Treatment Outcomes and Cost-Effectiveness of Shifting Management of Stable ART Patients to Nurses in South Africa: An Observational Cohort
2011

Simplified ART Delivery Models for HIV Care

publication

Author Information

Author(s): Nathan Ford, Edward Mills

Hypothesis

How can research help define future HIV programs, rather than validate what is already happening?

Conclusion

Down-referring stable HIV patients from hospitals to nurse-managed health centers provides good health outcomes and is cost-effective.

Supporting Evidence

  • Decentralized ART provision has been shown to improve patient outcomes.
  • Retention in care is better at decentralized sites compared to hospitals.
  • Providing ART earlier can reduce hospitalizations and opportunistic infections.

Takeaway

This study shows that moving HIV care from hospitals to local health centers can help more people get treatment and stay healthy.

Digital Object Identifier (DOI)

10.1371/journal.pmed.1001055

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