{"id":6091,"date":"2009-12-30T12:40:33","date_gmt":"2009-12-30T11:40:33","guid":{"rendered":"http:\/\/moomango.co.uk\/htb\/?p=6091"},"modified":"2014-09-09T09:12:26","modified_gmt":"2014-09-09T09:12:26","slug":"difficulties-with-implementation","status":"publish","type":"post","link":"https:\/\/i-base.info\/htb\/6091","title":{"rendered":"Difficulties with implementation"},"content":{"rendered":"<p><strong>Polly Clayden, HIV i-Base<\/strong><\/p>\n<p><strong>A study from Swaziland, conducted by the national ART programme and the Clinton Foundation, highlighted the difficulties of treatment initiation in infants following early diagnosis. [6]<\/strong><\/p>\n<p>Since March 2007 the EID programme using DNA PCR was expanded in response to high infant mortality in HIV-infected children. By November 2008, however, this had led to neither an increase in infants receiving treatment nor a decrease in mortality.<\/p>\n<p>The study was a retrospective record review of all infants testing positive at 15 health facilities in the Manzini Region from January to August 2008. The investigators reported that 78% of results were available at the facility, and 44% of results were documented as having been received by the caregiver. Only 58\/176 (33%) of children were enrolled at an ART centre and 34 initiated on treatment. Of those with data available 81% were eligible for ART, and among eligible children, 82% initiated treatment. Overall 19% of infants testing positive were initiated on treatment at the time of the evaluation.<\/p>\n<p>This study found that the greatest points of loss are return of the result to caregivers and infant enrolment at the ART centre for treatment.<\/p>\n<p>This article first appeared in issue 36 of the Journal of HIV Medicine, the journal of the Southern African Clinicians Society.<\/p>\n<p><a href=\"http:\/\/www.sahivsoc.org\/\">http:\/\/www.sahivsoc.org<\/a><\/p>\n<p>References<\/p>\n<p>Unless otherwise stated, all references are to the programme and abstracts of the 5th IAS Conference on HIV Pathogenesis, Treatment and Prevention, 19 &#8211; 22 July 2009, Cape Town.<\/p>\n<p>6. Sundaram M et al. Identification patient loss points from testing to treatment initiation among infants tested in Swaziland. Abstract MOPDD103. <a href=\"http:\/\/www.ias2009.org\/pag\/Abstracts.aspx?AID=1981\"> http:\/\/www.ias2009.org\/pag\/Abstracts.aspx?AID=1981<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Polly Clayden, HIV i-Base A study from Swaziland, conducted by the national ART programme and the Clinton Foundation, highlighted the difficulties of treatment initiation in infants following early diagnosis. [6] Since March 2007 the EID programme using DNA PCR was &hellip;<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4,32],"tags":[],"class_list":["post-6091","post","type-post","status-publish","format-standard","hentry","category-conference-reports","category-paediatric-care"],"_links":{"self":[{"href":"https:\/\/i-base.info\/htb\/wp-json\/wp\/v2\/posts\/6091","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/i-base.info\/htb\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/i-base.info\/htb\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/i-base.info\/htb\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/i-base.info\/htb\/wp-json\/wp\/v2\/comments?post=6091"}],"version-history":[{"count":0,"href":"https:\/\/i-base.info\/htb\/wp-json\/wp\/v2\/posts\/6091\/revisions"}],"wp:attachment":[{"href":"https:\/\/i-base.info\/htb\/wp-json\/wp\/v2\/media?parent=6091"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/i-base.info\/htb\/wp-json\/wp\/v2\/categories?post=6091"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/i-base.info\/htb\/wp-json\/wp\/v2\/tags?post=6091"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}