Linkage to HIV care and survival following inpatient HIV counseling and testing

Rhoda K. Wanyenze; Judith A. Hahn; Cheryl A. Liechty; Kathie Ragland; Allan Ronald; Harriet Mayanja-Kizza; Thomas Coates; Moses R. Kamya; David R. Bangsberg

doi:10.1007/s10461-010-9704-1

Linkage to HIV care and survival following inpatient HIV counseling and testing

Rhoda K. Wanyenze, Judith A. Hahn, Cheryl A. Liechty, Kathie Ragland, Allan Ronald, Harriet Mayanja-Kizza, Thomas Coates, Moses R. Kamya, David R. Bangsberg

Research output: Contribution to journal › Article › peer-review

53 Scopus citations

Abstract

Linkage to HIV care and survival in sub-Saharan Africa is not well documented. In 2004 we conducted a randomized trial among medical inpatients in Mulago Hospital to assess the impact of HIV counseling and testing (HCT) on linkage to care and survival. Participants were randomized to inpatient HCT (intervention) or outpatient HCT 1 week post-discharge (control); inpatient HCT was not available at Mulago during the study. Among 590 eligible patients, 85% (500) agreed to participate; 98.8% (248) in the intervention arm received HCT compared to 68.7% (171) in the control arm. Within 6 months, 62.2% (92) of surviving HIV-infected participants received HIV care; 15.0% (20) received antiretroviral medications (ARVs). Overall mortality among HIV-infected participants was 34.6% (72). HCT had significant impact on linkage to care among surviving participants. Referral for HCT was a missed opportunity for diagnosis. There is need for earlier diagnosis and linkage to HIV care among inpatients.

Original language	English (US)
Pages (from-to)	751-760
Number of pages	10
Journal	AIDS and Behavior
Volume	15
Issue number	4
DOIs	https://doi.org/10.1007/s10461-010-9704-1
State	Published - May 2011
Externally published	Yes

Keywords

Access to care
Africa
Inpatient
Provider initiated HIV testing and counseling (PITC)
Survival

ASJC Scopus subject areas

Social Psychology
Public Health, Environmental and Occupational Health
Infectious Diseases

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10.1007/s10461-010-9704-1

Cite this

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title = "Linkage to HIV care and survival following inpatient HIV counseling and testing",

abstract = "Linkage to HIV care and survival in sub-Saharan Africa is not well documented. In 2004 we conducted a randomized trial among medical inpatients in Mulago Hospital to assess the impact of HIV counseling and testing (HCT) on linkage to care and survival. Participants were randomized to inpatient HCT (intervention) or outpatient HCT 1 week post-discharge (control); inpatient HCT was not available at Mulago during the study. Among 590 eligible patients, 85% (500) agreed to participate; 98.8% (248) in the intervention arm received HCT compared to 68.7% (171) in the control arm. Within 6 months, 62.2% (92) of surviving HIV-infected participants received HIV care; 15.0% (20) received antiretroviral medications (ARVs). Overall mortality among HIV-infected participants was 34.6% (72). HCT had significant impact on linkage to care among surviving participants. Referral for HCT was a missed opportunity for diagnosis. There is need for earlier diagnosis and linkage to HIV care among inpatients.",

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author = "Wanyenze, {Rhoda K.} and Hahn, {Judith A.} and Liechty, {Cheryl A.} and Kathie Ragland and Allan Ronald and Harriet Mayanja-Kizza and Thomas Coates and Kamya, {Moses R.} and Bangsberg, {David R.}",

note = "Funding Information: Acknowledgements This study was funded by the Bill and Melinda Gates Foundation. Dr. Bangsberg received support from K24-MH087227. We acknowledge the contribution of the management of Mulago hospital and Infectious Diseases Institute, the study team, and Prof. Fred Wabwire-Mangen from Makerere University School of Public Health.",

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doi = "10.1007/s10461-010-9704-1",

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AU - Wanyenze, Rhoda K.

AU - Hahn, Judith A.

AU - Liechty, Cheryl A.

AU - Ragland, Kathie

AU - Ronald, Allan

AU - Mayanja-Kizza, Harriet

AU - Coates, Thomas

AU - Kamya, Moses R.

AU - Bangsberg, David R.

N1 - Funding Information: Acknowledgements This study was funded by the Bill and Melinda Gates Foundation. Dr. Bangsberg received support from K24-MH087227. We acknowledge the contribution of the management of Mulago hospital and Infectious Diseases Institute, the study team, and Prof. Fred Wabwire-Mangen from Makerere University School of Public Health.

PY - 2011/5

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N2 - Linkage to HIV care and survival in sub-Saharan Africa is not well documented. In 2004 we conducted a randomized trial among medical inpatients in Mulago Hospital to assess the impact of HIV counseling and testing (HCT) on linkage to care and survival. Participants were randomized to inpatient HCT (intervention) or outpatient HCT 1 week post-discharge (control); inpatient HCT was not available at Mulago during the study. Among 590 eligible patients, 85% (500) agreed to participate; 98.8% (248) in the intervention arm received HCT compared to 68.7% (171) in the control arm. Within 6 months, 62.2% (92) of surviving HIV-infected participants received HIV care; 15.0% (20) received antiretroviral medications (ARVs). Overall mortality among HIV-infected participants was 34.6% (72). HCT had significant impact on linkage to care among surviving participants. Referral for HCT was a missed opportunity for diagnosis. There is need for earlier diagnosis and linkage to HIV care among inpatients.

AB - Linkage to HIV care and survival in sub-Saharan Africa is not well documented. In 2004 we conducted a randomized trial among medical inpatients in Mulago Hospital to assess the impact of HIV counseling and testing (HCT) on linkage to care and survival. Participants were randomized to inpatient HCT (intervention) or outpatient HCT 1 week post-discharge (control); inpatient HCT was not available at Mulago during the study. Among 590 eligible patients, 85% (500) agreed to participate; 98.8% (248) in the intervention arm received HCT compared to 68.7% (171) in the control arm. Within 6 months, 62.2% (92) of surviving HIV-infected participants received HIV care; 15.0% (20) received antiretroviral medications (ARVs). Overall mortality among HIV-infected participants was 34.6% (72). HCT had significant impact on linkage to care among surviving participants. Referral for HCT was a missed opportunity for diagnosis. There is need for earlier diagnosis and linkage to HIV care among inpatients.

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Linkage to HIV care and survival following inpatient HIV counseling and testing

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ASJC Scopus subject areas

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