Evaluation of Adherence to Anti-Retroviral Treatment: Experience of SANRU, DRC

Lukanu Ngwala Philippe; Izale Kwazimi Bibiche; Kanku Kalukusa Patrick; Balanda Musoko Freddy; Kalonji Ntumba Albert; Minuku Felix; Ngoma Miezi Kintaudi Leon; Ogunbanjo Gboyega Adebola

doi:doi:10.11648/j.cajph.20180405.11

Evaluation of Adherence to Anti-Retroviral Treatment: Experience of SANRU, DRC

Lukanu Ngwala Philippe, Izale Kwazimi Bibiche, Kanku Kalukusa Patrick, Balanda Musoko Freddy, Kalonji Ntumba Albert, Minuku Felix, Ngoma Miezi Kintaudi Leon, Ogunbanjo Gboyega Adebola

Published in Central African Journal of Public Health (Volume 4, Issue 5)

Received: 16 August 2018 Accepted: 3 September 2018 Published: 30 September 2018

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Abstract

Access to antiretroviral treatment (ART) has substantially increased in the Democratic Republic of Congo (DRC) over the past 5 years. Santé Rural (SANRU), a non-governmental organization established by l’Eglise de Christ du Congo (Christ’s Church of the Congo) in the 1980s to improve rural health in the DRC, is one of the principal recipients of Global fund in DRC with around 40000 people living with HIV/AIDS (PLWHIV) receiving ART in 129 health zones in the country. The continuous success of ART critically depends on sustained ART adherence. The objective of this study was to identify the determinants of adherence among PLWHIV in SANRU managed health zones in the Democratic Republic of Congo. Two thousand five hundred eighty-six PLWHIV’s files were extracted. Eighty-two percent (82%) were adherent to ART, while 85. 5% were alive after 12 months on anti-retroviral treatment, 5.2% were lost from follow-up and 2.2% were transferred. The average age was 37 years, and predominantly women formed 65.5% of the sample. The median distance between facilities and patient’s habitat was 5 kms. Close to three-fifth of the PLWHIV were living in urban settings (64.4%). Among 2586 patient’s files retrieved, 2495 (96, 5%) were followed up in facilities with at least an HIV-care trained physician and nurses, 1566 (60.6%) were followed up in facilities with at least one HIV care trained pharmacist; 1645 (63.6%) among the PLWHIV did not report ART stock run-outs. These findings highlight the relevance of healthcare providers’ training on HIV to improve HIV patient outcomes.

Published in	Central African Journal of Public Health (Volume 4, Issue 5)
DOI	10.11648/j.cajph.20180405.11
Page(s)	131-136
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2018. Published by Science Publishing Group

Keywords

ART, PLWHIV, Adherence, Evaluation

References

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APA Style

Lukanu Ngwala Philippe, Izale Kwazimi Bibiche, Kanku Kalukusa Patrick, Balanda Musoko Freddy, Kalonji Ntumba Albert, et al. (2018). Evaluation of Adherence to Anti-Retroviral Treatment: Experience of SANRU, DRC. Central African Journal of Public Health, 4(5), 131-136. https://doi.org/10.11648/j.cajph.20180405.11

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ACS Style

Lukanu Ngwala Philippe; Izale Kwazimi Bibiche; Kanku Kalukusa Patrick; Balanda Musoko Freddy; Kalonji Ntumba Albert, et al. Evaluation of Adherence to Anti-Retroviral Treatment: Experience of SANRU, DRC. Cent. Afr. J. Public Health 2018, 4(5), 131-136. doi: 10.11648/j.cajph.20180405.11

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AMA Style

Lukanu Ngwala Philippe, Izale Kwazimi Bibiche, Kanku Kalukusa Patrick, Balanda Musoko Freddy, Kalonji Ntumba Albert, et al. Evaluation of Adherence to Anti-Retroviral Treatment: Experience of SANRU, DRC. Cent Afr J Public Health. 2018;4(5):131-136. doi: 10.11648/j.cajph.20180405.11

