TY - JOUR
T1 - The prevalence of hiv load suppression and related factors among patients on art at phedisong 4 clinic, pretoria, south africa
AU - Mogosetsi, Nomsa Jaqueline
AU - Mabuza, Langalibalele Honey
AU - Ogunbanjo, G. A.
N1 - Funding Information:
This study was conducted in partial fulfilment of the requirements for the award of the Master of Medicine (Family Medicine) degree for the first author at the University of Limpopo, Medunsa Campus, Pretoria, South Africa [now known as Sefako Makgatho Health Sciences University (SMU)]. The researchers acknowledge the immense contributions of Professor HS Schoeman for the data analyses.
Publisher Copyright:
© 2018 Mogosetsi et al.
Copyright:
Copyright 2018 Elsevier B.V., All rights reserved.
PY - 2018/4/25
Y1 - 2018/4/25
N2 - © 2018 Mogosetsi et al. Background: Globally, the benefits of viral load suppression in improving the lives of people living with HIV/AIDS have been established. In 2010, the South African Government decentralised ART to the primary care level. This study intended to determine the effect of this decentralisation in achieving viral load suppression among patients. Objective: To determine the prevalence of HIV viral load suppression and factors related to the suppression among patients initiated on ART at Pedisong 4 clinic, Tshwane District in Pretoria. Methods: A prospective cohort study was conducted on 98 patients initiated on ART between 01 November 2012 and 30 April 2013. Based on the viral load results, they were divided into those who achieved Viral Load Suppression (VLS), and those who did not (NVLS). Analyses were done using SAS® (version 9.2) for Microsoft software. A p < 0.05 was considered significant. Results: Ninety patients (91.8%; 95%CI, 84.7% – 95.8%) achieved viral load suppression while eight (8.2%; 95%CI, 4.2% – 15.3%), did not. Of the 98 patients, 63 (64%) were female. In the NVLS group, the female to male ratio was 7:1 (p = 0.038). There was no relationship between viral load suppression and patients’ baseline characteristics, behavioural characteristics and clinical characteristics (p > 0.05). ART adherence reported in both patient groups was ≥ 87.0%. Conclusion: There was good viral load suppression in patients initiated on ART at Pedisong 4 clinic. Patients’ baseline, behavioural and clinical characteristics were not related to viral load suppression, necessitating further large sample size studies in various health facilities.
AB - © 2018 Mogosetsi et al. Background: Globally, the benefits of viral load suppression in improving the lives of people living with HIV/AIDS have been established. In 2010, the South African Government decentralised ART to the primary care level. This study intended to determine the effect of this decentralisation in achieving viral load suppression among patients. Objective: To determine the prevalence of HIV viral load suppression and factors related to the suppression among patients initiated on ART at Pedisong 4 clinic, Tshwane District in Pretoria. Methods: A prospective cohort study was conducted on 98 patients initiated on ART between 01 November 2012 and 30 April 2013. Based on the viral load results, they were divided into those who achieved Viral Load Suppression (VLS), and those who did not (NVLS). Analyses were done using SAS® (version 9.2) for Microsoft software. A p < 0.05 was considered significant. Results: Ninety patients (91.8%; 95%CI, 84.7% – 95.8%) achieved viral load suppression while eight (8.2%; 95%CI, 4.2% – 15.3%), did not. Of the 98 patients, 63 (64%) were female. In the NVLS group, the female to male ratio was 7:1 (p = 0.038). There was no relationship between viral load suppression and patients’ baseline characteristics, behavioural characteristics and clinical characteristics (p > 0.05). ART adherence reported in both patient groups was ≥ 87.0%. Conclusion: There was good viral load suppression in patients initiated on ART at Pedisong 4 clinic. Patients’ baseline, behavioural and clinical characteristics were not related to viral load suppression, necessitating further large sample size studies in various health facilities.
KW - Adherence
KW - Anti-retroviral treatment
KW - CD4 count
KW - Pedisong 4 clinic
KW - Prospective cohort study
KW - Viral load suppression
UR - http://www.scopus.com/inward/record.url?scp=85046778897&partnerID=8YFLogxK
U2 - 10.2174/1874944501811010135
DO - 10.2174/1874944501811010135
M3 - Article
SN - 1874-9445
VL - 11
SP - 135
EP - 146
JO - Open Public Health Journal
JF - Open Public Health Journal
ER -