Lars Jørgen Østergaard

Characteristics and comprehensiveness of adult HIV care and treatment programmes in Asia-Pacific, sub-Saharan Africa and the Americas: results of a site assessment conducted by the International epidemiologic Databases to Evaluate AIDS (IeDEA) Collaboration

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaperJournal articleResearchpeer-review

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Characteristics and comprehensiveness of adult HIV care and treatment programmes in Asia-Pacific, sub-Saharan Africa and the Americas : results of a site assessment conducted by the International epidemiologic Databases to Evaluate AIDS (IeDEA) Collaboration. / Duda, Stephany N; Farr, Amanda M; Lindegren, Mary Lou; Blevins, Meridith; Wester, C William; Wools-Kaloustian, Kara; Ekouevi, Didier K; Egger, Matthias; Hemingway-Foday, Jennifer; Cooper, David A; Moore, Richard D; McGowan, Catherine C; Nash, Denis; International Epidemiologic Databases to Evaluate AIDS (IeDEA) Collaboration (Christian Erikstrup, Alex Laursen, Christian Wejse, Lars Østergaard; members).

In: International AIDS Society. Journal, Vol. 17, 2014, p. 19045.

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaperJournal articleResearchpeer-review

Harvard

Duda, SN, Farr, AM, Lindegren, ML, Blevins, M, Wester, CW, Wools-Kaloustian, K, Ekouevi, DK, Egger, M, Hemingway-Foday, J, Cooper, DA, Moore, RD, McGowan, CC, Nash, D & International Epidemiologic Databases to Evaluate AIDS (IeDEA) Collaboration (Christian Erikstrup, Alex Laursen, Christian Wejse, Lars Østergaard; members) 2014, 'Characteristics and comprehensiveness of adult HIV care and treatment programmes in Asia-Pacific, sub-Saharan Africa and the Americas: results of a site assessment conducted by the International epidemiologic Databases to Evaluate AIDS (IeDEA) Collaboration', International AIDS Society. Journal, vol. 17, pp. 19045. https://doi.org/10.7448/IAS.17.1.19045

APA

Duda, S. N., Farr, A. M., Lindegren, M. L., Blevins, M., Wester, C. W., Wools-Kaloustian, K., Ekouevi, D. K., Egger, M., Hemingway-Foday, J., Cooper, D. A., Moore, R. D., McGowan, C. C., Nash, D., & International Epidemiologic Databases to Evaluate AIDS (IeDEA) Collaboration (Christian Erikstrup, Alex Laursen, Christian Wejse, Lars Østergaard; members) (2014). Characteristics and comprehensiveness of adult HIV care and treatment programmes in Asia-Pacific, sub-Saharan Africa and the Americas: results of a site assessment conducted by the International epidemiologic Databases to Evaluate AIDS (IeDEA) Collaboration. International AIDS Society. Journal, 17, 19045. https://doi.org/10.7448/IAS.17.1.19045

CBE

Duda SN, Farr AM, Lindegren ML, Blevins M, Wester CW, Wools-Kaloustian K, Ekouevi DK, Egger M, Hemingway-Foday J, Cooper DA, Moore RD, McGowan CC, Nash D, International Epidemiologic Databases to Evaluate AIDS (IeDEA) Collaboration (Christian Erikstrup, Alex Laursen, Christian Wejse, Lars Østergaard; members). 2014. Characteristics and comprehensiveness of adult HIV care and treatment programmes in Asia-Pacific, sub-Saharan Africa and the Americas: results of a site assessment conducted by the International epidemiologic Databases to Evaluate AIDS (IeDEA) Collaboration. International AIDS Society. Journal. 17:19045. https://doi.org/10.7448/IAS.17.1.19045

MLA

Vancouver

Author

Duda, Stephany N ; Farr, Amanda M ; Lindegren, Mary Lou ; Blevins, Meridith ; Wester, C William ; Wools-Kaloustian, Kara ; Ekouevi, Didier K ; Egger, Matthias ; Hemingway-Foday, Jennifer ; Cooper, David A ; Moore, Richard D ; McGowan, Catherine C ; Nash, Denis ; International Epidemiologic Databases to Evaluate AIDS (IeDEA) Collaboration (Christian Erikstrup, Alex Laursen, Christian Wejse, Lars Østergaard; members). / Characteristics and comprehensiveness of adult HIV care and treatment programmes in Asia-Pacific, sub-Saharan Africa and the Americas : results of a site assessment conducted by the International epidemiologic Databases to Evaluate AIDS (IeDEA) Collaboration. In: International AIDS Society. Journal. 2014 ; Vol. 17. pp. 19045.

