Effect of community treatment initiative on antiretroviral therapy uptake among linkage-resistant people living with HIV in Northern Nigeria

Katbi, Moses; Adegboye, Adeoye; Bello, Maryam; Gumel, Aliyu Gambo; Adefisayo, Adedoyin; Yunusa, Fadimatu; Kayode, Gbenga A; Yusuf, Oche Baba; Anjorin, Atinuke; Abone, Chizoba Geraldine; Ukaere, Amalachukwu; Ekong, Ernest; Mensah, Charles; Dakum, Patrick

doi:10.1016/j.ijid.2019.08.014

Cited by 4 publications

(20 citation statements)

References 18 publications

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“…ART initiation can be improved through a variety of mechanisms, including peer support to adolescents [ 36 , 37 ]; integration of ART with antenatal and family care services [ 38 , 39 •• ]; health services strengthening, community outreach and linkage to facilities [ 15 •• , 23 , 85 ]; and provision of point-of-care services [ 21 , 24 ]. These interventions, however, were not universally successful, and impact varied by context and/or study methods [ 17 , 20 , 30 , 31 ].…”

Section: Discussionmentioning

confidence: 99%

“…These interventions, however, were not universally successful, and impact varied by context and/or study methods [ 17 , 20 , 30 , 31 ]. For general adult populations, linking PLHIV to care as they receive their diagnosis either by actively facilitating first appointments at an HIV care facility or by providing fast and simplified treatment services such as point-of-care blood tests with rapid ART initiation has been shown to improve uptake of ART [ 15 •• , 21 , 23 ]. Future research should explore how to implement and scale successful programs in real-world settings.…”

Section: Discussionmentioning

confidence: 99%

“…In Nigeria, the Community Treatment Initiative started PLHIV (who had previously refused ART) on treatment in the community. Seventy percent of this population initiated ART through the community treatment initiative, 88% (p < 0.0001) of those were retained in care at 6 months, and 78% of those retained in care achieved viral suppression (p < 0.0001) [23].…”

Section: General Adult Populationsmentioning

confidence: 99%

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A Cascade of Interventions to Promote Adherence to Antiretroviral Therapy in African Countries

et al. 2020

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Purpose of Review We reviewed interventions to improve uptake and adherence to antiretroviral therapy (ART) in African countries in the Treat All era. Recent Findings ART initiation can be improved by facilitated rapid receipt of first prescription, including community-based linkage and point-of-care strategies, integration of HIV care into antenatal care and peer support for adolescents. For people living with HIV (PLHIV) on ART, scheduled SMS reminders, ongoing intensive counselling for those with viral non-suppression and economic incentives for the most deprived show promise. Adherence clubs should be promoted, being no less effective than facility-based care for stable patients. Tracing those lost to follow-up should be targeted to those who can be seen face-to-face by a peer worker. Summary Investment is needed to promote linkage to initiating ART and for differentiated approaches to counselling for youth and for those with identified suboptimal adherence. More evidence from within Africa is needed on cost-effective strategies to identify and support PLHIV at an increased risk of non-adherence across the treatment cascade.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: General Adult Populationsmentioning

confidence: 99%

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A Cascade of Interventions to Promote Adherence to Antiretroviral Therapy in African Countries

et al. 2020

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“…Moreover, several studies have shown that initiating and continuing ART in the community had increased rates of retention and HIV viral suppression for PLHIV when compared to facility-based care [28][29][30]. Similarly, within the Nigerian context, community-based ART initiation has proven to be effective with community ART initiation being associated with improved linkage and retention in care and significant viral suppression in patients, when compared with referral to facility-based for care [31].…”

Section: Testingmentioning

confidence: 99%

The Intersection of Two Pandemics: Elucidating the Impact of COVID-19 Restrictions on HIV Services among Key Populations in Northeast Nigeria

Katbi¹,

Bello²,

Adeoye³

et al. 2022

Int J Virol AIDS

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Background:The global impact of COVID-19 continues to affect all sectors, especially the healthcare sector.Settings: This retrospective study was conducted using data generated from routine program implementation in low and middle income setting across 2 north eastern states of Nigeria in sub-Saharan Africa.Methods: A retrospective analysis was conducted to assess the impact of COVID-19 on access to HIV services in Northeast Nigeria. We assessed data from four periods: pre-COVID (November 2019-March 2020), COVID lockdown (April-May 2020), COVID restrictions (June-July 2020), and COVID relaxed restrictions (August -September 2020).Results: Analysis revealed a reduction in HIV service outcome during the COVID lockdown. Of the 602 new HIV cases identified in that period, only 413 were linked to care, signifying a 68.8% ART uptake rate compared to 93% in the pre-COVID period.Conclusions: Strategic measures are needed to ensure continued HIV service delivery care for key populations to counter subsequent effects of the pandemic.

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“…To help achieve 95-95-95, the World Health Organization (WHO) recommends implementing several effective community-based HIV testing and ART linkage services [4][5][6]. PLHIV diagnosed in community settings who often are not seeking care when tested 2 of 9 are particularly vulnerable to barriers to care, and relatively few initiate ART in healthcare facilities soon after diagnosis when provided with a referral as the only linkage service [7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Community-Based, Mobile HIV-Care, Peer-Delivered Linkage Case Management in Manzini Region, Eswatini

Suraratdecha

MacKellar

Hlophe

et al. 2022

IJERPH

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The success of antiretroviral therapy (ART) requires continuous engagement in care and optimal levels of adherence to achieve sustained HIV viral suppression. We evaluated HIV-care cascade costs and outcomes of a community-based, mobile HIV-care, peer-delivered linkage case-management program (CommLink) implemented in Manzini region, Eswatini. Abstraction teams visited referral facilities during July 2019–April 2020 to locate, match, and abstract the clinical data of CommLink clients diagnosed between March 2016 and March 2018. An ingredients-based costing approach was used to assess economic costs associated with CommLink. The estimated total CommLink costs were $2 million. Personnel costs were the dominant component, followed by travel, commodities and supplies, and training. Costs per client tested positive were $499. Costs per client initiated on ART within 7, 30, and 90 days of diagnosis were $2114, $1634, and $1480, respectively. Costs per client initiated and retained on ART 6, 12, and 18 months after diagnosis were $2343, $2378, and $2462, respectively. CommLink outcomes and costs can help inform community-based HIV testing, linkage, and retention programs in other settings to strengthen effectiveness and improve efficiency.

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Effect of community treatment initiative on antiretroviral therapy uptake among linkage-resistant people living with HIV in Northern Nigeria

Cited by 4 publications

References 18 publications

A Cascade of Interventions to Promote Adherence to Antiretroviral Therapy in African Countries

A Cascade of Interventions to Promote Adherence to Antiretroviral Therapy in African Countries

The Intersection of Two Pandemics: Elucidating the Impact of COVID-19 Restrictions on HIV Services among Key Populations in Northeast Nigeria

Evaluation of Community-Based, Mobile HIV-Care, Peer-Delivered Linkage Case Management in Manzini Region, Eswatini

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