eISSN: 1732-2707
ISSN: 1730-1270
HIV & AIDS Review. International Journal of HIV-Related Problems
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1/2018
vol. 17
 
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abstract:
Research paper

Conflicts in Yemen exacerbate lost to follow-up rates of people living with HIV

Mayada Faisal Nabih M., Sharifa E. Wan Puteh, Amrizal Muhammad Nur

HIV AIDS Rev 2018; 17, 1: 49-53
Online publish date: 2018/02/07
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Introduction
The aim of the study is to examine demographic data of people living with human immu-nodeficiency virus (PLHIV) who are lost to follow-up (LTFU) during HIV treatment and care, in order to develop rapid and effective interventions to improve access to services in Yemen.

Material and methods
This is a retrospective descriptive study of health service data implemented in all sites that provided HIV treatment and care services from 2007-2012. The study population was 1,586 PLHIV registered at pre-antiretroviral (pre-ART) clinics and 995 under antiretroviral (ART) clinics with exclusion of transfers and deaths.

Results
Most of the LTFU at pre-ART and ART clinics occurred during the conflict period (2011-2012) and among males at age 25-49 years, especially from governorates where the services existed. The first 3 years showed higher rates of LTFU; 90% and 81% were among Yemenis, and 68% and 65% among young males at pre-ART and ART respectively. Sana’a governorate had the highest rate of LTFU among females at pre-ART, while Aden experienced the highest rate of LTFU among females under ART.

Conclusions
The conflict in Yemen was associated with an increase in the rate of LTFU among Yemeni young males, especially at governorates that experienced political conflicts. In-depth study on LTFU are needed, and improved counselling methods and patient’s tracking systems are recommended.

keywords:

lost to follow-up of PLHIV, Yemen conflicts, retention in care, antiretroviral therapy

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