Aye Thida|Sai Thein Than Tun|Sai Ko Ko Zaw|Andrew A. Lover|Philippe Cavailler|Jennifer Chunn|Mar Mar Aye|Par Par|Kyaw Win Naing|Kaung Nyunt Zan|Myint Shwe|Thar Tun Kyaw|Zaw Htoon Waing|Philippe Clevenbergh
Retention and Risk Factors for Attrition in a Large Public Health ART Program in Myanmar: A Retrospective Cohort Analysis
National University Health System|National University of Singapore|Médecins Sans Frontières|James Cook University Singapore|University of Medicine Mandalay|University of Medicine Mandalay|University of Medicine Mandalay|University of Medicine Mandalay|Ministry of Health and Sports|Ministry of Health and Sports
outcomes antiretroviral treatment art program within public sector myanmar reported study documents retention risk factors attrition large art public health program myanmara retrospective analysis cohort adult patients enrolled integrated hiv care ihc program june 2005 october 2011 followed april 2012 presented primary outcome attrition death lossfollow total 10223 patients included 5year cumulative survival analysis overall 5718 patients analyzed risk factors attrition using logistic regression flexible parametric survival modelsthe mean age 36 years 61 patients male median follow 137 months overall 8564 84 patients retained art program 750 7 lost followup 909 9 died 3 years followup 1542 attritions occurred 17524 person years risk giving incidence density 88 per year retention rates participants 12 24 36 48 60 months 86 82 80 77 74 respectively multivariate analysis male high staging low cd4 count anaemic low bmi baseline independent risk factors attrition tuberculosis tb treatment art initiation prior art course program enrollment literacy predictors retention programhigh retention rate ihc program documented within public sector myanmar early diagnosis hiv nutritional support proper investigation treatment patients low cd4 counts presenting anaemia crucial issues towards improvement hiv program outcomes resourcelimited settings