ART Attrition across Health Facilities Implementing Option B+ in Haiti
Background: Describing factors related to high attrition is important in order to improve the implementation of the Option B+ strategy in Haiti. Methods: We conducted a retrospective cohort study to describe the variability of antiretroviral therapy (ART) retention across health facilities among pre...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2018-05-01
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| Series: | Journal of the International Association of Providers of AIDS Care |
| Online Access: | https://doi.org/10.1177/2325958218774037 |
| _version_ | 1818030877368647680 |
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| author | Martine Pamphile Myrtil MD, MPH Nancy Puttkammer MPH, PhD Stephen Gloyd MD, MPH Julia Robinson MSW, MPH Krista Yuhas MS Jean Wysler Domercant MD, MPH Jean Guy Honoré MD Kesner Francois MD |
| author_facet | Martine Pamphile Myrtil MD, MPH Nancy Puttkammer MPH, PhD Stephen Gloyd MD, MPH Julia Robinson MSW, MPH Krista Yuhas MS Jean Wysler Domercant MD, MPH Jean Guy Honoré MD Kesner Francois MD |
| author_sort | Martine Pamphile Myrtil MD, MPH |
| collection | DOAJ |
| description | Background: Describing factors related to high attrition is important in order to improve the implementation of the Option B+ strategy in Haiti. Methods: We conducted a retrospective cohort study to describe the variability of antiretroviral therapy (ART) retention across health facilities among pregnant and lactating women and assess for differences in ART retention between Option B+ clients and other ART patients. Results: There were 1989 Option B+ clients who initiated ART in 45 health facilities. The percentage of attrition varied from 9% to 81% across the facilities. The largest health facilities had 38% higher risk of attrition (relative risk [RR]: 1.38, 95% confidence interval [CI]: 1.08-1.77, P = .009). Private institutions had 18% less risk of attrition (RR: 0.82, 95% CI: 0.70-0.96, P = .020). Health facilities located in the West department and the South region had lower risk of attrition. Conclusion: Being on treatment in a large or public health facility or a facility located in the North region was a significant risk factor associated with high attrition among Option B+ clients. The implementation of the Option B+ strategy must be reevaluated in order to effectively eliminate mother-to-child HIV transmission. |
| first_indexed | 2024-12-10T05:42:34Z |
| format | Article |
| id | doaj.art-817a63a873164f5fb131880b6f80a3e3 |
| institution | Directory Open Access Journal |
| issn | 2325-9582 |
| language | English |
| last_indexed | 2024-12-10T05:42:34Z |
| publishDate | 2018-05-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of the International Association of Providers of AIDS Care |
| spelling | doaj.art-817a63a873164f5fb131880b6f80a3e32022-12-22T02:00:15ZengSAGE PublishingJournal of the International Association of Providers of AIDS Care2325-95822018-05-011710.1177/2325958218774037ART Attrition across Health Facilities Implementing Option B+ in HaitiMartine Pamphile Myrtil MD, MPH0Nancy Puttkammer MPH, PhD1Stephen Gloyd MD, MPH2Julia Robinson MSW, MPH3Krista Yuhas MS4Jean Wysler Domercant MD, MPH5Jean Guy Honoré MD6Kesner Francois MD7 Department of Global Health, University of Washington, Seattle, WA, USA International Training and Education Center for Health (I-TECH), Seattle, WA, USA Health Alliance International (HAI), Seattle, WA, USA Health Alliance International (HAI), Seattle, WA, USA University of Washington Center for AIDS Research, Seattle, WA, USA EQUIP Project, Right to Care, Port au Prince, Haiti International Training and Education Center for Health (I-TECH), Port au Prince, Haiti Ministry of Health of the Government of Haiti, Port au Prince, HaitiBackground: Describing factors related to high attrition is important in order to improve the implementation of the Option B+ strategy in Haiti. Methods: We conducted a retrospective cohort study to describe the variability of antiretroviral therapy (ART) retention across health facilities among pregnant and lactating women and assess for differences in ART retention between Option B+ clients and other ART patients. Results: There were 1989 Option B+ clients who initiated ART in 45 health facilities. The percentage of attrition varied from 9% to 81% across the facilities. The largest health facilities had 38% higher risk of attrition (relative risk [RR]: 1.38, 95% confidence interval [CI]: 1.08-1.77, P = .009). Private institutions had 18% less risk of attrition (RR: 0.82, 95% CI: 0.70-0.96, P = .020). Health facilities located in the West department and the South region had lower risk of attrition. Conclusion: Being on treatment in a large or public health facility or a facility located in the North region was a significant risk factor associated with high attrition among Option B+ clients. The implementation of the Option B+ strategy must be reevaluated in order to effectively eliminate mother-to-child HIV transmission.https://doi.org/10.1177/2325958218774037 |
| spellingShingle | Martine Pamphile Myrtil MD, MPH Nancy Puttkammer MPH, PhD Stephen Gloyd MD, MPH Julia Robinson MSW, MPH Krista Yuhas MS Jean Wysler Domercant MD, MPH Jean Guy Honoré MD Kesner Francois MD ART Attrition across Health Facilities Implementing Option B+ in Haiti Journal of the International Association of Providers of AIDS Care |
| title | ART Attrition across Health Facilities Implementing Option B+ in Haiti |
| title_full | ART Attrition across Health Facilities Implementing Option B+ in Haiti |
| title_fullStr | ART Attrition across Health Facilities Implementing Option B+ in Haiti |
| title_full_unstemmed | ART Attrition across Health Facilities Implementing Option B+ in Haiti |
| title_short | ART Attrition across Health Facilities Implementing Option B+ in Haiti |
| title_sort | art attrition across health facilities implementing option b in haiti |
| url | https://doi.org/10.1177/2325958218774037 |
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