Improved Retention Associated With Community-Based Accompaniment for Antiretroviral Therapy Delivery in Rural Rwanda
Franke M, Kaigamba F, Socci A, Hakizamungu M, Patel A, Bagiruwigize E, Niyigena P, Walker K, Epino H, Binagwaho A, Mukherjee J, Farmer P, Rich M. Improved Retention Associated With Community-Based Accompaniment for Antiretroviral Therapy Delivery in Rural Rwanda. Clinical Infectious Diseases 2012, 56: 1319-1326. PMID: 23249611, DOI: 10.1093/cid/cis1193.Peer-Reviewed Original ResearchConceptsAntiretroviral therapy (ART) deliveryViral load suppressionCommunity-based accompanimentClinic-based programsCD4 countViral loadHuman immunodeficiency virus (HIV) treatment programsProspective observational cohort studySecond multivariable analysisObservational cohort studyTherapy deliveryPhysical health qualityRural RwandaMultivariable regression modelsART initiationClinical characteristicsCohort studyMultivariable analysisBaseline differencesTreatment retentionTreatment programHealth qualityGood adherenceDeathFirst yearExcellent Clinical Outcomes and High Retention in Care Among Adults in a Community-Based HIV Treatment Program in Rural Rwanda
Rich M, Miller A, Niyigena P, Franke M, Niyonzima J, Socci A, Drobac P, Hakizamungu M, Mayfield A, Ruhayisha R, Epino H, Stulac S, Cancedda C, Karamaga A, Niyonzima S, Yarbrough C, Fleming J, Amoroso C, Mukherjee J, Murray M, Farmer P, Binagwaho A. Excellent Clinical Outcomes and High Retention in Care Among Adults in a Community-Based HIV Treatment Program in Rural Rwanda. JAIDS Journal Of Acquired Immune Deficiency Syndromes 2012, 59: e35-e42. PMID: 22156912, DOI: 10.1097/qai.0b013e31824476c4.Peer-Reviewed Original ResearchConceptsCommunity-based antiretroviral therapyAntiretroviral therapyCommunity health workersHealth workersCD4 T-cell count increaseT-cell count increaseRetrospective medical record reviewCohort of patientsFree antiretroviral therapyHIV treatment programsMedical record reviewExcellent clinical outcomesRural health centersRural RwandaAdult patientsCommunity-based ART programMiddle-income countriesNutritional supportClinical outcomesOutcome benchmarksRecord reviewTuberculosis screeningExcellent outcomesHIV treatmentHIV programs