Outcomes of patients on second‐ and third‐line ART enrolled in ART adherence clubs in Maputo, Mozambique

• Published in: Tropical medicine & international health 2020-12, Vol.25 (12), p.1496-1502
• Main Authors: Finci, I., Flores, A., Gutierrez Zamudio, A. G., Matsinhe, A., Abreu, E., Issufo, S., Gaspar, I., Ciglenecki, I., Molfino, L.
• Format: Article
• Language: English
• Subjects: adherence clubs; Adult; Anti-Retroviral Agents - therapeutic use; Antiretroviral agents; Antiretroviral drugs; Antiretroviral therapy; differentiated care; Female; Hazard assessment; Health care facilities; Health facilities; HIV; HIV care continuum; HIV Infections - drug therapy; HIV Infections - mortality; HIV Infections - virology; Human immunodeficiency virus; Humans; Lost to Follow-Up; Male; Medication Adherence; Middle Aged; Mozambique - epidemiology; Original; Original Research Papers; Patient compliance; Patients; Proportional Hazards Models; Regression analysis; Retention; Retrospective Studies; second‐ and third‐line ART patients; Treatment Failure; Viral Load; VL suppression
• ISSN: 1360-2276; 1365-3156
• DOI: 10.1111/tmi.13490

Objectives Adherence clubs (AC) offer patient‐centred access to antiretroviral therapy (ART) while reducing the burden on health facilities. AC were implemented in a health centre in Mozambique specialising in patients with a history of HIV treatment failure. We explored the impact of AC on retention in care and VL suppression of these patients. Methods We performed a retrospective analysis of patients enrolled in AC receiving second‐ or third‐line ART. The Kaplan–Meier estimates were used to analyse retention in care in health facility, retention in AC and viral load (VL) suppression (VL