@article{10.11648/j.ijhpebs.20220802.14,
  author = {Diop El Hadji Cheikh Abdoulaye and Bop Martial Coly and Ndiaye Abdoul Aziz and Sarr Mama Waly and Sambou Moussa Missette and Barry Abdou and Dog AdelaideNdew},
  title = {Decentralized Care for People Living with HIV in Koumpentoum (Senegal): Prevalence and Factors Associated with Unfavourables Outcomes from 2005 to 2022},
  journal = {International Journal of HIV/AIDS Prevention, Education and Behavioural Science},
  volume = {8},
  number = {2},
  pages = {69-75},
  doi = {10.11648/j.ijhpebs.20220802.14},
  url = {https://doi.org/10.11648/j.ijhpebs.20220802.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijhpebs.20220802.14},
  abstract = {Background: In a context of challenges to achieve the three (95), we studied the decentralized management of HIV infections in the health district of Koumpentoum. Our research focused on the prevalence and factors associated with unfavorable outcomes from (2005) to (2022). Methodology: This was a retrospective, descriptive and analytical study. The dependent variable was unfavorable outcomes, which included deaths and dropouts. The independent variables were related to socio-demographic, clinical, para-clinical, therapeutic and outcome characteristics. In the multi variate analysis, multiple logistic regression was used. Results: A total of (782) patients were included. There was a clear female predominance with (66.5%). More than half (56.26%) of the patients were under (45) years of age. Two thirds of them were living in a couple (65.98%). Almost three quarters (73.15%) had no income-generating activity. At inclusion, co-infection with tuberculosis was (2.56%). Viral load was not performed in more than three quarters (76.6%). Of those who had a viral load test (42.07%), the level was undetectable. Almost all (95.03%) were put on first line antiretroviral and less than half of them (43.86%) were on Dolutegravir. In terms of outcomes, (36.83%) of the patients were lost to follow-up, (20.08%) died and (43.09%) were still on follow-up. Factors statistically and significantly associated with an unfavorable outcomes were age less than (45) years (ORa = 2.15 [1.16-3.97]; p=0.014), not living with a partner (OR = 3.35 [2.7-4.7]; pConclusion: Improving the management of HIV patients in Koumpentoum health district will require an active search for those who have been lost to follow-up, awareness raising and financial protection for young people and vulnerable groups, systematic screening for tuberculosis and widespread use of Dolutegravir.},
 year = {2022}
}

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TY  - JOUR
T1  - Decentralized Care for People Living with HIV in Koumpentoum (Senegal): Prevalence and Factors Associated with Unfavourables Outcomes from 2005 to 2022
AU  - Diop El Hadji Cheikh Abdoulaye
AU  - Bop Martial Coly
AU  - Ndiaye Abdoul Aziz
AU  - Sarr Mama Waly
AU  - Sambou Moussa Missette
AU  - Barry Abdou
AU  - Dog AdelaideNdew
Y1  - 2022/12/27
PY  - 2022
N1  - https://doi.org/10.11648/j.ijhpebs.20220802.14
DO  - 10.11648/j.ijhpebs.20220802.14
T2  - International Journal of HIV/AIDS Prevention, Education and Behavioural Science
JF  - International Journal of HIV/AIDS Prevention, Education and Behavioural Science
JO  - International Journal of HIV/AIDS Prevention, Education and Behavioural Science
SP  - 69
EP  - 75
PB  - Science Publishing Group
SN  - 2575-5765
UR  - https://doi.org/10.11648/j.ijhpebs.20220802.14
AB  - Background: In a context of challenges to achieve the three (95), we studied the decentralized management of HIV infections in the health district of Koumpentoum. Our research focused on the prevalence and factors associated with unfavorable outcomes from (2005) to (2022). Methodology: This was a retrospective, descriptive and analytical study. The dependent variable was unfavorable outcomes, which included deaths and dropouts. The independent variables were related to socio-demographic, clinical, para-clinical, therapeutic and outcome characteristics. In the multi variate analysis, multiple logistic regression was used. Results: A total of (782) patients were included. There was a clear female predominance with (66.5%). More than half (56.26%) of the patients were under (45) years of age. Two thirds of them were living in a couple (65.98%). Almost three quarters (73.15%) had no income-generating activity. At inclusion, co-infection with tuberculosis was (2.56%). Viral load was not performed in more than three quarters (76.6%). Of those who had a viral load test (42.07%), the level was undetectable. Almost all (95.03%) were put on first line antiretroviral and less than half of them (43.86%) were on Dolutegravir. In terms of outcomes, (36.83%) of the patients were lost to follow-up, (20.08%) died and (43.09%) were still on follow-up. Factors statistically and significantly associated with an unfavorable outcomes were age less than (45) years (ORa = 2.15 [1.16-3.97]; p=0.014), not living with a partner (OR = 3.35 [2.7-4.7]; pConclusion: Improving the management of HIV patients in Koumpentoum health district will require an active search for those who have been lost to follow-up, awareness raising and financial protection for young people and vulnerable groups, systematic screening for tuberculosis and widespread use of Dolutegravir.
VL  - 8
IS  - 2
ER  - 

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