• Login
    • Login
    Advanced Search
    View Item 
    •   AMREF IR Home
    • Research Papers
    • General - GEN
    • General - GEN
    • View Item
    •   AMREF IR Home
    • Research Papers
    • General - GEN
    • General - GEN
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Challenges for Scaling up ART in a Resource-Limited Setting: A Retrospective Study in Kibera, Kenya

    Thumbnail
    View/Open
    Research Article (202.0Kb)
    Publication Date
    2009-04-01
    Authors
    Unge, Christian
    Sodergard, Bjorn
    Ekstrom, Anna Mia
    Carter, Jane
    Waweru, Marjory
    Ilako, Festus
    Ragnarsson, Anders
    Thorson, Anna
    Show More
    (8 total)
    Type
    Article, Journal
    Item Usage Stats
    5
    views
    8
    downloads
    Metadata
    Show full item record
    Citation

    Unge C, Södergård B, Ekström AM, Carter J, Waweru M, Ilako F, Ragnarsson A, Thorson A. Challenges for scaling up ART in a resource-limited setting: a retrospective study in Kibera, Kenya. J Acquir Immune Defic Syndr. 2009 Apr 1;50(4):397-402. doi: 10.1097/QAI.0b013e318194618e. PMID: 19214119.

    Abstract/Overview

    Objective: To determine levels of dropout and adherence in an antiretroviral treatment (ART) program in sub-Saharan Africa's largest urban informal settlement, Kibera, in Nairobi, Kenya. Method: Retrospective cohort study. Results: : Of 830 patients that started ART between January 2005 and September 2007, 29% dropped out of the program for more than 90 days at least once after the last prescribed dose. The dropout rate was 23 per 100 person-years, and the probability of retention in the program at 6, 12, and 24 months was 0.83, 0.74, and 0.65, respectively. Twenty-seven percent of patients had an overall mean adherence below 95%. Being a resident of Kibera was significantly associated with 11 times higher risk of dropout. Conclusion: Despite free drugs and low associated costs, dropout probabilities in this study are higher and adherence to ART is lower compared with other studies from sub-Saharan Africa. Our results illustrate that ART programs in resource-limited settings, such as Kibera, risk low adherence and retention rates when expanding services. Specific and intensified patient support is needed to minimize the risk of dropout and nonadherence causing future significant health threats not only to individuals but also to public health.

    Subject/Keywords
    Kenya; antiretroviral; Adherence; Dropout; HIV; Kibera; Urban informal settlement
    Further Details

    Retrospective cohort study

    Publisher
    Lippincott Williams & Wilkins
    Permalink
    https://repository.amref.ac.ke/handle/123456789/520
    Collections
    • General - GEN [366]

    Amref International University. All rights reserved | Copyright © 2021 
    Contact Us | Send Feedback

     

     

    Quick Links
    Amref International UniversityAmref Health AfricaKLISC

    Browse

    All of AMREF IRCommunities & CollectionsBy Issue DateAuthorsTitlesSubjectsTypeThis CollectionBy Issue DateAuthorsTitlesSubjectsType

    My Account

    LoginRegister

    Statistics

    View Usage Statistics

    Amref International University. All rights reserved | Copyright © 2021 
    Contact Us | Send Feedback