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Trends in loss to follow-up among migrant workers on antiretroviral therapy in a community cohort in Lesotho.

By Helen Bygrave, Katharina Kranzer, Katherine Hilderbrand, Jonathan Whittall, Guillaume Jouquet, Eric Goemaere, Nathalie Vlahakis, Laura Triviño, Lipontso Makakole and Nathan Ford

Abstract

BACKGROUND: The provision of antiretroviral therapy (ART) to migrant populations raises particular challenges with respect to ensuring adequate treatment support, adherence, and retention in care. We assessed rates of loss to follow-up for migrant workers compared with non-migrant workers in a routine treatment programme in Morjia, Lesotho. DESIGN: All adult patients (≥18 years) initiating ART between January 1, 2008, and December 31, 2008, and followed up until the end of 2009, were included in the study. We described rates of loss to follow-up according to migrant status by Kaplan-Meier estimates, and used Poisson regression to model associations between migrant status and loss to follow-up controlling for potential confounders identified a priori. RESULTS: Our cohort comprised 1185 people, among whom 12% (148) were migrant workers. Among the migrant workers, median age was 36.1 (29.6-45.9) and the majority (55%) were male. We found no statistically significant differences between baseline characteristics and migrant status. Rates of lost to follow up were similar between migrants and non-migrants in the first 3 months but differences increased thereafter. Between 3 and 6 months after initiating antiretroviral therapy, migrants had a 2.78-fold increased rate of defaulting (95%CI 1.15-6.73); between 6 and 12 months the rate was 2.36 times greater (95%CI 1.18-4.73), whereas after 1 year the rate was 6.69 times greater (95%CI 3.18-14.09). CONCLUSIONS: Our study highlights the need for programme implementers to take into account the specific challenges that may influence continuity of antiretroviral treatment and care for migrant populations

Year: 2010
DOI identifier: 10.1371/journal.pone.0013198
OAI identifier: oai:fieldresearch.msf.org:10144/116358
Provided by: MSF Field Research
Journal:

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Citations

  1. (2009). Antiretroviral treatment outcomes from a nurse-driven, community-supported HIV/AIDS treatment programme in rural Lesotho: observational cohort assessment at two years.
  2. (2008). Expanding global HIV treatment: case studies from the field. Ann NY Acad Sci
  3. (2000). Going underground and going after women: trends in sexual risk behaviour among gold miners in South Africa.
  4. (2009). The dark heart of mining. AIDS and Rights Alliance for Southern Africa. The Times of South Africa:

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