Bibtex

@article{8a1c9a0f8e0d4a07bd5a8bbf7660ff93,
title = "Characteristics and comprehensiveness of adult HIV care and treatment programmes in Asia-Pacific, sub-Saharan Africa and the Americas: results of a site assessment conducted by the International epidemiologic Databases to Evaluate AIDS (IeDEA) Collaboration",
abstract = "INTRODUCTION: HIV care and treatment programmes worldwide are transforming as they push to deliver universal access to essential prevention, care and treatment services to persons living with HIV and their communities. The characteristics and capacity of these HIV programmes affect patient outcomes and quality of care. Despite the importance of ensuring optimal outcomes, few studies have addressed the capacity of HIV programmes to deliver comprehensive care. We sought to describe such capacity in HIV programmes in seven regions worldwide.METHODS: Staff from 128 sites in 41 countries participating in the International epidemiologic Databases to Evaluate AIDS completed a site survey from 2009 to 2010, including sites in the Asia-Pacific region (n=20), Latin America and the Caribbean (n=7), North America (n=7), Central Africa (n=12), East Africa (n=51), Southern Africa (n=16) and West Africa (n=15). We computed a measure of the comprehensiveness of care based on seven World Health Organization-recommended essential HIV services.RESULTS: Most sites reported serving urban (61%; region range (rr): 33-100%) and both adult and paediatric populations (77%; rr: 29-96%). Only 45% of HIV clinics that reported treating children had paediatricians on staff. As for the seven essential services, survey respondents reported that CD4+ cell count testing was available to all but one site, while tuberculosis (TB) screening and community outreach services were available in 80 and 72%, respectively. The remaining four essential services - nutritional support (82%), combination antiretroviral therapy adherence support (88%), prevention of mother-to-child transmission (PMTCT) (94%) and other prevention and clinical management services (97%) - were uniformly available. Approximately half (46%) of sites reported offering all seven services. Newer sites and sites in settings with low rankings on the UN Human Development Index (HDI), especially those in the President's Emergency Plan for AIDS Relief focus countries, tended to offer a more comprehensive array of essential services. HIV care programme characteristics and comprehensiveness varied according to the number of years the site had been in operation and the HDI of the site setting, with more recently established clinics in low-HDI settings reporting a more comprehensive array of available services. Survey respondents frequently identified contact tracing of patients, patient outreach, nutritional counselling, onsite viral load testing, universal TB screening and the provision of isoniazid preventive therapy as unavailable services.CONCLUSIONS: This study serves as a baseline for on-going monitoring of the evolution of care delivery over time and lays the groundwork for evaluating HIV treatment outcomes in relation to site capacity for comprehensive care.",
author = "Duda, {Stephany N} and Farr, {Amanda M} and Lindegren, {Mary Lou} and Meridith Blevins and Wester, {C William} and Kara Wools-Kaloustian and Ekouevi, {Didier K} and Matthias Egger and Jennifer Hemingway-Foday and Cooper, {David A} and Moore, {Richard D} and McGowan, {Catherine C} and Denis Nash and {International Epidemiologic Databases to Evaluate AIDS (IeDEA) Collaboration (Christian Erikstrup, Alex Laursen, Christian Wejse, Lars {\O}stergaard; members)} and Christian Erikstrup and Laursen, {Alex Lund} and Christian Wejse and {\O}stergaard, {Lars J{\o}rgen}",
year = "2014",
doi = "10.7448/IAS.17.1.19045",
language = "English",
volume = "17",
pages = "19045",
journal = "International AIDS Society. Journal",
issn = "1758-2652",
publisher = "BioMed Central Ltd.",

}

RIS

TY - JOUR

T1 - Characteristics and comprehensiveness of adult HIV care and treatment programmes in Asia-Pacific, sub-Saharan Africa and the Americas

T2 - results of a site assessment conducted by the International epidemiologic Databases to Evaluate AIDS (IeDEA) Collaboration

AU - Duda, Stephany N

AU - Farr, Amanda M

AU - Lindegren, Mary Lou

AU - Blevins, Meridith

AU - Wester, C William

AU - Wools-Kaloustian, Kara

AU - Ekouevi, Didier K

AU - Egger, Matthias

AU - Hemingway-Foday, Jennifer

AU - Cooper, David A

AU - Moore, Richard D

AU - McGowan, Catherine C

AU - Nash, Denis

AU - International Epidemiologic Databases to Evaluate AIDS (IeDEA) Collaboration (Christian Erikstrup, Alex Laursen, Christian Wejse, Lars Østergaard; members)

