Design And Characteristics Of HIV Care And Treatment Programs Impact On Populations Enrolled
El-Sadr W.1, Abrams E.1, Hoos D.1, Rabkin M.1, Justman J.1, Hardy T.1, Nash D.1
Introduction: Provision of HIV care and treatment (C&T) in resource limited countries is an important priority. We contrast approaches and findings from our two multinational programs, the MTCT-Plus Initiative and the Multicountry Columbia Antiretroviral Program (MCAP).
Methods: MTCT-Plus builds of pMTCT programs to support comprehensive family-focused HIV C&T in 8 countries in sub Saharan Africa and in Thailand enrolling HIV+ pregnant or post-partum women, their HIV+ children, partners and household members. Program focuses on families in order to increase enrollment, enhance adherence, and emphasize pediatric care. MCAP supports general HIV C&T programs in 5 countries in sub Saharan Africa aimed at all groups with emphasis on ART.
Results: From February 2003-December 2004, MTCT-Plus enrolled families including 7,095 patients, 4623 (65%) adults and 2472 (35%) children (<15 years). Of the adults, 3693 (82%) were women, 845 (18%) male partners and 85 (2%) other adults in household. Of women, 41% were enrolled during pregnancy. Of 2,472 children enrolled, 92% were of recent pregnancy. At enrollment, 35% of adults were eligible for ART. From February 2004-December 2004, MCAP enrolled 9,545 patients, 8489 (89%) adults and 1056 (11%) children. Of the adults, 5981 (70%) were women. At enrollment, 51% of adults and 8% of children were eligible for ART. MTCT-Plus was significantly more likely than MCAP to enroll women (RR:1.4, CI: 1.3-1.5), to enroll children (RR: 2.0, CI: 1.9-2.1) and to have fewer eligible for ART at enrollment (RR:0.65, CI:0.62-0.68).
Conclusions: Both MTCT-Plus and MCAP enrolled patients rapidly. MTCT-Plus, with its focus on families, successfully enrolled more women (including pregnant women) and children. MCAP, with its focus on ART initiation, enrolled more patients with advanced HIV eligible for ART. A mosaic of programs with differing designs must be established in a community in order to meet HIV care needs.
The 3rd IAS Conference on HIV Pathogenesis and Treatment
Abstract no. MoPe11.2C40
Suggested Citation
"El-SadrW., et al. Design And Characteristics Of HIV Care And Treatment Programs Impact On Populations Enrolled. Poster Exhibition: The 3rd IAS Conference on HIV Pathogenesis and Treatment: Abstract no. MoPe11.2C40"