dc.contributor.author |
Wools-Kaloustian, Kara |
|
dc.contributor.author |
Kimaiyo, Silvester |
|
dc.contributor.author |
Musick, Beverly |
|
dc.contributor.author |
Sidle, John |
|
dc.contributor.author |
Siika, Abraham |
|
dc.contributor.author |
Nyandiko, Winstone |
|
dc.contributor.author |
Einterz, Robert |
|
dc.contributor.author |
Tierney, William M. |
|
dc.contributor.author |
Yiannoutsos, Constantin T. |
|
dc.date.accessioned |
2020-06-05T08:36:15Z |
|
dc.date.available |
2020-06-05T08:36:15Z |
|
dc.date.issued |
2009 |
|
dc.identifier.uri |
https: //www.10.1097/QAD.0b013e32831cc0e6 |
|
dc.identifier.uri |
http://ir.mu.ac.ke:8080/jspui/handle/123456789/3060 |
|
dc.description.abstract |
The President’s Emergency Plan for AIDS Relief committed $15 billion to addressing HIV in resource-poor settings. Objective: To assess the impact of The President’s Emergency Plan for AIDS Relief on the treatment services of an HIV care program. Design, setting, and patients: Cohort study utilizing computerized medical records of nonpregnant adults enrolled into the Academic Model for the Prevention and Treatment
of HIV/AIDS system, in western Kenya between 27 November 2001 and 24 July 2006. Main outcomes measures: Number of clinics and patients enrolled in Academic Model for the Prevention and Treatment of HIV/AIDS, as well as patient demographics, immunologic, and clinical characteristics during three periods defined by the availability of combination antiretroviral therapy (cART). Results: Enrollment as of May 2006 was 23 539. Mean monthly enrollment increased from 64 to 815 between periods 1 and 3. The median CD4 cell count at enrollment during period 3 (172 cells/ml) was significantly higher than for period 2 (119 cells/m
l;P<0.001). World Health Organization stage at enrollment differed significantly between periods with 6.7% having stage 4 disease in period 3 compared with 13.8% during period 1 (P<0.001). Significantly more patients had complete documentation of cART eligibility, during period 3 as compared with the previous periods. Time from enrollment to cART initiation decreased from a median of 64 weeks in period
1 to 12 weeks during period 3 (P<0.001).Conclusion: The President’s Emergency Plan for AIDS Relief funding has allowed Academic Model for the Prevention and Treatment of HIV/AIDS to significantly increase
the number of individuals receiving HIV care and provided the ability to expand services allowing for identification of patients earlier in their disease process |
en_US |
dc.language.iso |
en |
en_US |
dc.publisher |
Lippincott Williams & Wilkins |
en_US |
dc.subject |
AIDS |
en_US |
dc.subject |
Scale-up |
en_US |
dc.subject |
Antiretrovirals |
en_US |
dc.subject |
HIV |
en_US |
dc.title |
The impact of the President’s Emergency Plan for AIDS Relief on expansion of HIV care services for adult patients in western Kenya |
en_US |
dc.type |
Article |
en_US |