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Research Article Open access CC BY 4.0

A Retrospective Medical Record Review on the Outcome of Enhanced Adherence Counseling among Unsuppressed HIV Clients in Benue State, Nigeria

Orsar Orhemba-ga Dennis, Daniel Eje Ukpabi, Victor Orih, Doofan Ortese Ayatse, Stella Ngusuur Haanongon, Evans Ejimkaraonye, Gabriel Alobo, Gabriel Okpotu Anefu, Jude Zugu, Tule, Terver Zua

International Journal of TROPICAL DISEASE & Health · pp. 164–177 · Published 13 May 2024

10.9734/ijtdh/2024/v45i61549

Abstract

Background: According to the WHO estimation, up to 70 % of patients with an initial high viral load will achieve viral load suppression following an adherence intervention. In Benue State, very limited studies have been done that show viral load suppression following enhanced adherence counselling (EAC). This study assessed viral suppression after enhanced adherence counselling and its predictors among unsuppressed HIV seropositive people in the State, the time to commence EAC after the unsuppressed VL result, and to estimate the time to repeat the viral load test after EAC. Methods: This was a retrospective review of electronic medical records of all HIV-infected people with a viral load greater than 1000 copies/ml after six months on HAART as of December 2022, in Benue State. Patients with VL ≥ 1000 copies/ml were expected to receive EAC and have a repeat VL after three months of good adherence. Six months following the documented unsuppressed result, we determined: the viral load suppression rate after EAC, the time to commencement of EAC, the time to repeat the viral load test after EAC, and the predictors of viral load suppression among clients with unsuppressed viral load. Result: Of the 234,185 People Living with HIV (PLHIV) on ART between December 2022 and July 2023, up to 210, 514 (89.9%) did viral load testing and 9194 (3.9%) had VL >1000 copies/ml. Of these 9,194 unsuppressed PLHIV, EAC uptake was 90.3% (n=8,307), EAC completion rate was 62.5% (n=5,220), and viral suppression rate following EAC was 93.8% (4897/5220). PLHIV who have been on treatment for less than five years were more likely to achieve viral load suppression. Conclusion: The study demonstrated a post-EAC viral load re-suppression rate of 93.8%, indicating significant effectiveness. Nonetheless, notable deficiencies were observed in both EAC enrollment and completion. It is imperative to identify and address the underlying reasons for these gaps to fully optimize the benefits of Enhanced Adherence Counseling (EAC).

People living with HIV Enhanced adherence counselling viral load suppression

References (24)

  1. 1 The public health approach to identify antiretroviral therapy failure: high-level nucleoside reverse transcriptase inhibitor resistance among Malawians failing first-line antiretroviral therapy [DOI]
  2. 2 HIV Treatment Adherence, Drug Resistance, Virologic Failure: Evolving Concepts [DOI]
  3. 3 Factors Associated with Virological Failure and Suppression after Enhanced Adherence Counselling, in Children, Adolescents and Adults on Antiretroviral Therapy for HIV in Swaziland [DOI]
  4. 4 Rates and Predictors of Failure of First-line Antiretroviral Therapy and Switch to Second-line ART in South Africa [DOI]
  5. 5 Low HIV viral suppression rates following the intensive adherence counseling (IAC) program for children and adolescents with viral failure in public health facilities in Uganda [DOI]
  6. 6 Enhanced adherence counselling and viral load suppression in HIV seropositive patients with an initial high viral load in Harare, Zimbabwe: Operational issues [DOI]
  7. 7 Virological and immunological failure of HAART and associated risk factors among adults and adolescents in the Tigray region of Northern Ethiopia [DOI]
  8. 8 COVID-19 Lockdowns: Impact on Facility-Based HIV Testing and the Case for the Scaling Up of Home-Based Testing Services in Sub-Saharan Africa [DOI]
  9. 9 Global AIDS Monitoring 2019 [DOI]
  10. 10 Conceptualising the Factors Affecting Retention in Care of Patients on Antiretroviral Treatment in Kabwe District, Zambia, Using the Ecological Framework [DOI]
  11. 11 Successes and challenges in optimizing the viral load cascade to improve antiretroviral therapy adherence and rationalize second‐line switches in Swaziland [DOI]
  12. 12 The use of modern quality improvement approaches to strengthen African health systems: a 5-year agenda [DOI]
  13. 13 Baseline predictors of antiretroviral treatment failure and lost to follow up in a multicenter countrywide HIV-1 cohort study in Ethiopia [DOI]
  14. 14 Factors associated with discriminatory attitudes towards people living with HIV among adult population in Ethiopia: analysis on Ethiopian demographic and health survey [DOI]
  15. 15 Differentiated service delivery models among PLHIV in Akwa Ibom and Cross River States, Nigeria during the COVID‐19 pandemic: descriptive analysis of programmatic data [DOI]
  16. 16 Virologic outcome among patients receiving antiretroviral therapy at five hospitals in Haiti [DOI]
  17. 17 Stigmatization among People Living with HIV/AIDS at the Kumba Health District, Cameroon [DOI]
  18. 18 The epidemiology of HIV population viral load in twelve sub-Saharan African countries [DOI]
  19. 19 Perception of Patients With HIV/AIDS From Stigma and Discrimination [DOI]
  20. 20 Accelerating HIV epidemic control in Benue state, Nigeria, 2019–2021: the APIN program experience [DOI]
  21. 21 Barriers to adherence to antiretroviral treatment in a regional hospital in Vredenburg, Western Cape, South Africa [DOI]
  22. 22 Psychosocial factors of stigma and relationship to healthcare services among adolescents living with HIV/AIDS in Kano state, Nigeria [DOI]
  23. 23 Safety, Tolerability, and Efficacy of Second-Line Generic Protease Inhibitor Containing HAART after First-Line Failure among South Indian HIV-Infected Patients [DOI]
  24. 24 Viral suppression and HIV transmission behaviors among hospitalized patients living with HIV [DOI]

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