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Association Of Adherence Support And Outreach Services With Total Attrition, Loss To Follow-Up, And Death Among Art Patients In Sub-Saharan Africa, Matthew R. Lamb, Wafaa M. El-Sadr, Elvin Geng, Denis Nash
Association Of Adherence Support And Outreach Services With Total Attrition, Loss To Follow-Up, And Death Among Art Patients In Sub-Saharan Africa, Matthew R. Lamb, Wafaa M. El-Sadr, Elvin Geng, Denis Nash
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Background Loss to follow-up (LTF) after antiretroviral therapy (ART) initiation is common in HIV clinics. We examined the effect of availability of adherence support and active patient outreach services on patient attrition following ART initiation. Methods and Findings This ecologic study examined clinic attrition rates (total attrition, LTF, and death) among 232,389 patients initiating ART at 349 clinics during 2004–2008 in 10 sub-Saharan African countries, and cohort attrition (proportion retained at 6 and 12 months after ART initiation) among a subset of patients with follow-up information (n = 83,389). Log-linear regression compared mean rates of attrition, LTF, and death between …