Patient volume, human resource levels, and attrition from HIV treatment programs in central Mozambique

Journal of Acquired Immune Deficiency Syndromes

Volumn 57, Issue 3, 2011, Pages

  Lambdin, Barrot H ^a   Micek, Mark A ^b,c   Koepsell, Thomas D ^b   Hughes, James P ^b   Sherr, Kenneth ^b,c   Pfeiffer, James ^b,c   Karagianis, Marina ^d   Lara, Joseph ^c   Gloyd, Stephen S ^b,c   Stergachis, Andy ^a,b  

^a Pangaea Global AIDS Foundation   (United States)

^b UNIVERSITY OF WASHINGTON   (United States)

^c HEALTH ALLIANCE INTERNATIONAL   (United States)

^d MINISTRY OF HEALTH   (Mozambique)

Author keywords

antiretroviral therapy; attrition; health system; human resources; Mozambique; patient volume

Indexed keywords

ANTIRETROVIRUS AGENT;

ADULT; ARTICLE; COHORT ANALYSIS; FEMALE; HAZARD RATIO; HEALTH CARE; HUMAN; HUMAN IMMUNODEFICIENCY VIRUS; MAJOR CLINICAL STUDY; MOZAMBIQUE; MULTICENTER STUDY; OUTPATIENT DEPARTMENT; PRIORITY JOURNAL; RETROSPECTIVE STUDY; VIROTHERAPY;

ADOLESCENT; ADULT; ANTI-HIV AGENTS; COHORT STUDIES; COMMUNITY PHARMACY SERVICES; FEMALE; HEALTH MANPOWER; HEALTH SERVICES ACCESSIBILITY; HIV INFECTIONS; HUMANS; MALE; MEDICATION ADHERENCE; MIDDLE AGED; MOZAMBIQUE; PATIENT DROPOUTS; RETROSPECTIVE STUDIES; YOUNG ADULT;

EID: 79959737266     PISSN: 15254135     EISSN: 10779450     Source Type: Journal    
DOI: 10.1097/QAI.0b013e3182167e90     Document Type: Article

References (30)

