Viral load suppression after intensive adherence counselling among adult people living with HIV at Kiswa health centre, Kampala: a retrospective cohort study. Secondary data analysis
Abstract Background The Joint United Nations Programme on HIV/AIDS through the 95-95-95 target requires 95% of people living with HIV (PLHIV) on antiretroviral treatment (ART) to be virally suppressed. Viral Load (VL) non-suppression has been found to be associated with suboptimal ART adherence, and...
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| Format: | Article |
| Language: | English |
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BMC
2023-03-01
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| Series: | AIDS Research and Therapy |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12981-023-00513-3 |
| _version_ | 1797853584313810944 |
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| author | Catherine Nakaye Nelson Mukiza Denis Mawanda Hajira Kataike Hellen Kaganzi Grace Miriam Ahimbisibwe Gerald Bright Businge Raymonds Crespo Kyambadde Rita Nakalega |
| author_facet | Catherine Nakaye Nelson Mukiza Denis Mawanda Hajira Kataike Hellen Kaganzi Grace Miriam Ahimbisibwe Gerald Bright Businge Raymonds Crespo Kyambadde Rita Nakalega |
| author_sort | Catherine Nakaye |
| collection | DOAJ |
| description | Abstract Background The Joint United Nations Programme on HIV/AIDS through the 95-95-95 target requires 95% of people living with HIV (PLHIV) on antiretroviral treatment (ART) to be virally suppressed. Viral Load (VL) non-suppression has been found to be associated with suboptimal ART adherence, and Intensive Adherence Counselling (IAC) has been shown to lead to VL re-suppression by over 70% in PLHIV on ART. Currently, there is data paucity on VL suppression after IAC in adult PLHIV in Uganda. This study aimed to evaluate the proportion of VL suppression after IAC and associated factors among adult PLHIV on ART at Kiswa Health Centre in Kampala, Uganda. Methods Study was a retrospective cohort design and employed secondary data analysis to review routine program data. Medical records of adult PLHIV on ART for at least six months with VL non-suppression from January 2018 to June 2020 at Kiswa HIV clinic were examined in May 2021. Descriptive statistics were applied to determine sample characteristics and study outcome proportions. Multivariable modified Poisson regression analysis was employed to assess predictors of VL suppression after IAC. Results Analysis included 323 study participants of whom 204 (63.2%) were female, 137 (42.4%) were between the age of 30 and 39 years; and median age was 35 years (interquartile range [IQR] 29–42). Participant linkage to IAC was 100%. Participants who received the first IAC session within 30 days or less after unsuppressed VL result were 48.6% (157/323). Participants who received recommended three or more IAC sessions and achieved VL suppression were 66.4% (202/304). The percentage of participants who completed three IAC sessions in recommended 12 weeks was 34%. Receipt of three IAC sessions (ARR = 1.33, 95%CI: 1.15–1.53, p < 0.001), having baseline VL of 1,000–4,999 copies/ml (ARR = 1.47, 95%CI: 1.25–1.73, p < 0.001) and taking Dolutegravir containing ART regimen were factors significantly associated with VL suppression after IAC. Conclusion VL suppression proportion of 66.4% after IAC in this population was comparable to 70%, the percentage over which adherence interventions have been shown to cause VL re-suppression. However, timely IAC intervention is needed from receipt of unsuppressed VL results to IAC process completion. |
| first_indexed | 2024-04-09T19:51:54Z |
| format | Article |
| id | doaj.art-6452b53ac59b44588ed6920100cac2dc |
| institution | Directory Open Access Journal |
| issn | 1742-6405 |
| language | English |
| last_indexed | 2024-04-09T19:51:54Z |
| publishDate | 2023-03-01 |
| publisher | BMC |
| record_format | Article |
| series | AIDS Research and Therapy |
