Determinants and rates of retention in HIV care among adolescents receiving antiretroviral therapy in Windhoek, Namibia: A baseline cohort analysis

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dc.contributor.authorMunyayi, Farai K.
dc.contributor.authorvan Wyk, Brian E.
dc.date.accessioned2023-04-24T09:43:26Z
dc.date.available2023-04-24T09:43:26Z
dc.date.issued2022
dc.description.abstractLong-term engagement in HIV care is essential to achieving and maintaining viral suppression. Adolescents living with HIV (ALHIV) experience many barriers to remaining engaged in care and treatment programs. Higher attrition among adolescents compared to adults remains a huge concern due to unique psychosocial and health systems challenges adolescents face, and recently the COVID-19 pandemic effects. We report on determinants and rates of retention in care in adolescents aged 10–19 years enrolled on antiretroviral therapy (ART) in Windhoek, Namibia. A retrospective cohort analysis of routine clinical data of 695 adolescents aged 10–19 years enrolled for ART at 13 Windhoek district public healthcare facilities, between January 2019 and December 2021 was conducted. Anonymized patient data were extracted from an electronic database and registers. Bivariate and Cox proportional hazards analysis were performed to determine factors associated with retention in care among ALHIV at 6, 12, 18, 24 and 36 months. Retention in care trends were also described using the Kaplan-Meier survival analysis.en_US
dc.identifier.citationMunyayi, F. K., & van Wyk, B. E. (2023). Determinants and rates of retention in HIV care among adolescents receiving antiretroviral therapy in Windhoek, Namibia: A baseline cohort analysis. BMC public health, 23(1), 458. https://doi.org/10.1186/s12889-023-15356-wen_US
dc.identifier.issn1471-2458
dc.identifier.urihttps://doi.org/10.1186/s12889-023-15356-w
dc.identifier.urihttp://hdl.handle.net/10566/8871
dc.language.isoenen_US
dc.publisherBMCen_US
dc.subjectPublic healthen_US
dc.subjectAdolescentsen_US
dc.subjectHIVen_US
dc.subjectWorld Health Organization (WHO)en_US
dc.subjectNamibiaen_US
dc.titleDeterminants and rates of retention in HIV care among adolescents receiving antiretroviral therapy in Windhoek, Namibia: A baseline cohort analysisen_US
dc.typeArticleen_US

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