Patient related predictors of Virological Non- suppression among HIV infected individuals on antiretroviral therapy; a case study of Alebtong Health Centre iv, Alebtong district./ (Record no. 917)

MARC details
000 -LEADER
fixed length control field 03217nam a22002657a 4500
003 - CONTROL NUMBER IDENTIFIER
control field OSt
005 - DATE AND TIME OF LATEST TRANSACTION
control field 20210209145219.0
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 210209b ||||| |||| 00| 0 eng d
040 ## - CATALOGING SOURCE
Language of cataloging Eng
Transcribing agency BUL
Modifying agency BUL
Description conventions RDA
082 ## - DEWEY DECIMAL CLASSIFICATION NUMBER
Edition number 22
Classification number 615.5072
Item number ODU
100 ## - MAIN ENTRY--PERSONAL NAME
Personal name Odung, Tonny.
245 ## - TITLE STATEMENT
Title Patient related predictors of Virological Non- suppression among HIV infected individuals on antiretroviral therapy; a case study of Alebtong Health Centre iv, Alebtong district./
Statement of responsibility, etc. Tonny Odung
250 ## - EDITION STATEMENT
Edition statement [1st edition]
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Place of publication, distribution, etc. Busitema University
Date of publication, distribution, etc. 2018
300 ## - PHYSICAL DESCRIPTION
Extent xi, 36 p.:
Other physical details ill;
Dimensions 30 cm.
Accompanying material CD
500 ## - GENERAL NOTE
General note In Uganda, recent data about viral load non-suppression among HIV infected individuals on antiretroviral treatment is relatively scarce and this complicates the design of effective HIV/AIDS mitigation strategies. The purpose of this study was to determine the proportion and predictors of viral load non-suppression among HIV patients on ART in Alebtong district, Northern Uganda. <br/>Methods:<br/> A retrospective cohort analysis of 323 HIV positive patient records from July 2016 to June 2017 was conducted at Alebtong Health Center IV. Data was collected using a data abstraction tool and was summarized using descriptive statistics. A chi square test was done to assess the association between viral load suppression status and other covariates. Multivariable logistic regression was used to determine the predictors of virological non-suppression. The data were analyzed using STATA version 14 software.<br/>Results: Of the 323 patient records reviewed,159(49.2%) were males and 164 (50.8%) females.250 (77.7%) were between 13 to 49 years, 42 (13.2%) were 13 years and below, 30(9.3%) were 50 years and above. About 53% (n=170) had non-suppressed viral load, 66% (n=213) had >95% adherence to ART. Late initiation (>3months) on ART increased the odds of poor viral load suppression (AOR 57.0, 95% CI 12.27-264.97). Poor adherence (≤95%) to ART was a strong predictor of viral load non-suppression (AOR 37.4, 95% CI 10.1-137.9). Weight above 20 kg was significantly protective against viral load non-suppression (AOR 0.008, 95% CI 0.001-0.068). <br/>Conclusion: <br/>Only 47.4% of patients receiving ART at Alebtong HC IV achieved viral load suppression in the period July 2016 to June 2017. This is about half way the 90-90-90 global HIV treatment target of 2020. Late initiation on ART and poor adherence to ART are predictors of viral load non suppression while a weight above 20kg at ART initiation is protective against viral load non suppression. <br/>Recommendations: <br/>HIV patients in Alebtong should be initiated onto ART at the earliest possible time regardless of WHO clinical staging or CD4 count up on confirmation and should be supported to maintain good adherence to minimize viral load non-suppression in this population. <br/>
504 ## - BIBLIOGRAPHY, ETC. NOTE
Bibliography, etc. note References : 30-33 p.<br/>Appendeix : 34-36<br/>
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Virological failure
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Clinical failure
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element HIV client
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Viral load suppression
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Viral load non- suppression
856 ## - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="http://hdl.handle.net/20.500.12283/380">http://hdl.handle.net/20.500.12283/380</a>
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Source of classification or shelving scheme Dewey Decimal Classification
Koha item type Book Open Access
Edition [1st edition]
Classification part 615.5072
Item part 1
Call number prefix ODU
Call number suffix 615.5072 ODU
Holdings
Withdrawn status Lost status Source of classification or shelving scheme Damaged status Not for loan Home library Current library Date acquired Source of acquisition Total Checkouts Full call number Barcode Date last seen Copy number Price effective from Koha item type
    Dewey Decimal Classification     Engineering Library Engineering Library 02/09/2021 Legal deposit   615.5072 ODU 1 0019830 02/09/2021 1 02/09/2021 Book Open Access