@article{fdi:010072446,
  title = {{T}reatment interruption in {HIV}-positive patients followed up in {C}ameroon's antiretroviral treatment programme : individual and health care supply-related factors ({ANRS}-12288 {EVOLC}am survey)},
  author = {{T}ong, {C}. and {S}uzan-{M}onti, {M}. and {S}agaon {T}eyssier, {L}uis and {M}imi, {M}. and {L}aurent, {C}hristian and {M}aradan, {G}. and {M}engue, {M}. {T}. and {S}pire, {B}. and {K}uaban, {C}. and {V}idal, {L}aurent and {B}oyer, {S}. and {E}vol {C}am {G}roup,},
  editor = {},
  language = {{ENG}},
  abstract = {{I}ntroduction{D}ecreasing international financial resources for {HIV} and increasing numbers of antiretroviral treatment ({ART})-treated patients may jeopardise treatment continuity in low-income settings. {U}sing data from the {EVOLC}am {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 {C}ameroonian {ART} programme. {M}ethods{A} cross-sectional mixed methods survey was carried out between {A}pril and {D}ecember 2014 in 19 {HIV} services of the {C}entre and {L}ittoral 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. {R}esults{A}mong the study population, 403 (21%) patients reported {TI}>2d. {P}atients followed up in hospitals reporting {ART} stock-outs were more likely to report {TI}>2d while those followed up in the {L}ittoral region, in medium- or small-sized hospitals and in {HIV} services proposing financial support were at lower risk of {TI}>2d. {T}he 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. {C}onclusions{B}esides identifying individual factors of {TI}>2d, our study highlighted the role of health care supply-related factors in shaping {TI} in {C}ameroon's {ART} programme, especially the deleterious effect of {ART} stock-outs. {O}ur 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.},
  keywords = {{HIV} ; {C}ameroon ; antiretroviral treatment interruption ; individual factors ; health care supply-related factors ; {CAMEROUN}},
  booktitle = {},
  journal = {{T}ropical {M}edicine and {I}nternational {H}ealth},
  volume = {23},
  numero = {3},
  pages = {315--326},
  ISSN = {1360-2276},
  year = {2018},
  DOI = {10.1111/tmi.13030},
  URL = {https://www.documentation.ird.fr/hor/fdi:010072446},
}