Strengthening the HIV cascade to ensure an effective future ART response in sub-Saharan Africa

Govindasamy, Darshini; Kranzer, Katharina; Ford, Nathan
January 2014
Transactions of the Royal Society of Tropical Medicine & Hygiene;Jan2014, Vol. 108 Issue 1, p1
Academic Journal
Timely linkage to antiretroviral therapy (ART) care is critical for reducing HIV-related morbidity, mortality and transmission. Studies investigating interventions to improve linkage to, and retention in, pre-ART care in sub-Saharan Africa were reviewed. Certain interventions used to overcome economic barriers for ART-patients (i.e. integration of services, medical and food incentives, intensified counselling and peer support) have also shown favourable results in the pre-ART period. A combined package of interventions found to be effective in the pre-ART and ART period might be effective for reducing attrition in both periods. Further operational research in this area is needed to identify local solutions.


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