Brief Report: Decentralizing ART Supply for Stable HIV Patients to Community-Based Distribution Centers: Program Outcomes From an Urban Context in Kinshasa, DRC

Vogt, Florian; Kalenga, Lucien; Lukela, Jean; Salumu, Freddy; Diallo, I.; Nico, Elena; Lampart, Emmanuel; Bergh, Rafaël Van den; Shah, Safieh; Ogundahunsi, Olumide; Zachariah, Rony; Griensven, Johan van

doi:10.1097/qai.0000000000001215

Cited by 34 publications

(27 citation statements)

References 40 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This model has been piloted or implemented in at least six other countries (Ethiopia, Rwanda, South Africa, Swaziland, Uganda [ 29 ] and Zimbabwe) and is commonly referred to as fast-track or multi-month prescription/scripting. Out-of-facility individual models (known as points de distribution communautaires or PODIs) in the DRC to reduce client costs of transport to clinics and fees for clinic visits [ 17 , 30 ]. Out-of-facility individual models include: mobile outreach (being implemented in Namibia and Swaziland [ 23 ]); community drug distributions points (CDDPs) as seen in Uganda [ 31 , 32 ]); the central chronic medicine dispensing and distribution (CCMDD) programme in South Africa; and home-delivery.…”

mentioning

confidence: 99%

Evidence for scale up: the differentiated care research agenda

Grimsrud¹,

Barnabas

Ehrenkranz

et al. 2017

Journal of the International AIDS Society

132

146

View full text Add to dashboard Cite

mentioning

confidence: 99%

Evidence for scale up: the differentiated care research agenda

Grimsrud¹,

Barnabas

Ehrenkranz

et al. 2017

Journal of the International AIDS Society

132

146

View full text Add to dashboard Cite

“…This evidence facilitated the adoption of the decentralized community HIV care model in the Country Operational Plan (COP) of the Democratic Republic of the Congo (DRC), 2016 [18]. There is a plan to install 10 PODIs that will be linked to high volume clinical sites (> 200 patients on ART) in 2016 which is available in the COP at http://www.pepfar.gov/documents/organization/257652.pdf [19].…”

Section: Resultsmentioning

confidence: 99%

“…The uptake of research findings started in 2016, as mentioned in the COP of the DRC, whereas the study findings were published in 2017 [18]. …”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Does the Structured Operational Research and Training Initiative (SORT IT) continue to influence health policy and/or practice?

Tripathy

Kumar

Guillerm

et al. 2018

Global Health Action

Self Cite

View full text Add to dashboard Cite

Background: The Structured Operational Research and Training Initiative (SORT IT) is a successful model of integrated operational research and capacity building with about 90% of participants completing the training and publishing in scientific journals. Objective: The study aims at assessing the influence of research papers from six SORT IT courses conducted between April 2014 and January 2015 on policy and/or practice. Methods: This was a cross-sectional mixed-method study involving e-mail based, self-administered questionnaires sent to course participants coupled with telephone/Skype/in-person responses from participants, senior facilitators and local co-authors of course papers. A descriptive content analysis was performed to generate themes. Results: Of 71 participants, 67 (94%) completed the course. A total of 67 papers (original research) were submitted for publication, of which 61 (91%) were published or were in press at the censor date (31 December 2016). Among the 67 eligible participants, 65 (97%) responded to the questionnaire. Of the latter, 43 (66%) research papers were self-reported to have contributed to a change in policy and/or practice by the course participants: 38 to a change in government policy or practice (26 at the national level, six at the subnational level and six at the local/hospital level); four to a change in organisational policy or practice; and one study fostered global policy development. Conclusion: Nearly two-thirds of SORT IT course papers contributed to a change in policy and/or practice as reported by the participants. Identifying the actual linkage of research to policy/practice change requires more robust methodology, in-depth assessment and independent validation of the reported change with all concerned stakeholders.

show abstract

“…While some clinic-based strategies such as early initiation of ART have improved retention in care (Brown et al., 2016 ), other clinic-based strategies such as peer support or innovative counselling programmes have lacked anti-stigma or health outcome benefits, respectively (Rao et al., 2018 ; Uusküla et al., 2018 ). Some HIV-infected persons who take ART face barriers to care and require accompaniment in the community for various reasons, ranging from a weak health system, stigma, social ostracisation, alcohol abuse, as well as competing demands on time and money in the context of widespread abject poverty (Fatti, Meintjes, Shea, Eley, & Grimwood, 2012 ; Munyaneza et al., 2018 ; Pokhrel, Gaulee Pokhrel, Neupane, & Sharma, 2018 ; Vogt et al., 2017 ). Younger age groups are particularly in need of community-based ART (Fatti et al., 2018 ; Grimwood et al., 2012 ).…”

Section: Introductionmentioning

confidence: 99%

Evaluation of a community-based ART programme after tapering home visits in rural Sierra Leone: a 24-month retrospective study

Kelly

Frankfurter²,

Lurton

et al. 2018

SAHARA-J: Journal of Social Aspects of HIV/AIDS

View full text Add to dashboard Cite

Evaluations of community-based antiretroviral therapy (ART) programmes have demonstrated positive outcomes, but little is known about the impact of tapering community-based ART. The objective of this study was to assess 24-month HIV retention outcomes of a community-based ART programme and its tapered visit frequency in Koidu City, Sierra Leone. This retrospective, quasi-experimental study compared outcomes of 52 HIV-infected persons initiated on community-based ART against 91 HIV-infected persons receiving the standard of care from November 2009 to February 2013. The community-based ART pilot programme was designed to strengthen the standard of care through a comprehensive, patient-centred case management strategy. The strategy included medical, educational, psychological, social, and economic support. Starting in October 2011, the frequency of home visits was tapered from twice daily every day per week to once daily three days per week. Outcomes were retention in care at 12 and 24 months and adherence to ART over a three-month time period. Participants who received community-based ART had significantly higher retention than those receiving standard of care. At 12 months, retention rates for community-based ART and standard of care were 61.5% and 31.9%, respectively (p < .01). At 24 months, retention rates for community-based ART and standard of care were 73.1% and 44.0%, respectively (p < .01). Significant differences in levels of adherence were observed when comparing community-based ART against persons receiving standard of care (p < .05). No differences in adherence levels were observed between groups of people receiving various frequencies of home visits. Our pilot programme in Koidu City provides new evidence that community-based ART has the potential to improve retention and adherence outcomes for HIV-infected persons, regardless of the frequency of home visits. Overcoming the barriers to HIV care requires a comprehensive, patient-centred approach that may include clinic-based and community-based interventions.

show abstract

Brief Report: Decentralizing ART Supply for Stable HIV Patients to Community-Based Distribution Centers: Program Outcomes From an Urban Context in Kinshasa, DRC

Abstract: Supplemental Digital Content is Available in the Text.

Cited by 34 publications

References 40 publications

Evidence for scale up: the differentiated care research agenda

Evidence for scale up: the differentiated care research agenda

Does the Structured Operational Research and Training Initiative (SORT IT) continue to influence health policy and/or practice?

Evaluation of a community-based ART programme after tapering home visits in rural Sierra Leone: a 24-month retrospective study

Contact Info

Product

Resources

About