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dc.contributor.authorTakah, Noah F
dc.contributor.authorAwungafac, George
dc.contributor.authorAminde, Leopold N
dc.contributor.authorAli, Innocent
dc.contributor.authorNdasi, Juliana
dc.contributor.authorNjukeng, Patrick
dc.date.accessioned2019-09-18T01:29:46Z
dc.date.available2019-09-18T01:29:46Z
dc.date.issued2016
dc.identifier.issn1471-2458
dc.identifier.doi10.1186/s12889-016-3258-8
dc.identifier.urihttp://hdl.handle.net/10072/387462
dc.description.abstractBACKGROUND: Delayed entry into HIV care has complicated the challenges faced in sub-Saharan Africa due to the high HIV burden. A clear knowledge of the factors affecting delayed entry will be essential in directing interventions towards reducing delayed entry into HIV care. There exist very limited data on delayed entry in Cameroon despite its relevance; hence this study was conducted to determine the rate of delayed entry and its associated factors in HIV programmes in Cameroon. METHODS: Data used for this study was routine data obtained from the files of HIV patients who were diagnosed between January 1, 2015 and June 30, 2015 at Limbe and Buea regional hospital HIV centers in the South West region of Cameroon. Data analysis was done using SPSS version 20. RESULTS: Of the 223 patients included in the study, nearly one-quarter of patients (22.4 %) delayed to enter HIV care within 3 months. Those who delayed to enter care were less likely to present at first diagnosis (using HIV rapid test) with symptoms such as fever > 1 month (5 % versus 30 %, p = 0.01) and weight loss > 10 % (13 % versus 48 %, p < 0.001). Alcohol consumption, WHO stage and CD4 count levels were also associated with delayed entry in bivariate analysis. In multivariate analysis only CD4 count greater than 500cells/μl and WHO stages I and II were independently associated with delayed entry into HIV care within 3 months. CONCLUSION: In the South West region of Cameroon, approximately 1 out of 4 patients delay to enter HIV care. This high proportion of patients who delay to enter care correlates to the findings recorded by other studies in sub Saharan Africa. Interventions tackling delayed entry into HIV care might need to be favorably directed towards patients that have high CD4 counts and are at very early WHO clinical stages.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherBioMed Central Ltd.
dc.relation.ispartofpagefrom529:1
dc.relation.ispartofpageto529:6
dc.relation.ispartofissue1
dc.relation.ispartofjournalBMC Public Health
dc.relation.ispartofvolume16
dc.subject.fieldofresearchPublic Health and Health Services
dc.subject.fieldofresearchcode1117
dc.subject.keywordsScience & Technology
dc.subject.keywordsLife Sciences & Biomedicine
dc.subject.keywordsPublic, Environmental & Occupational Health
dc.subject.keywordsDelayed entry
dc.subject.keywordsFactors associated
dc.titleDelayed entry into HIV care after diagnosis in two specialized care and treatment centres in Cameroon: the influence of CD4 count and WHO staging
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationTakah, NF; Awungafac, G; Aminde, LN; Ali, I; Ndasi, J; Njukeng, P, Delayed entry into HIV care after diagnosis in two specialized care and treatment centres in Cameroon: the influence of CD4 count and WHO staging, BMC Public Health, 2016, 16 (1), pp. 529:1-529:6
dcterms.dateAccepted2016-06-25
dcterms.licensehttp://creativecommons.org/licenses/by/4.0/
dc.date.updated2019-09-17T04:30:09Z
dc.description.versionVersion of Record (VoR)
gro.rights.copyright© 2016 The Author(s). Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
gro.hasfulltextFull Text
gro.griffith.authorAminde, Leopold N.


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