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@article{10.11648/j.cajph.20180405.11,
  author = {Lukanu Ngwala Philippe and Izale Kwazimi Bibiche and Kanku Kalukusa Patrick and Balanda Musoko Freddy and Kalonji Ntumba Albert and Minuku Felix and Ngoma Miezi Kintaudi Leon and Ogunbanjo Gboyega Adebola},
  title = {Evaluation of Adherence to Anti-Retroviral Treatment: Experience of SANRU, DRC},
  journal = {Central African Journal of Public Health},
  volume = {4},
  number = {5},
  pages = {131-136},
  doi = {10.11648/j.cajph.20180405.11},
  url = {https://doi.org/10.11648/j.cajph.20180405.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20180405.11},
  abstract = {Access to antiretroviral treatment (ART) has substantially increased in the Democratic Republic of Congo (DRC) over the past 5 years. Santé Rural (SANRU), a non-governmental organization established by l’Eglise de Christ du Congo (Christ’s Church of the Congo) in the 1980s to improve rural health in the DRC, is one of the principal recipients of Global fund in DRC with around 40000 people living with HIV/AIDS (PLWHIV) receiving ART in 129 health zones in the country. The continuous success of ART critically depends on sustained ART adherence. The objective of this study was to identify the determinants of adherence among PLWHIV in SANRU managed health zones in the Democratic Republic of Congo. Two thousand five hundred eighty-six PLWHIV’s files were extracted. Eighty-two percent (82%) were adherent to ART, while 85. 5% were alive after 12 months on anti-retroviral treatment, 5.2% were lost from follow-up and 2.2% were transferred. The average age was 37 years, and predominantly women formed 65.5% of the sample. The median distance between facilities and patient’s habitat was 5 kms. Close to three-fifth of the PLWHIV were living in urban settings (64.4%). Among 2586 patient’s files retrieved, 2495 (96, 5%) were followed up in facilities with at least an HIV-care trained physician and nurses, 1566 (60.6%) were followed up in facilities with at least one HIV care trained pharmacist; 1645 (63.6%) among the PLWHIV did not report ART stock run-outs. These findings highlight the relevance of healthcare providers’ training on HIV to improve HIV patient outcomes.},
 year = {2018}
}

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TY - JOUR
T1 - Evaluation of Adherence to Anti-Retroviral Treatment: Experience of SANRU, DRC
AU - Lukanu Ngwala Philippe
AU - Izale Kwazimi Bibiche
AU - Kanku Kalukusa Patrick
AU - Balanda Musoko Freddy
AU - Kalonji Ntumba Albert
AU - Minuku Felix
AU - Ngoma Miezi Kintaudi Leon
AU - Ogunbanjo Gboyega Adebola
Y1 - 2018/09/30
PY - 2018
N1 - https://doi.org/10.11648/j.cajph.20180405.11
DO - 10.11648/j.cajph.20180405.11
T2 - Central African Journal of Public Health
JF - Central African Journal of Public Health
JO - Central African Journal of Public Health
SP - 131
EP - 136
PB - Science Publishing Group
SN - 2575-5781
UR - https://doi.org/10.11648/j.cajph.20180405.11
AB - Access to antiretroviral treatment (ART) has substantially increased in the Democratic Republic of Congo (DRC) over the past 5 years. Santé Rural (SANRU), a non-governmental organization established by l’Eglise de Christ du Congo (Christ’s Church of the Congo) in the 1980s to improve rural health in the DRC, is one of the principal recipients of Global fund in DRC with around 40000 people living with HIV/AIDS (PLWHIV) receiving ART in 129 health zones in the country. The continuous success of ART critically depends on sustained ART adherence. The objective of this study was to identify the determinants of adherence among PLWHIV in SANRU managed health zones in the Democratic Republic of Congo. Two thousand five hundred eighty-six PLWHIV’s files were extracted. Eighty-two percent (82%) were adherent to ART, while 85. 5% were alive after 12 months on anti-retroviral treatment, 5.2% were lost from follow-up and 2.2% were transferred. The average age was 37 years, and predominantly women formed 65.5% of the sample. The median distance between facilities and patient’s habitat was 5 kms. Close to three-fifth of the PLWHIV were living in urban settings (64.4%). Among 2586 patient’s files retrieved, 2495 (96, 5%) were followed up in facilities with at least an HIV-care trained physician and nurses, 1566 (60.6%) were followed up in facilities with at least one HIV care trained pharmacist; 1645 (63.6%) among the PLWHIV did not report ART stock run-outs. These findings highlight the relevance of healthcare providers’ training on HIV to improve HIV patient outcomes.
VL - 4
IS - 5
ER -

