Continuity of care during severe civil unrest with a model of community-based HIV care: a retrospective cohort study from Haiti
These videos have been matched automatically. Contact us if they are not relevant.
These videos have been matched automatically. Contact us if they are not relevant.
View abstract on PubMed
Summary
This summary is machine-generated.Differentiated service delivery (DSD) for HIV care in Haiti maintained high retention and viral suppression rates during civil unrest. Community-based HIV care models show promise, though younger patients and those new to antiretroviral therapy (ART) require targeted interventions.
Area Of Science
- Public Health
- Infectious Diseases
- Health Services Research
Background
- Limited data exist on HIV care effectiveness during sociopolitical turmoil.
- Assessed a differentiated service delivery (DSD) model in Haiti during severe civil unrest.
- The DSD model offered patient choice: community-based antiretroviral therapy (ART) centers, home-based ART dispensing, or facility-based care.
Purpose Of The Study
- To evaluate the effectiveness of a DSD model for HIV care.
- To identify predictors of community visit attendance and timely visits.
- To assess viral suppression rates within the DSD model during sociopolitical instability.
Main Methods
- Retrospective analysis of HIV patients at GHESKIO clinic (May 2019 - Dec 2021).
- Used multivariable logistic regression to analyze predictors of community visit attendance and timely visits.
- Reported HIV-1 RNA test results for patients on ART for ≥3 months.
Main Results
- Over 18,600 patients included; 51.9% attended at least one community visit.
- Community visit proportion increased significantly from 2019 to 2021.
- Predictors for community visits included male sex, higher education, income, longer ART duration, and specific residence zones. Younger age and shorter ART duration were linked to late visits.
Conclusions
- Community-based HIV care models can maintain high retention and viral suppression rates despite significant sociopolitical challenges.
- The DSD model in Haiti demonstrated resilience and effectiveness.
- Further interventions are needed to optimize outcomes for younger patients and those with shorter ART duration.
These videos have been matched automatically. Contact us if they are not relevant.
These videos have been matched automatically. Contact us if they are not relevant.
Related Concept Videos
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
• Purpose: Documentation in long-term care facilities is critical for interprofessional resident assessment and planning. It ensures that all aspects of a resident's care - from medical needs to daily living assistance - are thoroughly...
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...