Two-year virologic outcomes of an alternative AIDS care model: Evaluation of a peer health worker and nurse-staffed community-based program in uganda

Larry Chang, Stella Alamo, Samuel Guma, Jason Christopher, Tara Suntoke, Richard Omasete, Jennifer P. Montis, Thomas C Quinn, Margrethe Juncker, Steven James Reynolds

Research output: Contribution to journalArticle

Abstract

BACKGROUND: There is growing concern about the human resources needed to care for increasing numbers of patients receiving antiretroviral therapy in resource-limited settings. We evaluated an alternative model, community-based, comprehensive antiretroviral program staffed primarily by peer health workers and nurses. METHODS: We conducted a retrospective cohort study of patients receiving antiretroviral therapy during the first 10 months of program enrollment beginning in late 2003. Virologic, immunologic, clinical, and adherence data were collected. RESULTS: Of 360 patients started on treatment, 258 (72%) were active and on therapy approximately 2 years later. Viral load testing demonstrated that 86% of active patients (211/246 tested) had a viral load

Original languageEnglish (US)
Pages (from-to)276-282
Number of pages7
JournalJournal of Acquired Immune Deficiency Syndromes
Volume50
Issue number3
DOIs
StatePublished - Mar 2009

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Uganda
Acquired Immunodeficiency Syndrome
Nurses
Health
Viral Load
Therapeutics
Cohort Studies
Retrospective Studies

Keywords

  • Adherence
  • Africa
  • Antiretroviral treatment
  • Community health services
  • Nurses
  • Program evaluation

ASJC Scopus subject areas

  • Infectious Diseases
  • Pharmacology (medical)

Cite this

Two-year virologic outcomes of an alternative AIDS care model : Evaluation of a peer health worker and nurse-staffed community-based program in uganda. / Chang, Larry; Alamo, Stella; Guma, Samuel; Christopher, Jason; Suntoke, Tara; Omasete, Richard; Montis, Jennifer P.; Quinn, Thomas C; Juncker, Margrethe; Reynolds, Steven James.

In: Journal of Acquired Immune Deficiency Syndromes, Vol. 50, No. 3, 03.2009, p. 276-282.

Research output: Contribution to journalArticle

Chang, Larry ; Alamo, Stella ; Guma, Samuel ; Christopher, Jason ; Suntoke, Tara ; Omasete, Richard ; Montis, Jennifer P. ; Quinn, Thomas C ; Juncker, Margrethe ; Reynolds, Steven James. / Two-year virologic outcomes of an alternative AIDS care model : Evaluation of a peer health worker and nurse-staffed community-based program in uganda. In: Journal of Acquired Immune Deficiency Syndromes. 2009 ; Vol. 50, No. 3. pp. 276-282.
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