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Author Information

Lukanu Ngwala Philippe

Department of Family Medicine, Protestant University of Congo, Kinshasa, DRC
Izale Kwazimi Bibiche

Sante Rural, Kinshasa, DRC
Kanku Kalukusa Patrick

Sante Rural, Kinshasa, DRC
Balanda Musoko Freddy

Sante Rural, Kinshasa, DRC
Kalonji Ntumba Albert

Sante Rural, Kinshasa, DRC
Minuku Felix

Sante Rural, Kinshasa, DRC
Ngoma Miezi Kintaudi Leon

Department of Family Medicine, Protestant University of Congo, Kinshasa, DRC
Ogunbanjo Gboyega Adebola

Family Medicine Department, Sefako Makgato University, Pretoria, South Africa

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APA Style

Lukanu Ngwala Philippe, Izale Kwazimi Bibiche, Kanku Kalukusa Patrick, Balanda Musoko Freddy, Kalonji Ntumba Albert, et al. (2018). Evaluation of Adherence to Anti-Retroviral Treatment: Experience of SANRU, DRC. Central African Journal of Public Health, 4(5), 131-136. https://doi.org/10.11648/j.cajph.20180405.11

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ACS Style

Lukanu Ngwala Philippe; Izale Kwazimi Bibiche; Kanku Kalukusa Patrick; Balanda Musoko Freddy; Kalonji Ntumba Albert, et al. Evaluation of Adherence to Anti-Retroviral Treatment: Experience of SANRU, DRC. Cent. Afr. J. Public Health 2018, 4(5), 131-136. doi: 10.11648/j.cajph.20180405.11

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AMA Style

Lukanu Ngwala Philippe, Izale Kwazimi Bibiche, Kanku Kalukusa Patrick, Balanda Musoko Freddy, Kalonji Ntumba Albert, et al. Evaluation of Adherence to Anti-Retroviral Treatment: Experience of SANRU, DRC. Cent Afr J Public Health. 2018;4(5):131-136. doi: 10.11648/j.cajph.20180405.11

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@article{10.11648/j.cajph.20180405.11,
  author = {Lukanu Ngwala Philippe and Izale Kwazimi Bibiche and Kanku Kalukusa Patrick and Balanda Musoko Freddy and Kalonji Ntumba Albert and Minuku Felix and Ngoma Miezi Kintaudi Leon and Ogunbanjo Gboyega Adebola},
  title = {Evaluation of Adherence to Anti-Retroviral Treatment: Experience of SANRU, DRC},
  journal = {Central African Journal of Public Health},
  volume = {4},
  number = {5},
  pages = {131-136},
  doi = {10.11648/j.cajph.20180405.11},
  url = {https://doi.org/10.11648/j.cajph.20180405.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20180405.11},
  abstract = {Access to antiretroviral treatment (ART) has substantially increased in the Democratic Republic of Congo (DRC) over the past 5 years. Santé Rural (SANRU), a non-governmental organization established by l’Eglise de Christ du Congo (Christ’s Church of the Congo) in the 1980s to improve rural health in the DRC, is one of the principal recipients of Global fund in DRC with around 40000 people living with HIV/AIDS (PLWHIV) receiving ART in 129 health zones in the country. The continuous success of ART critically depends on sustained ART adherence. The objective of this study was to identify the determinants of adherence among PLWHIV in SANRU managed health zones in the Democratic Republic of Congo. Two thousand five hundred eighty-six PLWHIV’s files were extracted. Eighty-two percent (82%) were adherent to ART, while 85. 5% were alive after 12 months on anti-retroviral treatment, 5.2% were lost from follow-up and 2.2% were transferred. The average age was 37 years, and predominantly women formed 65.5% of the sample. The median distance between facilities and patient’s habitat was 5 kms. Close to three-fifth of the PLWHIV were living in urban settings (64.4%). Among 2586 patient’s files retrieved, 2495 (96, 5%) were followed up in facilities with at least an HIV-care trained physician and nurses, 1566 (60.6%) were followed up in facilities with at least one HIV care trained pharmacist; 1645 (63.6%) among the PLWHIV did not report ART stock run-outs. These findings highlight the relevance of healthcare providers’ training on HIV to improve HIV patient outcomes.},
 year = {2018}
}

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