were included in this study. LTFU was defined as not attending the clinic for ≥120 days after last attended visit. Reengagement was determined 3 months after an attempt to contact. A total of 144 children initially identified as LTFU entered the active tracing program and 37 were reached by means of telephone tracing. RIC was 57% (95% CI, 39-72%) among children who could be reached versus 18% (95% CI, 11-26%) of those who could not be reached (p = 0.001). Telephone tracing could be an effective tool for facilitating reengagement in pediatric HIV care. However, the difficulty of reaching patients is an obstacle that can undermine the program.
Identifiants
pubmed: 30101345
pii: 5067653
doi: 10.1093/tropej/fmy041
doi:
Substances chimiques
Anti-HIV Agents
0
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
240-248Informations de copyright
© The Author(s) [2018]. Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oup.com.