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P122 Treatment outcomes in HIV care among children and adult in high volume ART sites in rivers state, nigeria
  1. Atochi Emenike
  1. Rivers State Ministry of Health, Public Health, Port Harcourt, Nigeria


Background The HIV program involves sequential steps: HIV testing, diagnosis, linkage to care, retention and viral-suppression. Access to Antiretroviral-Therapy with appropriate regimen, continuity of care, technical competence of service providers on counselling and client focus are required to meet the bench mark for quality and standards of care. Most often than not, retention in care of People Living with HIV is a public health issue. This study aims to review retention and variations in treatment outcomes among adult and children in high-volume ART sites in Rivers State Nigeria

Methods This is a retrospective cohort-study investigating one-year treatment outcomes of adults (15 years and above) and children (0–14 years) who started ART between January 2017-December 2017 across 6 high-volume ART sites in Rivers State Nigeria, supported by the USAID funded SIDHAS project and Global Fund. A treatment current of 1000 and above was the rationale for choosing the high-volume ART sites. The study involved secondary data collection, using the Retention-Audit-Determination-Tool (RADET).

Results A total of 3704 records of individuals who started antiretroviral therapy were reviewed, 4.7% (177) and 96.5% (3577) accounted for children and adult respectively. Treatment outcomes after one-year on treatment showed that 61.0% (108) of children were active, 2.8% (5) dead, 19.2% (34) transferred-out and 35.6% (63) lost-to-follow-up. Adults had 80.8% (2891) active outcome, 1.3% (48) dead, 2.7% (99) transferred-out, 12.2% (437) Lost-to-Follow-Up and 0.3% (12) stopped-treatment

Conclusion Positive treatment-outcome is important for viral-load suppression, reduced morbidity and mortality. Transferred-Out is considerably high among children and even more for Lost-to-Follow-Up outcome among children. We found variation in attrition between children and adults. Higher mortality rate was recorded among children as compared to adults. A well-planned children and adult counseling-methods, follow-up tracking, family-centered approach and client understanding of lifelong-ART are required in Patient Management, Monitoring to improve treatment-outcomes for PLHIV especially children on ART

Disclosure No significant relationships.

  • HIV
  • ART
  • PrEP
  • prevention
  • intervention and treatment

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