Abstract

Treatment outcomes in a rural HIV clinic in South Africa: Implications for health care

Highlights

  • South Africa currently has the highest HIV infection burden in the world, with an estimated 6.4 million people infected by the virus in 2012.1 Responding to high HIV-related morbidity and mortality, the South African government implemented a nationwide roll-out of an antiretroviral treatment (ART) programme in public health facilities in 2004

  • This study was conducted at Nyeleti Clinic, Letaba Regional Hospital (LRH) between November 2011 and August 2012

  • The vast majority of patients in this study presented with CD4 count less than 200 cells/mm[3] and Viral load (VL) higher than 400 copies/mL at baseline, suggesting late presentations

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Summary

Introduction

South Africa currently has the highest HIV infection burden in the world, with an estimated 6.4 million people infected by the virus in 2012.1 Responding to high HIV-related morbidity and mortality, the South African government implemented a nationwide roll-out of an antiretroviral treatment (ART) programme in public health facilities in 2004. This has resulted in the largest treatment programme globally, with more than 2.4 million people on treatment by mid-2013.2. This article presents the findings of this study and discusses the implications for HIV care

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