Improving HIV testing and retention among adolescents and youths

Lessons from a quasi-experimental study of the Red-Carpet Program in Malawi

Datos Bibliográficos

ID19593701
AutoresRachel Chamanga (0000-0003-1298-7669, autor de correspondencia), Tessa Musukwa (autor de correspondencia), Cosima Lenz (0000-0001-8041-6943, Elizabeth Glaser Pediatric AIDS Foundation, autor de correspondencia), Louiser Kalitera (0000-0002-8510-4882, autor de correspondencia), Geoffrey Singini, Geoffrey C Singini (autor de correspondencia), Felix Gent (autor de correspondencia), Harrid Nkhoma (autor de correspondencia), Godfrey Woelk (0000-0002-8382-0893, Elizabeth Glaser Pediatric AIDS Foundation, autor de correspondencia), Judith Kose (0000-0002-3569-8811, Centers for Disease Control and Prevention, autor de correspondencia), Thulani Maphosa (0000-0001-5164-8913, autor de correspondencia)
EditoresRashmi Josephine Rodrigues
Año2024
Volumen4
Número12
Páginase0004072
Fecha de publicación2024-12-19
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaPLOS Global Public Health (JOURNAL)
Identificadores de la revistaISSN: 2767-3375 • E-ISSN: 2767-3375
EditorialPublic Library of Science (PLoS) (PUBLISHER)
DOI10.1371/journal.pgph.0004072
PMID39700233
OpenAlexW4405610166
IdiomaEN
Referencias citadas30

Adolescents and youth living with HIV (AYLHIV) often face significant challenges in HIV care. Elizabeth Glaser Pediatric AIDS Foundation in Malawi implemented the Red-Carpet Program (RCP) to provide fast-tracked services for AYLHIV in care.This study aimed to assess the effect of RCP on Provider-Initiated HIV testing, linkage to care and antiretroviral therapy (ART), and retention in care among AYLHIV in Blantyre, Malawi. This quasi-experimental study compared outcomes among newly identified AYLHIV enrolled in four intervention health facilities implementing RCP with those of three non-intervention facilities between July 2020 and March 2021. Non-intervention sites were selected by matching based on patient volumes and baseline retention rates prior to the intervention ensuring comparability with the intervention sites. Proportions and Chi-square tests were used to compare outcomes between the two groups. Kaplan-Meier curves were employed to assess longitudinal outcomes, and Cox regression analysis was used to estimate the hazard of non-retention in care. Data were collected from 475 AYLHIV from RCP sites and 248 AYLHIV from non-intervention sites. In the non-intervention sites, 87% of AYLHIV were female, compared to 78% in the RCP sites. A higher proportion of adolescents (67%) underwent provider-initiated HIV testing at intervention site s than at non-intervention sites (51%), p

Confidence interval · Family medicine · Hazard ratio · Health care · Proportional hazards model · Adolescent Sexual and Reproductive Health · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Nursing · Internal Medicine