Tipping the balance towards long-term retention in the HIV care cascade : a mixed methods study in southern Mozambique

Simple item page
dc.contributor.authorFuente-Soro, Lauraen_ZA
dc.contributor.authorIniesta, Carlosen_ZA
dc.contributor.authorLópez-Varela, Elisaen_ZA
dc.contributor.authorCuna, Mauroen_ZA
dc.contributor.authorGuilaze, Ruien_ZA
dc.contributor.authorMaixenchs, Mariaen_ZA
dc.contributor.authorBernardo, Edson Luisen_ZA
dc.contributor.authorAugusto, Orvalhoen_ZA
dc.contributor.authorGonzalez, Raquelen_ZA
dc.contributor.authorCouto, Alenyen_ZA
dc.contributor.authorMunguambe, Khatiaen_ZA
dc.contributor.authorNaniche, Deniseen_ZA
dc.date.accessioned2021-10-25T07:38:25Z
dc.date.available2021-10-25T07:38:25Z
dc.date.issued2019-09-27
dc.descriptionCITATION: Fuente-Soro, L. et al. 2019. Tipping the balance towards long-term retention in the HIV care cascade: A mixed methods study in southern Mozambique. PLoS ONE, 14(9). doi:10.1371/journal.pone.0222028
dc.descriptionThe original publication is available at https://journals.plos.org/plosone/
dc.description.abstractBackground: The implementation of quality HIV control programs is crucial for the achievement of the UNAIDS 90-90-90 targets and to motivate people living with HIV (PLWHIV) to link and remain in HIV-care. The aim of this mixed method cross-sectional study was to estimate the linkage and long-term retention in care of PLWHIV and to identify factors potentially interfering along the HIV-care continuum in southern Mozambique. Methods: A home-based semi-structured interview was conducted in 2015 to explore barriers and facilitators to the HIV-care cascade among individuals that had been newly HIV-diagnosed in community testing campaigns in 2010 or 2012. Linkage and long-term retention were estimated retrospectively through client self-reports and clinical records. Cohen's Kappa coefficient was calculated to measure the agreement between participant self-reported and documented cascade outcomes. Results: Among the 112 interviewed participants, 24 (21.4%) did not disclose their HIV-positive serostatus to the interviewer. While 84 (75.0%) self-reported having enrolled in care, only 69 (61.6%) reported still being in-care 3–5 years after diagnosis of which 17.4% reported having disengaged and re-engaged. An important factor affecting optimal continuum in HIV-care was the impact of the fear-based authoritarian relationship between the health system and the patient that could act as both driver and barrier. Conclusion: Special attention should be given to quantify and understand repeated cycles of patient disengagement and re-engagement in HIV-care. Strategies to improve the relationship between the health system and patients are still needed in order to optimally engage PLWHIV for long-term periods.en_ZA
dc.description.urihttps://journals.plos.org/plosone/article?id=10.1371/journal.pone.0222028
dc.description.versionPublisher's version
dc.format.extent16 pages
dc.identifier.citationFuente-Soro, L. et al. 2019. Tipping the balance towards long-term retention in the HIV care cascade: A mixed methods study in southern Mozambique. PLoS ONE, 14(9). doi:10.1371/journal.pone.0222028
dc.identifier.issn1932-6203 (online)
dc.identifier.otherdoi:10.1371/journal.pone.0222028
dc.identifier.urihttp://hdl.handle.net/10019.1/123293
dc.language.isoen_ZAen_ZA
dc.publisherPublic Library of Science
dc.rights.holderAuthors retain rights
dc.subject.lcshHIV-positive persons -- Mozambiqueen_ZA
dc.subject.lcshAntiretroviral agents -- Mozambiqueen_ZA
dc.subject.lcshAntiretroviral agents -- Mozambiqueen_ZA
dc.titleTipping the balance towards long-term retention in the HIV care cascade : a mixed methods study in southern Mozambiqueen_ZA
dc.typeArticleen_ZA
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
tipping_fuentesoro_2019.pdf
Size:
865.54 KB
Format:
Adobe Portable Document Format
Description:
Download article
Download
License bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
license.txt
Size:
1.71 KB
Format:
Item-specific license agreed upon to submission
Description:
Download
Collections
Research Articles (Africa Centre for HIV/AIDS Management)