alexa High Rates of Unplanned Care Interruption: Implications for Program Response
ISSN: 2375-4273

Health Care : Current Reviews
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High Rates of Unplanned Care Interruption: Implications for Program Response

Bolanle Banigbe1*, Abdulkabir B. Adegoke2, Kenneth A. Freedberg2-7, Prosper Okonkwo1 and Aimalohi A. Ahonkhai2-4

1AIDS Prevention Initiative in Nigeria (APIN), Abuja, Nigeria

2Medical Practice Evaluation Center, Massachusetts General Hospital, Boston, Massachusetts, USA

3Division of Infectious Disease, Massachusetts General Hospital, Boston, Massachusetts, USA

4Harvard Medical School, Boston, Massachusetts, USA

5Division of General Internal Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA

6Harvard University Center for AIDS Research (CFAR), Boston, Massachusetts, USA

7Department of Health Policy and Management, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA

Corresponding Author:
Bolanle Banigbe
AIDS Prevention Initiative in Nigeria
No. 10, Ndagi Mamudu Close
Behind Apostolic Faith Church
Jabi District, Abuja, Nigeria
Tel: 23497809377
E-mail: [email protected]
Received date: November 02, 2015; Accepted date: November 17, 2015; Published date: November 24, 2015

Citation: Banigbe B, Adegoke AB, Freedberg KA, Okonkwo P, Ahonkhai AA (2015) High Rates of Unplanned Care Interruption: Implications for Program Response. Health Care Current Reviews 3:146. doi:10.4172/2375-4273.1000146

Copyright: © 2015 Banigbe B, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



Unplanned care interruption (UCI) is an important challenge for HIV programs in resource- limited settings (RLS). More than 1 in 3 patients will interrupt care after starting antiretroviral therapy (ART), predisposing them to poor clinical outcomes. As HIV programs in RLS adopt the new World Health Organization (WHO) treatment guidelines recommending ART for all patients, the volume of patients requiring ART, and the number of patients with UCIs will increase. In addition, reduced donor funding may drive changes at the local level that create additional barriers to care. Policy makers and program managers therefore need to adopt innovative care models to enhance retention in care. The integration of patient-centered chronic care models into HIV care delivery may provide a template for addressing these challenges while serving as a model of care for other chronic diseases. Fortunately, many President’s Emergency Fund for AIDS Relief (PEPFAR) supported HIV clinics have already incorporated some important elements of chronic care models. However, strategic efforts are needed to strengthen and develop them into comprehensive approaches to HIV care in this new era of care delivery.


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