Published in:
01-05-2021 | Human Immunodeficiency Virus | Original Paper
Survival Outcomes of Vietnamese People with HIV after Initiating Antiretroviral Treatment: Role of Clinic-Related Factors
Authors:
Nhien Thi Hoang, Nguyen Thao Thi Nguyen, Quang Nhat Nguyen, John W. Bollinger, Bach Xuan Tran, Nhan Thi Do, Trang Huyen Thi Nguyen, Huong Lan Thi Nguyen, Trang Ha Nguyen, Carl A. Latkin, Cyrus S. H. Ho, Roger C. M. Ho
Published in:
AIDS and Behavior
|
Issue 5/2021
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Abstract
Given the rapid development of HIV clinics in Vietnam, this study evaluates the infrastructure surrounding this expansion, identifying clinic-related factors that impact survival outcomes. A retrospective longitudinal study was conducted among people living with HIV (PLWH) who initiated antiretroviral therapy (ART) between 2011 and 2015 among 62 ART clinics in 15 provinces. The mortality rate during the 717674.1 person-years of observation (PYO) was 0.29/100 PYO. Location in rural areas (versus urban) and in Central Vietnam (versus Northern Vietnam) were associated with higher risk of mortality. The risk was lower among clinics that had peer-educators. As Vietnam’s HIV/AIDS program continues to expand, this data supports increasing resource allocation for rural clinics, incorporation of ART with the community’s existing healthcare infrastructure in its efforts to decentralize, and integration of services to reflect patients’ anticipated needs.