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  • Community-led interventions to re-engage people living with HIV into care in Pakistan / Shaimaa Elsfoury;Bridget Mugisa;Muhammad S. Pasha;Asghar Satti;Omer Haider;Uzair Tariq;Ahmed S. Alaama;Muhammad S. Jamil;Yvan Hutin;Joumana Hermez
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Community-led interventions to re-engage people living with HIV into care in Pakistan / Shaimaa Elsfoury;Bridget Mugisa;Muhammad S. Pasha;Asghar Satti;Omer Haider;Uzair Tariq;Ahmed S. Alaama;Muhammad S. Jamil;Yvan Hutin;Joumana Hermez

Tác giả : Shaimaa Elsfoury;Bridget Mugisa;Muhammad S. Pasha;Asghar Satti;Omer Haider;Uzair Tariq;Ahmed S. Alaama;Muhammad S. Jamil;Yvan Hutin;Joumana Hermez

Nhà xuất bản : World Health Organization. Regional Office for the Eastern Mediterranean

Năm xuất bản : 2024

Chủ đề : 1. Communicable Diseases. 2. HIV Infections -- epidemiology. 3. Lost to Follow-Up -- therapy. 4. Pakistan. 5. Journal / periodical articles.

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Background:By 2021, Pakistan had an estimated 210 000 people living with HIV (PLHIV), and 27% of those initiated into treatment in 2020 had disengaged from care within one year.Aim:We assessed the effectiveness of an intervention to re-engage PLHIV lost to follow-up into care in Pakistan.Methods:Between September 2020 and May 2021, the Association of People Living with HIV (APLHIV) implemented a search and rescue intervention for PLHIV lost to follow-up in 2 large treatment centres in Pakistan. The centre staff reviewed records to identify those not in care for > 6 months and from September 2020 to May 2021, the APLHIV tracked them through telephone calls and home visits to re-engage them into care. We used SAS version 9.4 to analyse the data and univariate logistic regression to identify factors associated with disengagement and becoming untraceable.Results:Among the 4184 PLHIV registered (74% male), 36% (1517) (83.9% male, 15.4% female, 0.7% transgender) had disengaged from care. APLHIV members tracked 696 (46%) of them; 295 (42%) were deceased and 325 (47%) were reengaged into care. Reasons for disengagement were long distance from the ART centre or lack of resources (45%), injecting drug use (19%), adverse effects of antiretroviral therapy (9%), disinformation (9%), no male family member to accompany them to treatment centre after the death of husband (3%), and no reason given (15%). Injecting drug users and males were more likely to be lost to follow-up, and males were more likely to be untraceable.Conclusion:This community-led intervention successfully re-engaged many PLHIV into care. The community-led reengagement intervention should be upscaled to reduce loss to care and follow-up in Pakistan, especially among injecting drug users and male PLHIV.
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https://iris.who.int/handle/10665/380000