Evaluation of the National Adherence Guidelines for Chronic Diseases in South Africa Using Routinely Collected Data
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World Bank, Washington, DC
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This report describes enrollment into
the cohorts for protocol 1 for the Evaluation of the
National Adherence Guidelines for Chronic Diseases in South
Africa Using Routinely Collected Data. The study is
evaluating short-term and long-term effects of five
interventions being implemented by the National Department
of Health (NDoH) in South Africa to improve adherence to HIV
care and chronic disease care in general: Fast track
initiation counselling, decentralized medicine delivery,
adherence clubs, early patient tracing and enhanced
adherence counselling. The study uses a randomized
evaluation design to compare sites where the intervention
was rolled out with control sites providing standard of
care. Enrollment began in June 2016 and was uneven in time
and by province, as expected in a process using routine data
and relying on programmatic implementation. Enrollment of
HIV clients into cohorts will enable the NDoH to understand
the short-term and long-term impacts of interventions to
improve HIV treatment initiation, adherence and retention in care.
Palabras clave
HIV AIDS, MEN WHO HAVE SEX WITH MEN, CHRONIC DISEASE, PUBLIC HEALTH, HEALTH CLINIC, HUMAN IMMUNODEFICIENCY VIRUS, TREATMENT REGIMEN, COLLECTED DATA, ANTIRETROVIRAL TREATMENT, DECENTRALIZATION, MEDICINE DELIVERY, ADHERENCE COUNSELING