Journal Club is hosted by the ICAP Clinical and Training Unit. It’s designed to inform ICAP staff and colleagues of the latest scientific literature by providing a succinct summary and critical analysis of important studies, and by discussing the implications of the research on clinical work.
Article of the Month
“Decentralizing ART Supply for Stable HIV Patients to Community-Based Distribution Centers: Program Outcome from an Urban Context in Kinshasa, DRC”
Published in:
JAIDS 2017; 74:326-331
Authors:
Florian Vogt, Lucien Kalenga, Jean Lukela, Freddy Salumu, Ibrahim Diallo, Elena Nico, Emmanuel Lampart, Rafael Van den Bergh, Safieh Shah, Olumide Ogundahunsi, Rony Zachariah, Johan Van Griensven
Synopsis:
This retrospective cohort study used routine programmatic data from June 2011 through September 2014 to assess decentralization of stable adult patients on ART from the HIV clinic at a large referral hospital in Kinshasha to three community-based drug distribution centers. Twelve-month retention was comparable to that seen in community-based adherence clubs (CACs) in Cape Town, and slightly lower than that seen in community ART groups (CAGs) in rural Mozambique. The data are consistent with other studies showing that decentralized models of care are associated with significantly higher retention rates than conventional facility-based models.
This article synopsis was written by Miriam Rabkin. Share your thoughts on this article or suggest an article for Journal Club by emailing her at mr84@columbia.edu.
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