A2 - Erikstrup, Christian

A2 - Laursen, Alex Lund

A2 - Wejse, Christian

A2 - Østergaard, Lars Jørgen

PY - 2014

Y1 - 2014

N2 - INTRODUCTION: HIV care and treatment programmes worldwide are transforming as they push to deliver universal access to essential prevention, care and treatment services to persons living with HIV and their communities. The characteristics and capacity of these HIV programmes affect patient outcomes and quality of care. Despite the importance of ensuring optimal outcomes, few studies have addressed the capacity of HIV programmes to deliver comprehensive care. We sought to describe such capacity in HIV programmes in seven regions worldwide.METHODS: Staff from 128 sites in 41 countries participating in the International epidemiologic Databases to Evaluate AIDS completed a site survey from 2009 to 2010, including sites in the Asia-Pacific region (n=20), Latin America and the Caribbean (n=7), North America (n=7), Central Africa (n=12), East Africa (n=51), Southern Africa (n=16) and West Africa (n=15). We computed a measure of the comprehensiveness of care based on seven World Health Organization-recommended essential HIV services.RESULTS: Most sites reported serving urban (61%; region range (rr): 33-100%) and both adult and paediatric populations (77%; rr: 29-96%). Only 45% of HIV clinics that reported treating children had paediatricians on staff. As for the seven essential services, survey respondents reported that CD4+ cell count testing was available to all but one site, while tuberculosis (TB) screening and community outreach services were available in 80 and 72%, respectively. The remaining four essential services - nutritional support (82%), combination antiretroviral therapy adherence support (88%), prevention of mother-to-child transmission (PMTCT) (94%) and other prevention and clinical management services (97%) - were uniformly available. Approximately half (46%) of sites reported offering all seven services. Newer sites and sites in settings with low rankings on the UN Human Development Index (HDI), especially those in the President's Emergency Plan for AIDS Relief focus countries, tended to offer a more comprehensive array of essential services. HIV care programme characteristics and comprehensiveness varied according to the number of years the site had been in operation and the HDI of the site setting, with more recently established clinics in low-HDI settings reporting a more comprehensive array of available services. Survey respondents frequently identified contact tracing of patients, patient outreach, nutritional counselling, onsite viral load testing, universal TB screening and the provision of isoniazid preventive therapy as unavailable services.CONCLUSIONS: This study serves as a baseline for on-going monitoring of the evolution of care delivery over time and lays the groundwork for evaluating HIV treatment outcomes in relation to site capacity for comprehensive care.

AB - INTRODUCTION: HIV care and treatment programmes worldwide are transforming as they push to deliver universal access to essential prevention, care and treatment services to persons living with HIV and their communities. The characteristics and capacity of these HIV programmes affect patient outcomes and quality of care. Despite the importance of ensuring optimal outcomes, few studies have addressed the capacity of HIV programmes to deliver comprehensive care. We sought to describe such capacity in HIV programmes in seven regions worldwide.METHODS: Staff from 128 sites in 41 countries participating in the International epidemiologic Databases to Evaluate AIDS completed a site survey from 2009 to 2010, including sites in the Asia-Pacific region (n=20), Latin America and the Caribbean (n=7), North America (n=7), Central Africa (n=12), East Africa (n=51), Southern Africa (n=16) and West Africa (n=15). We computed a measure of the comprehensiveness of care based on seven World Health Organization-recommended essential HIV services.RESULTS: Most sites reported serving urban (61%; region range (rr): 33-100%) and both adult and paediatric populations (77%; rr: 29-96%). Only 45% of HIV clinics that reported treating children had paediatricians on staff. As for the seven essential services, survey respondents reported that CD4+ cell count testing was available to all but one site, while tuberculosis (TB) screening and community outreach services were available in 80 and 72%, respectively. The remaining four essential services - nutritional support (82%), combination antiretroviral therapy adherence support (88%), prevention of mother-to-child transmission (PMTCT) (94%) and other prevention and clinical management services (97%) - were uniformly available. Approximately half (46%) of sites reported offering all seven services. Newer sites and sites in settings with low rankings on the UN Human Development Index (HDI), especially those in the President's Emergency Plan for AIDS Relief focus countries, tended to offer a more comprehensive array of essential services. HIV care programme characteristics and comprehensiveness varied according to the number of years the site had been in operation and the HDI of the site setting, with more recently established clinics in low-HDI settings reporting a more comprehensive array of available services. Survey respondents frequently identified contact tracing of patients, patient outreach, nutritional counselling, onsite viral load testing, universal TB screening and the provision of isoniazid preventive therapy as unavailable services.CONCLUSIONS: This study serves as a baseline for on-going monitoring of the evolution of care delivery over time and lays the groundwork for evaluating HIV treatment outcomes in relation to site capacity for comprehensive care.

U2 - 10.7448/IAS.17.1.19045

DO - 10.7448/IAS.17.1.19045

M3 - Journal article

C2 - 25516092

VL - 17

SP - 19045

JO - International AIDS Society. Journal

JF - International AIDS Society. Journal

SN - 1758-2652

ER -