Browsing by Author "Chalker, John"

Now showing 1 - 1 of 1
  • Thumbnail Image
    Item
    Improving adherence to antiretroviral treatment in Uganda with a low-resource facility-based intervention
    (Global Health Action, 2014) Obua, Celestino; Kayiwa, Joshua; Waako, Paul; Tomson, Göran; Balidawa, Hudson; Chalker, John; Ross-Degnan, Dennis
    To assess the effects of facility-based interventions using existing resources to improve overall patient attendance and adherence to antiretroviral therapy (ART) at ART-providing facilities in Uganda. Methods: This was an interventional study which tracked attendance and treatment adherence of two distinct cohorts: experienced patients who had been on treatment for at least 12 months prior to the intervention and patients newly initiated on ART before or during the intervention. The interventions included instituting appointment system, fast-tracking, and giving longer prescriptions to experienced stable patients. Mixedeffects models were used to examine intervention effects on the experienced patients, while Cox proportional hazards models were used to determine the intervention effects on time until newly treated patients experienced gaps in medication availability.