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[e-drug] Review of interventions to reduce loss to follow-up from ART


  • From: "Gesine Meyer-Rath" <Gesine.Meyer-Rath@lshtm.ac.uk>
  • Date: Mon, 03 Sep 2007 11:06:16 +0100

E-DRUG: Review of interventions to reduce loss to follow-up from ART
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Dear e-druggers,

The last issue of HIV & AIDS Treatment in Practice contains a very good review of the problem of loss to follow-up from ART clinics in South Africa and elsewhere, as well as interventions to counter the problem- both in terms of tracing and bringing back defaulters, and preventing defaulting in the first place.

With more and more clinics reporting between 20% and 30% loss to follow-up during a very fast paced public-sector ART roll-out, these interventions start to take centre stage in any attempt at successful ART provision.

Table of contents copied below. The full article can be accessed at http://www.nam.org.uk/cms1234974.asp.

regards

Dr Gesine Meyer-Rath
Health Policy Unit
London School of Hygiene and Tropical Medicine
UK
Gesine.Meyer-Rath@lshtm.ac.uk

HIV Management Cluster
Reproductive Health and HIV Research Unit
University of the Witwatersrand
South Africa

A follow-up on follow-up: shifting to a community-based response to improve retention in care

By Theo Smart, HATIP/ AIDSMAP [copied as fair use]

1. Introduction: why we have returned to the subject of loss to follow-up
2. Patient retention difficulties for South Africaâs public sector
3. Reasons for defaulting
4. Less loss to follow-up at primary health care sites
5. Making better use of smaller primary care clinics, general practitioners and nurses
6. Nurse prescribers!
7. Systems for defaulter tracing
8. Integrating people with HIV and the community into the clinical team
9. The gulf between the formal medical establishment and the community

References