Publications des scientifiques de l'IRD

Tong C., Suzan-Monti M., Sagaon Teyssier Luis, Mimi M., Laurent Christian, Maradan G., Mengue M. T., Spire B., Kuaban C., Vidal Laurent, Boyer S., Evol Cam Group. (2018). Treatment interruption in HIV-positive patients followed up in Cameroon's antiretroviral treatment programme : individual and health care supply-related factors (ANRS-12288 EVOLCam survey). Tropical Medicine and International Health, 23 (3), p. 315-326. ISSN 1360-2276.

Titre du document
Treatment interruption in HIV-positive patients followed up in Cameroon's antiretroviral treatment programme : individual and health care supply-related factors (ANRS-12288 EVOLCam survey)
Année de publication
2018
Type de document
Article référencé dans le Web of Science WOS:000426530600008
Auteurs
Tong C., Suzan-Monti M., Sagaon Teyssier Luis, Mimi M., Laurent Christian, Maradan G., Mengue M. T., Spire B., Kuaban C., Vidal Laurent, Boyer S., Evol Cam Group
Source
Tropical Medicine and International Health, 2018, 23 (3), p. 315-326 ISSN 1360-2276
IntroductionDecreasing international financial resources for HIV and increasing numbers of antiretroviral treatment (ART)-treated patients may jeopardise treatment continuity in low-income settings. Using data from the EVOLCam ANRS-12288 survey, this study aimed to document the prevalence of unplanned treatment interruption for more than 2 consecutive days (TI>2d) and investigate the associated individual and health care supply-related factors within the Cameroonian ART programme. MethodsA cross-sectional mixed methods survey was carried out between April and December 2014 in 19 HIV services of the Centre and Littoral regions. A multilevel logistic model was estimated on 1885 ART-treated patients in these services to investigate factors of TI>2d in the past 4 weeks. ResultsAmong the study population, 403 (21%) patients reported TI>2d. Patients followed up in hospitals reporting ART stock-outs were more likely to report TI>2d while those followed up in the Littoral region, in medium- or small-sized hospitals and in HIV services proposing financial support were at lower risk of TI>2d. The following individual factors were also associated with a lower risk of TI>2d: living in a couple, having children, satisfaction with attention provided by doctor, tuberculosis co-infection and not having consulted a traditional healer. ConclusionsBesides identifying individual factors of TI>2d, our study highlighted the role of health care supply-related factors in shaping TI in Cameroon's ART programme, especially the deleterious effect of ART stock-outs. Our results also suggest that the high proportion of patients reporting TI could jeopardise progress in the fight against HIV in the country, unless effective measures are quickly implemented like ensuring the continuity of ART supply.
Plan de classement
Santé : généralités [050] ; Entomologie médicale / Parasitologie / Virologie [052] ; Santé : aspects socioculturels, économiques et politiques [056]
Description Géographique
CAMEROUN
Localisation
Fonds IRD [F B010072446]
Identifiant IRD
fdi:010072446
Contact