HIV viral load suppression following intensive adherence counseling among people living with HIV on treatment at military-managed health facilities in Uganda

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dc.contributor.authorKikaire, Bernard
dc.contributor.authorSsemanda, Michael
dc.contributor.authorAsiimwe, Alex
dc.contributor.authorNakanwagi, Miriam
dc.contributor.authorRwegyema, Twaha
dc.contributor.authorSeruwagi, Gloria
dc.contributor.authorLawoko, Stephen
dc.contributor.authorAsiimwe, Evarlyne
dc.contributor.authorWamundu, Cassette
dc.contributor.authorMusinguzi, Ambrose
dc.contributor.authorLugada, Eric
dc.contributor.authorTuresson, Elizabeth
dc.contributor.authorLaverentz, Marni
dc.contributor.authorBwayo, Denis
dc.date.accessioned2022-05-25T09:27:22Z
dc.date.available2022-05-25T09:27:22Z
dc.date.issued2021
dc.description.abstractUniformed service personnel have an increased risk of poor viral load suppression (VLS). This study was performed to evaluate the outcomes of interventions to improve VLS in the 28 military health facilities in Uganda. Methods: This operational research was conducted between October 2018 and September 2019, among people living with HIV (PLHIV) in the 28 health facilities managed by the military in Uganda. Patients with a viral load (VL) > 10 0 0 copies/ml received three sessions of intensive adherence counselling (IAC), 1 month apart, after which a repeat VL was done. The main outcome was the proportion with a sup- pressed VL following IAC. Results: Of the 965 participants included in this analysis, 592 (61.4%) were male and 367 (38.3%) were female. Average age was 35.5 ±13.7 years, and 87.8% had at least one IAC session. At least 48.2% had a suppressed repeat VL. IAC increased the odds of VLS by 82% ( P = 0.004), with adjusted OR of 1.56 ( P = 0.054). An initial VL > 10 0 0 0 copies/ml, being on antiretroviral therapy for at least 2 years, being male, and being < 18 years of age were associated with repeat VL non-suppression. Conclusions: IAC marginally improved VL suppression. There is a need to improve IAC in military health facilities.en_US
dc.identifier.citationKikaire, B., Ssemanda, M., Asiimwe, A., Nakanwagi, M., Rwegyema, T., Seruwagi, G., ... & Bwayo, D. (2021). HIV viral load suppression following intensive adherence counseling among people living with HIV on treatment at military-managed health facilities in Uganda. International Journal of Infectious Diseases, 112, 45-51. https://doi.org/10.1016/j.ijid.2021.08.057en_US
dc.identifier.urihttps://doi.org/10.1016/j.ijid.2021.08.057
dc.identifier.urihttps://nru.uncst.go.ug/handle/123456789/3307
dc.language.isoenen_US
dc.publisherInternational Journal of Infectious Diseasesen_US
dc.subjectIntensive adherence counsellingen_US
dc.subjectMilitaryen_US
dc.subjectLow and middle-income countriesen_US
dc.subjectHIVen_US
dc.subjectViral loaden_US
dc.titleHIV viral load suppression following intensive adherence counseling among people living with HIV on treatment at military-managed health facilities in Ugandaen_US
dc.typeArticleen_US
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