| spelling | doaj.art-6452b53ac59b44588ed6920100cac2dc2023-04-03T05:41:27ZengBMCAIDS Research and Therapy1742-64052023-03-0120111110.1186/s12981-023-00513-3Viral load suppression after intensive adherence counselling among adult people living with HIV at Kiswa health centre, Kampala: a retrospective cohort study. Secondary data analysisCatherine Nakaye0Nelson Mukiza1Denis Mawanda2Hajira Kataike3Hellen Kaganzi4Grace Miriam Ahimbisibwe5Gerald Bright Businge6Raymonds Crespo Kyambadde7Rita Nakalega8Makerere University-Johns Hopkins University (MU-JHU) Research Collaboration KampalaRineCynth Advisory LimitedRineCynth Advisory LimitedMakerere University-Johns Hopkins University (MU-JHU) Research Collaboration KampalaMakerere University-Johns Hopkins University (MU-JHU) Research Collaboration KampalaMakerere University-Johns Hopkins University (MU-JHU) Research Collaboration KampalaMakerere University-Johns Hopkins University (MU-JHU) Research Collaboration KampalaMakerere University-Johns Hopkins University (MU-JHU) Research Collaboration KampalaMakerere University-Johns Hopkins University (MU-JHU) Research Collaboration KampalaAbstract Background The Joint United Nations Programme on HIV/AIDS through the 95-95-95 target requires 95% of people living with HIV (PLHIV) on antiretroviral treatment (ART) to be virally suppressed. Viral Load (VL) non-suppression has been found to be associated with suboptimal ART adherence, and Intensive Adherence Counselling (IAC) has been shown to lead to VL re-suppression by over 70% in PLHIV on ART. Currently, there is data paucity on VL suppression after IAC in adult PLHIV in Uganda. This study aimed to evaluate the proportion of VL suppression after IAC and associated factors among adult PLHIV on ART at Kiswa Health Centre in Kampala, Uganda. Methods Study was a retrospective cohort design and employed secondary data analysis to review routine program data. Medical records of adult PLHIV on ART for at least six months with VL non-suppression from January 2018 to June 2020 at Kiswa HIV clinic were examined in May 2021. Descriptive statistics were applied to determine sample characteristics and study outcome proportions. Multivariable modified Poisson regression analysis was employed to assess predictors of VL suppression after IAC. Results Analysis included 323 study participants of whom 204 (63.2%) were female, 137 (42.4%) were between the age of 30 and 39 years; and median age was 35 years (interquartile range [IQR] 29–42). Participant linkage to IAC was 100%. Participants who received the first IAC session within 30 days or less after unsuppressed VL result were 48.6% (157/323). Participants who received recommended three or more IAC sessions and achieved VL suppression were 66.4% (202/304). The percentage of participants who completed three IAC sessions in recommended 12 weeks was 34%. Receipt of three IAC sessions (ARR = 1.33, 95%CI: 1.15–1.53, p < 0.001), having baseline VL of 1,000–4,999 copies/ml (ARR = 1.47, 95%CI: 1.25–1.73, p < 0.001) and taking Dolutegravir containing ART regimen were factors significantly associated with VL suppression after IAC. Conclusion VL suppression proportion of 66.4% after IAC in this population was comparable to 70%, the percentage over which adherence interventions have been shown to cause VL re-suppression. However, timely IAC intervention is needed from receipt of unsuppressed VL results to IAC process completion.https://doi.org/10.1186/s12981-023-00513-3Viral suppressionIntensive Adherence CounsellingARTHIVUganda |
| spellingShingle | Catherine Nakaye Nelson Mukiza Denis Mawanda Hajira Kataike Hellen Kaganzi Grace Miriam Ahimbisibwe Gerald Bright Businge Raymonds Crespo Kyambadde Rita Nakalega Viral load suppression after intensive adherence counselling among adult people living with HIV at Kiswa health centre, Kampala: a retrospective cohort study. Secondary data analysis AIDS Research and Therapy Viral suppression Intensive Adherence Counselling ART HIV Uganda |
| title | Viral load suppression after intensive adherence counselling among adult people living with HIV at Kiswa health centre, Kampala: a retrospective cohort study. Secondary data analysis |
| title_full | Viral load suppression after intensive adherence counselling among adult people living with HIV at Kiswa health centre, Kampala: a retrospective cohort study. Secondary data analysis |
| title_fullStr | Viral load suppression after intensive adherence counselling among adult people living with HIV at Kiswa health centre, Kampala: a retrospective cohort study. Secondary data analysis |
| title_full_unstemmed | Viral load suppression after intensive adherence counselling among adult people living with HIV at Kiswa health centre, Kampala: a retrospective cohort study. Secondary data analysis |
| title_short | Viral load suppression after intensive adherence counselling among adult people living with HIV at Kiswa health centre, Kampala: a retrospective cohort study. Secondary data analysis |
| title_sort | viral load suppression after intensive adherence counselling among adult people living with hiv at kiswa health centre kampala a retrospective cohort study secondary data analysis |
| topic | Viral suppression Intensive Adherence Counselling ART HIV Uganda |
| url | https://doi.org/10.1186/s12981-023-00513-3 |
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