دورية أكاديمية
Contribution of community-based organizations in the improvement of Joint United Nations Program on HIV and AIDS 90-90-90: case of the Yaoundé Central Hospital.
| العنوان: | Contribution of community-based organizations in the improvement of Joint United Nations Program on HIV and AIDS 90-90-90: case of the Yaoundé Central Hospital. |
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| المؤلفون: | Kouanfack C; Faculty of Medicine and Pharmaceutical Sciences, University of Dschang, Dschang, Cameroon.; Yaounde Central Hospital, Yaoundé, Cameroon., Mvilongo M; Faculty of Medicine and Pharmaceutical Sciences, University of Dschang, Dschang, Cameroon., Zemsi S; Yaounde Central Hospital, Yaoundé, Cameroon., Fomete L; Yaounde Central Hospital, Yaoundé, Cameroon., Mapa-Tassou C; Faculty of Medicine and Pharmaceutical Sciences, University of Dschang, Dschang, Cameroon., Djam A; Faculty of Medicine and Pharmaceutical Sciences, University of Dschang, Dschang, Cameroon., Zambou F; Faculty of Medicine and Pharmaceutical Sciences, University of Dschang, Dschang, Cameroon., Ateudjieu J; Faculty of Medicine and Pharmaceutical Sciences, University of Dschang, Dschang, Cameroon., Fouda PJ; Yaounde Central Hospital, Yaoundé, Cameroon.; Faculty of Medicine and Biomedical Sciences, University of Yaoundé, Yaoundé, Cameroon. |
| المصدر: | The Pan African medical journal [Pan Afr Med J] 2023 Aug 21; Vol. 45, pp. 173. Date of Electronic Publication: 2023 Aug 21 (Print Publication: 2023). |
| نوع المنشور: | Observational Study; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: African Field Epidemiology Network Country of Publication: Uganda NLM ID: 101517926 Publication Model: eCollection Cited Medium: Internet ISSN: 1937-8688 (Electronic) NLM ISO Abbreviation: Pan Afr Med J Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Kampala, Uganda : African Field Epidemiology Network |
| مواضيع طبية MeSH: | HIV Infections*/drug therapy , HIV Infections*/epidemiology , HIV Infections*/diagnosis, Humans ; Cross-Sectional Studies ; Retrospective Studies ; Cameroon ; Hospitals |
| مستخلص: | Community-based organizations (CBOs) are one of the initiatives implemented in Cameroon to improve access to antiretroviral treatment and influence retention in treatment centers. Despite its importance in the decongestion of patients in health facilities, we do not have data to evaluate the overall impact of these organizations. We conducted a two-part observational study. The first part was a descriptive cross-sectional study, where we included patients screened and initiated on anti-retroviral treatment (ART) either by the approved Treatment center (ATC) of Yaoundé Central Hospital (YCH) or by any of our CBOs in 2020. Then, the second part was a retrospective cohort-type study including patients from the 2015 cohort followed up from 2018 to 2020 in order to assess viral load suppression. As regards the first "90", 7,234 screening tests were performed by CBOs in 2020 out of the 28,302 screening tests registered at the YCH, giving a contribution of 25.6%. From the 7,234 screening tests performed by CBOs, 314 people had an HIV-positive result and 230 (73.34%) were linked to ART through CBOs. From the 28,302 screening tests performed at YCH, 1,089 people had an HIV-positive test, and only 354 (32.50%) were linked to ART, giving a significant difference in the link to ART (P-value < 0.00). Concerning the 3 rd ''90'', the viral load suppression rates were respectively in CBOs and at YCH of (95.12% vs 90.54%, RR= 0.51; P-value= 0.27 at 12 months); (95.96% vs 95.34%, relative risk (RR)= 0.85; P-value= 0.81 at 24 months); and (96.91% vs 94.15%, RR= 0.52; P-value = 0.24 at 36 months). In conclusion, we say that the follow-up of patients living with HIV in the community does not negatively affect the evolution of the disease as one might think. Competing Interests: The authors declare no competing interests. (Copyright: Charles Kouanfack et al.) |
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| فهرسة مساهمة: | Keywords: 90-90-90; Contribution; Joint United Nations Program on HIV and AIDS; community-based organization; improvement |
| تواريخ الأحداث: | Date Created: 20231113 Date Completed: 20231114 Latest Revision: 20231114 |
| رمز التحديث: | 20231114 |
| مُعرف محوري في PubMed: | PMC10632170 |
| DOI: | 10.11604/pamj.2023.45.173.38466 |
| PMID: | 37954437 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1937-8688 |
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| DOI: | 10.11604/pamj.2023.45.173.38466 |