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Evaluation of the national adherence guidelines for chronic diseases in South Africa using routinely collected data : second enrollment report (Inglês)

This report describes enrollment into the cohorts for protocol 1 for the Evaluation of the National Adherence Guidelines for Chronic Diseases in South Africa Using Routinely Collected Data. The study is evaluating short-term and long-term effects of five interventions being implemented by the National Department of Health (NDoH) in South Africa to improve adherence to HIV care and chronic disease care in general: Fast track initiation counselling, decentralized medicine delivery, adherence clubs, early patient tracing and enhanced adherence counselling. The study uses a randomized evaluation design to compare sites where the intervention was rolled out with control sites providing standard of care. Enrollment began in June 2016 and was uneven in time and by province, as expected in a process using routine data and relying on programmatic implementation. Enrollment of HIV clients into cohorts will enable the NDoH to understand the short-term and long-term impacts of interventions to improve HIV treatment initiation, adherence and retention in care.


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    Prestidge,Marelize, Fraser-Hurt,Nicole, Amoore,Zara

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    África do Sul,

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    Evaluation of the national adherence guidelines for chronic diseases in South Africa using routinely collected data : second enrollment report

  • Palavras-chave

    men who have sex with men; national health; short period of time; mother to child transmission; Acquired Immune Deficiency Syndrome; primary health care clinics; viral load; adherence to treatment; access to phones; public sector clinic; standard of care; coefficient of variation; Human Immunodeficiency Virus; privileges and immunity; chronic disease; eligibility criterion; eligible patients; exclusion criteria; Antiretroviral therapies; antiretroviral therapy; collected data; total sample; general population; implementing partner; short-term outcomes; patient records; long-term outcome; eligible individual; diabetes; treatment regimen; treatment adherence; record keeping; population data; baseline data; qualitative data; catchment area; prevalent case; Art Program; enrollment target; enrollment datum; site assessment; patient adherence; health facility; several challenges; test result; long-term effect; evaluation design; monitoring data; longer period; product designer; quantitative analysis; catchment population; pregnant woman; patient information; pregnancy status; tuberculosis patients; study period; patient management; patient characteristics; geographic location; eligible population; individual variable; historical data; patient data; pilot site; clinical data; demographic characteristic; baseline information; patient outcomes; data recording; treatment outcomes; global target; cure rates; quality datum; non-governmental organization; sex distribution; demographic variables; commercial purpose; age distribution; comorbid conditions; tuberculosis rates; data system; partner institution; missing data; antiretroviral treatment; community base; staff capacity; several times



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