IMPLEMENTATION OF UPDATE D SYSTEM OF EARLY-WARNING INDICATORS OF HIV DRUG RESISTANCE IN UKRAINE
DOI:
https://doi.org/10.11603/1681-2727.2017.1.7765Keywords:
early warning indicators of HIV resistance (HIVDR EWI), antiretroviral therapy (ART), HIV drug resistance (HIV DR).Abstract
The aim of the work – to evaluate the performance of institutions on the effectiveness of the formation in patient adherence to treatment (on time antiretroviral drugs (ARVD) receipt,) as well as the quality of program factors retention in care, pharmacy ARVD stock-outs, practice of prescription of mono- or bitherapy, and Viral load (VL) suppression).
Materials and Methods. Data was analyzed using an electronic tool developed by the World Health Organization (WHO) – Early Warning Indicators Drug Resistance (HIVDR EWI).
Results. During 2014-2015 22.7 % of sites providing adult and 36.4% of sites providing pediatric ART managed to meet the target for on time pill pick up. Retention in care indicator was met by 36.4 % (95 % CI: 26.1-46.7) of sites. RV stock-outs occurred in 9.1 % (95 % CI: 3.0-15.2) adult sites and 4.5 % (95 % CI: 4.1-8.9) pediatric sites. Only 31.8 % (95 % CI: 20.5-43.1) pediatric sites and 0 % adult sites reported target for VL suppression HIV at 12 months ART.
Conclusion. Implementation of the annual collection and analysis HIVDR EWI in all ART sites of Ukraine will prevent the risk of the emergence of HIVDR.
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