Skip Ribbon Commands
Skip to main content

Title

Understanding the Time Needed to Link to Care and Start ART in Seven HPTN 071 (PopART) Study Communities in Zambia and South Africa.

Authors

J Seeley, V Bond, B Yang, et al

Network Affiliation

Other

Organization

 

Journal Name

 

Publication Date

11/10/2018

PubMed Search

https://www.ncbi.nlm.nih.gov/pubmed/?term=30415432

Link to full-text

 

PMID

30415432

Abstract

​To achieve UNAIDS 90:90:90 targets at population-level, knowledge of HIV status must be followed by timely linkage to care, initiation and maintenance of antiretroviral therapy (ART) for all people living with HIV (PLHIV). Interpreting quantitative patterns using qualitative data, we investigate time taken to link to care and initiate ART amongst individuals aware of their HIV-status in high HIV-prevalence urban communities in the HPTN 071 (PopART) study, a community-randomised trial of a combination HIV prevention package, including universal testing and treatment, in 21 communities in Zambia and South Africa. Data are drawn from the seven intervention communities where immediate ART irrespective if CD4 count was offered from the trial-start in 2014. Median time from HIV-diagnosis to ART initiation reduced after 2 years of delivering the intervention from 10 to 6 months in both countries but varied by gender and community of residence. Social and health system realities impact decisions made by PLHIV about ART initiation.

Keywords

 

Topic

Adherence; Behavior

Attachments

Created at 11/19/2018 1:46 PM by Davis, Gregory P
Last modified at 11/19/2018 1:46 PM by Davis, Gregory P