Short Adherence Intervention for Viral Re-suppression

Launched by SWISS TROPICAL & PUBLIC HEALTH INSTITUTE · Aug 7, 2017

Keywords

ClinConnect Summary

Due to a lack of routine viral load (VL) monitoring in Lesotho until now, most health care workers in the districts lack the necessary information on how to manage patients with elevated viral loads. The CART-1 study found re-suppression rates of only 30% with only 70% returning for a second VL. From these estimates, it is clear that the current practice for managing these patients must be improved. A simple intervention has been designed that could be feasibly adapted at all health centres in Lesotho.

To ensure that the effect of this intervention is measured and to avoid a long delay in ...

Gender

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Eligibility criteria

• Inclusion Criteria:
• • All patients receiving VL monitoring at one of the 2 hospitals and 10 health centres in Butha-Buthe district
• • Patients on first-line ART
• • Patients with a VL≥ 1000 copies/mL after a minimum of 6 months on first-line ART
• Exclusion Criteria:
• • Patients receiving VL monitoring at a non-participating center in Butha-Buthe