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 Bangsberg

Research output: Contribution to journalArticle

46 Citations (Scopus)

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 languageEnglish (US)
Pages (from-to)751-760
Number of pages10
JournalAIDS and Behavior
Volume15
Issue number4
DOIs
StatePublished - May 2011
Externally publishedYes

Fingerprint

Counseling
Inpatients
HIV
Survival
Africa South of the Sahara
Early Diagnosis
Outpatients
Referral and Consultation
Mortality

Keywords

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

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Infectious Diseases
  • Social Psychology

Cite this

Wanyenze, R. K., Hahn, J. A., Liechty, C. A., Ragland, K., Ronald, A., Mayanja-Kizza, H., ... Bangsberg, D. (2011). Linkage to HIV care and survival following inpatient HIV counseling and testing. AIDS and Behavior, 15(4), 751-760. https://doi.org/10.1007/s10461-010-9704-1

Linkage to HIV care and survival following inpatient HIV counseling and testing. / Wanyenze, Rhoda K.; Hahn, Judith A.; Liechty, Cheryl A.; Ragland, Kathie; Ronald, Allan; Mayanja-Kizza, Harriet; Coates, Thomas; Kamya, Moses R.; Bangsberg, David.

In: AIDS and Behavior, Vol. 15, No. 4, 05.2011, p. 751-760.

Research output: Contribution to journalArticle

Wanyenze, RK, Hahn, JA, Liechty, CA, Ragland, K, Ronald, A, Mayanja-Kizza, H, Coates, T, Kamya, MR & Bangsberg, D 2011, 'Linkage to HIV care and survival following inpatient HIV counseling and testing', AIDS and Behavior, vol. 15, no. 4, pp. 751-760. https://doi.org/10.1007/s10461-010-9704-1
Wanyenze RK, Hahn JA, Liechty CA, Ragland K, Ronald A, Mayanja-Kizza H et al. Linkage to HIV care and survival following inpatient HIV counseling and testing. AIDS and Behavior. 2011 May;15(4):751-760. https://doi.org/10.1007/s10461-010-9704-1
Wanyenze, Rhoda K. ; Hahn, Judith A. ; Liechty, Cheryl A. ; Ragland, Kathie ; Ronald, Allan ; Mayanja-Kizza, Harriet ; Coates, Thomas ; Kamya, Moses R. ; Bangsberg, David. / Linkage to HIV care and survival following inpatient HIV counseling and testing. In: AIDS and Behavior. 2011 ; Vol. 15, No. 4. pp. 751-760.
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