2353.Distance and Time to Clinic Are Associated with Increased Risk of Detectable HIV-1 Viral Load at a Peripheral Health Center in Rural Western Uganda

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dc.contributor.authorHendren, Cate
dc.contributor.authorNdizeye, Ronnie
dc.contributor.authorMumbere, Nobert
dc.contributor.authorRubinstein, Rebecca J.
dc.contributor.authorBaguma, Emma
dc.contributor.authorMuhindo, Rabbison
dc.contributor.authorGoel, Varun
dc.contributor.authorNtaro, Moses
dc.contributor.authorSiedner, Mark
dc.contributor.authorMulogo, Edgar
dc.date.accessioned2023-03-22T15:52:45Z
dc.date.available2023-03-22T15:52:45Z
dc.date.issued2022
dc.description.abstractAntiretroviral therapy (ART) improves the health of people living with HIV (PLHIV) and reduces HIV transmission. While availability and efficacy of ART have improved in sub-Saharan Africa (SSA), access remains a challenge. Travel burden, measured as travel time, distance, and cost, has been posited as a potential barrier to ART. For example, a previous study at a large, urban referral center in Uganda showed GPS-measured distance was associated with clinic absenteeism. However, others suggest that PLHIV are willing to travel farther for HIV care because of stigma or for higher quality care. Less is known about the effect of travel burden in rural settings where transportation infrastructure is sparse, and there are few transportation options. Therefore, the objective of this study funded by the IDSA GERM Program was to explore potential associations between distance- and time-to-clinic in a highland area of rural western Uganda with HIV outcomes including viral suppression.en_US
dc.identifier.citationHendren, C., Ndizeye, R., Mumbere, N., Rubinstein, R. J., Baguma, E., Muhindo, R., ... & Boyce, R. M. (2022, December). 2353. Distance and Time to Clinic Are Associated with Increased Risk of Detectable HIV-1 Viral Load at a Peripheral Health Center in Rural Western Uganda. In Open Forum Infectious Diseases (Vol. 9, No. Supplement_2, pp. ofac492-160). US: Oxford University Press.https://doi.org/10.1093/ofid/ofac492.160en_US
dc.identifier.urihttps://nru.uncst.go.ug/handle/123456789/8273
dc.language.isoenen_US
dc.publisherUS: Oxford University Press.en_US
dc.subjectPeripheral Health Centeren_US
dc.subjectDistance and Time to Clinicen_US
dc.subjectHIV-1 Viral Loaden_US
dc.title2353.Distance and Time to Clinic Are Associated with Increased Risk of Detectable HIV-1 Viral Load at a Peripheral Health Center in Rural Western Ugandaen_US
dc.typeArticleen_US
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