HIV infected patients attendance in a Brazilian public health service: A short report

Department of Microbiology and Parasitology, Universidade Federal Fluminense, Niterói, Rio de Janeiro, Brazil
College of Medicine, Universidade Federal Fluminense, Niterói, Rio de Janeiro, Brazil
Departament of Statistics, Universidade Federal Fluminense, Niterói, Rio de Janeiro, Brazil
DOI
10.7287/peerj.preprints.26788v1
Subject Areas
HIV, Public Health
Keywords
HIV, patients, health care
Copyright
© 2018 Silva dos Santos et al.
Licence
This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, reproduction and adaptation in any medium and for any purpose provided that it is properly attributed. For attribution, the original author(s), title, publication source (PeerJ Preprints) and either DOI or URL of the article must be cited.
Cite this article
Silva dos Santos L, Azevedo K, Silva L, Oliveira S, Oliveira L. 2018. HIV infected patients attendance in a Brazilian public health service: A short report. PeerJ Preprints 6:e26788v1

Abstract

Background. Continuous health monitoring of human immunodeficiency virus (HIV) infected patients is critical to allow uninterrupted access to antiretroviral therapy (ART) and sustained viral suppression. Despite public health effort for patient retention in care, many HIV-infected patients fail to maintain effective engagement in Health Services. This study reports the attendance of HIV infected individuals for routine exams in a Brazilian outpatient clinic.

Methods. Patients were enrolled in two moments, 2010/2011 and 2014/2015, as they attended the public service for monitoring HIV infection status. The individuals that agreed to participate the study signed an informed consent and completed a structured questionnaire.

Results. Of 58 initially expected patients, only 31 participated in the second part of the study. The reasons for these individuals not returning to the health service during the study period were not related to death (1.7%) and the majority of them still remained enrolled in the service and in follow-up.

Discussion. The difficulty of HIV infected patients in returning to healthcare services have been reported by several authors. Among the barriers that prevent monitoring, we suggest that noncompliance may also be linked to years of study. However this subject needs more investigation.

Author Comment

In this study, we just report the attendance rate of HIV infected patients in a Brazilian public service. We have not stated causes for absence or suggest strategies to patients retention in health care. This paper is not intended to be submitted to a peer review journal.

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