Public Health and Preventive Medicine Archive
Vol. 2 No. 1 (2014)

Retrospective Longitudinal Analysis: Loss to Follow Up Undergoing Antiretroviral Therapy in Kerti Praja Foundation Bali 2002-2012

Desak Nyoman Widyanthini (Public Health Postgraduate Program, Udayana University)
Anak Agung Sawitri Sawitri (Public Health Postgraduate Program, Udayana University, Department of Community and Preventive Medicine, Faculty of Medicine Udayana University)
Dewa Nyoman Wirawan (Public Health Postgraduate Program, Udayana University, Department of Community and Preventive Medicine, Faculty of Medicine Udayana University, Kerti Praja Foundation, Bali)



Article Info

Publish Date
01 Jul 2014

Abstract

Background and purpose: Lower loss to follow up (LTFU) is one indicator of the success of antiretroviral therapy (ART). In 2013 the Indonesian Ministry of Health reported that the cumulative percentage of LTFU was as high as 17.3%. To date, there has been no retrospective research into LTFU on people living with HIV/AIDS (PLHIV) in Bali, particularly to investigate PLHIV client characteristics. Methods: This descriptive longitudinal study was conducted to analyze secondary data from records of PLHIV initiating ART between 2002-2012 at Clinic Amertha, Kerti Praja Foundation (YKP). The sample was PLHIV receiving ART at the YKP from 2002-2012 that had first received ART in YKP and had minimum 2 consultations. Data used was that recorded in the medical records. Variables were: age, gender, occupation, the presence of ART supervisor, and HIV transmission mode. Data were analyzed descriptively to obtain insight into characteristics of LTFU clients per 100 person years (PY). Length of time since LTFU was assessed. Results: The sample was 548: 77 (14,1%) were LTFU with crude incidence of LTFU at 5.15 per 100 PY. Median time of LTFU was not reached in this study, because of the low outcome incidence. Specific LTFU incidence was higher in women (6.6 per 100 PY), younger age (6.0 per 100 PY), and female sex workers (7.3 per 100 PY). Lack of ART supervisor (9.3 per 100 PY) and homosexual (9.1 per 100 PY) also had higher LTFU incidence. Conclusion: Specific LTFU incidence was higher in women, younger age, female sex workers, lack of ART supervisor, and homosexual.

Copyrights © 2014






Journal Info

Abbrev

phpma

Publisher

Subject

Public Health

Description

ublic Health and Preventive Medicine Archive (PHPMA) is an open access, peer reviewed journal published by Department of Public Health and Preventive Medicine, Faculty of Medicine, Udayana University. Issues covered in the journal are as the following: Environmental and occupational health Field and ...