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From HIV diagnosis to treatment: evaluation of a referral system to promote and monitor access to antiretroviral therapy in rural Tanzania by Ray Nsigaye; Alison Wringe; Maria Roura; Samuel Kalluvya; Mark Urassa; Joanna Busza; Basia Zaba is a Medicine article available to read on EtoBox.
What is From HIV diagnosis to treatment: evaluation of a referral system to promote and monitor access to antiretroviral therapy in rural Tanzania about?
## Background Individuals diagnosed with HIV in developing countries are not always successfully linked to onward treatment services, resulting in missed opportunities for timely initiation of antiretroviral therapy, or prophylaxis for opportunistic infections. In collaboration with local stakeholders, we designed and assessed a referral system to link persons diagnosed at a voluntary counselling and testing (VCT) clinic in a rural district in northern Tanzania with a government‐run HIV treatment clinic in a nearby city. ## Methods Two‐part referral forms, with unique matching numbers on each side were implemented to facilitate access to the HIV clinic, and were subsequently reconciled to monitor the proportion of diagnosed clients who registered for these services, stratified by sex and referral period. Delays between referral and registration at the HIV clinic were calculated, and lists of non‐attendees were generated to facilitate tracing among those who had given prior consent for follow up. Transportation allowances and a “community escort” from a local home‐based care organization were introduced for patients attending the HIV clinic, with supportive counselling services prov
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- Author
- Ray Nsigaye; Alison Wringe; Maria Roura; Samuel Kalluvya; Mark Urassa; Joanna Busza; Basia Zaba
- Publisher
- BioMed Central; Wiley (John Wiley & Sons); John Wiley and Sons Inc.; London: BioMed Central, 2008-2012; Geneva: International AIDS Society, 2012-; Wiley; Springer Science and Business Media LLC; International AIDS Society (ISSN 1758-2652)
- Published
- 2009
- Language
- EN
- Field
- Medicine (Health Sciences)