1. Ministério da Saúde. Maputo (MZ). Programa de tratemento antiretroviral (TARV)-dados TARV nacionais; 2009. Available at: http://www.misau. gov.mz/pt/hiv-sida/programa-de-tratamento-antiretroviral-tarv/ dados-tarv- nacionais. Accessed January 15, 2010.
2. UNAIDS. Epidemiological Fact Sheet on HIV and AIDS: Mozambique 2008 Update. Geneva, Switzerland; UNAIDS. 2008. Available at: http://www.who.int/ globalatlas/predefinedReports/EFS2008/full/EFS2008-MZ.pdf. Accessed May 3, 2010.
3. Ministério da Saúde. National Plan for Health Human Resources Development (NPHHRD). Maputo, Mozambique: Ministry of Health; 2008.
4. Wouters E, Heunis C, van Rensburg D, et al. Patient satisfaction with antiretroviral services at primary health-care facilities in the Free State, South Africa-a two-year study using four waves of cross-sectional data. BMC Health Serv Res. 2008;8:210.
5. Stringer JS, Zulu I, Levy J, et al. Rapid scale-up of antiretroviral therapy at primary care sites in Zambia: feasibility and early outcomes. JAMA. 2006; 296:782-793. (Pubitemid 44223102)
6. Habte D, Dussault G, Dovlo D. Challenges confronting the health workforce in sub-Saharan Africa. World Hosp Health Serv. 2004;40:23- 26,40,41.
7. Hosseinipour MC, Kazembe PN, Sanne IM, et al. Challenges in delivering antiretroviral treatment in resource poor countries. AIDS. 2002;16(suppl 4): S177-S187. (Pubitemid 36278942)
8. Kober K, Van Damme W. Scaling up access to antiretroviral treatment in southern Africa: who will do the job? Lancet. 2004;364:103-107. (Pubitemid 38968632)
9. Philips M, Zachariah R, Venis S. Task shifting for antiretroviral treatment delivery in sub-Saharan Africa: not a panacea. Lancet. 2008;371: 682-684. (Pubitemid 351273400)
10. Van Damme W, Kober K, Kegels G. Scaling-up antiretroviral treatment in Southern African countries with human resource shortage: how will health systems adapt? Soc Sci Med. 2008;66:2108-2121. (Pubitemid 351509687)
11. Van DammeW, Kober K, Laga M. The real challenges for scaling up ART in sub-Saharan Africa. AIDS. 2006;20:653-656. (Pubitemid 43884291)
12. World Health Organization. Working Together for Health: the World Health Report 2006. Geneva, Switzerland: World Health Organization; 2006:209.
13. Institute of Medicine (US). Committee on Examining the Probable Consequences of Alternative Patterns of Widespread Antiretroviral Drug Use in Resource-Constrained Settings. In: Curran JW, ed. Scaling up Treatment for the Global AIDS Pandemic: Challenges and Opportunities. Washington, DC: National Academies Press; 2005.
14. Chen L, Evans T, Anand S, et al. Human resources for health: overcoming the crisis. Lancet. 20043;364:1984-1990.
15. Narasimhan V, Brown H, Pablos-Mendez A, et al. Responding to the global human resources crisis. Lancet. 2004;363:1469-1472. (Pubitemid 38586725)
16. United Nations Development Programme. Mozambique National Human Development Report 2007. Maputo, Mozambique: United Nations Development Programme; 2007:59.
17. Koepsell TD, Weiss NS. Epidemiologic Methods: Studying the Occurrence of Illness. Oxford, United Kingdom: Oxford University Press; 2003.
18. Sherr K, Micek MA, Gimbel SO, et al. Quality of HIV care provided by non-physician clinicians and physicians in Mozambique: a retrospective cohort study. AIDS. 2010;24(suppl 1):S59-S66.
19. Lin DY, Ying ZL. A simple nonparametric estimator of the bivariate survival function under univariate censoring. Biometrika. 1993;80: 573-581.
20. Lawn SD, Myer L, Harling G, et al. Determinants of mortality and nondeath losses from an antiretroviral treatment service in South Africa: implications for program evaluation. Clin Infect Dis. 2006;43:770-778.
21. Van Buuren S, Boshuizen HC, Knook DL. Multiple imputation of missing blood pressure covariates in survival analysis. Stat Med. 1999;18: 681-694. (Pubitemid 29126744)
22. Rubin DB. Multiple Imputation for Non-Response in Surveys. New York, NY: John Wiley & Sons; 1987.
23. Micek MA, Gimbel-Sherr K, Baptista AJ, et al. Loss to follow-up of adults in public HIV care systems in central Mozambique: identifying obstacles to treatment. J Acquir Immune Defic Syndr. 2009;52:397-405.
24. Stubbs B, Micek M, Pfeiffer J, et al. Treatment partners and adherence to HAART in Central Mozambique. AIDS Care. 2009;21:1412-1419.
25. Lara J, Lambdin B. Exploratory analysis of the facility-level factors associated with ART abandonment in Central Mozambique. Proceedings of the 137th Meeting of the American Public Health Association; 2009; Philadelphia, PA.
26. Camacho F, Anderson R, Safrit A, et al. The relationship between patient's perceived waiting time and office-based practice satisfaction. N C Med J. 2006;67:409-413.
27. Hardon AP, Akurut D, Comoro C, et al. Hunger, waiting time and transport costs: time to confront challenges to ART adherence in Africa. AIDS Care. 2007;19:658-668.
28. Hongoro C, McPake B. How to bridge the gap in human resources for health. Lancet. 2004;364:1451-1456. (Pubitemid 39370722)
29. Bakanda C, Birungi J, Mwesigwa R, et al. Density of healthcare providers and patient outcomes: evidence from a nationally Respresentative Multi- Site HIV Treatment Program in Uganda. PLos ONE. 2011;6:e16279.
30. Decroo T, Telfer B, Biot M, et al. Distribution of antiretroviral treatment through self-forming groups of patients in Tete Province, Mozambique. J Acquir Immune Defic Syndr. 2011;56:e39-e44.