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Community Based Treatment Support Services Reduce Loss to Follow Up
- 1. Community Based Treatment Support Services: The Treatment Support Arm of the AIDSRelief Program Martine Etienne, DrPH Director of The Community Based Treatment Support Services (CBTS) UMSOM-IHV/AIDSRelief April 29, 2010
- 9. Tiered programs Retrospective review of patients enrolled in the AIDSRelief program treatment sites between Aug 2004-June 2005. Loss to follow up (ltfu) data was aggregated from the quarterly grant reports. Programs are tiered according to their particular components Tier II Adherence counseling plus a structured treatment preparation plan * Tier III Tier I plus Tier II plus home visits conducted by community treatment supporters * Tier IV Tier III plus Use of community health nurses to provide supportive supervision to the Tier III staff in the field Tier I Adherence Counseling only Prior to Starting ART * This is developed by the site with specific guidelines from AIDSRelief
- 10. (within first 12 months of AR- Guyana, Haiti, Kenya, Nigeria, Rwanda, Tanzania, Uganda, Zambia) Etienne, et al. 2010. Situational analysis of varying models of adherence support and loss to follow up rates; findings from 27 treatment facilities in eight resource limited countries
- 12. Five Year Follow up
- 16. RWANDA
- 20. TANZANIA
- 23. Know Your CD4 Campaign 114% increase based on the use of community treatment supporters and their continued reinforcement and follow up of patients reminding them of their CD4 cell count 3585 7698
- 24. Median CD4 at enrollment also increased overtime
- 27. NIGERIA
- 29. GUYANA
- 30. Guyana Age appropriate Groups Pt Education Classes ADT Missed Appointments LTFU Reducing Mortality
- 33. THANK YOU!
Hinweis der Redaktion
- 1. Adherence programs- provided treatment preparation-making sure patients and their families understand HIV care and treatment and the consequences of nonadherence 2. Community Adherence Programs- focused on supporting patients and their families in the community (home visits) 3. Community Health & Treatment Support- expanding on the support we provide as this team to our patients in the community including prevention, and continuous care and treatment 4. Community Based Treatment Services- really defines the “services” that we provide in the community outside of the clinic, the patient level, its not a program it’s a cadre of community services that we have been able to master and deliver
- Campaign was started because our target for Sept 07 was about 15,000 and in July we had 9000 according to SI’ reports which would mean we would not even come close if we didn’t change something. When we looked to see WHY we were low we id’d CD4 as a major stumbling block plus NO ADHERENCE programs in any of these facilities before we started in November of 06.
- VSO is important especially as we engage in transition strategies, training and collaborating with this group will support the continued emphasis of the AIDSRelief support model