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Susceptibility to Transmitting HIV in Patients Initiating Antiretroviral Therapy in Rural District Hospitals in Cameroon (Stratall ANRS 12110/ESTHER Trial)
OBJECTIVES: Using cohort data nested in a randomized trial conducted in Cameroon, this study aimed to investigate time trends and predictors of the susceptibility to transmitting HIV during the first 24 months of treatment. METHODS: The outcome, susceptibility to transmitting HIV, was defined as rep...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3640048/ https://www.ncbi.nlm.nih.gov/pubmed/23638126 http://dx.doi.org/10.1371/journal.pone.0062611 |
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author | Ndziessi, Gilbert Cohen, Julien Kouanfack, Charles Marcellin, Fabienne Carierri, Maria Patrizia Laborde-Balen, Gabrièle Protopopescu, Camélia Aghokeng, Avelin Fobang Moatti, Jean-Paul Spire, Bruno Delaporte, Eric Laurent, Christian Boyer, Sylvie Biwolé-Sida, M. Kouanfack, C. Koulla-Shiro, S. Bourgeois, A. Delaporte, E. Laurent, C. Peeters, M. Laborde-Balen, G. Dontsop, M. Kazé, S. Mben, J-M. Aghokeng, A. Edoul, M.G. Mpoudi-Ngolé, E. Tongo, M. Boyer, S. Carrieri, M.P. Marcellin, F. Moatti, J-P. Spire, B. Abé, C. Abega, S-C. Bonono, C-R. Mimcheu, H. Ngo Yebga, S. Paul Bile, C. Abada, S. Abanda, T. Baga, J. Bilobi Fouda, P. Etong Mve, P. Fetse Tama, G. Kemo, H. Ongodo, A. Tadewa, V. Voundi, HD. Ambani, A. Atangana, M. Biaback, J-C. Kennedy, M. Kibedou, H. Kounga, F. Maguip Abanda, M. Mamang, E. Mikone, A. Tang, S. Tchuangue, E. Tchuenko, S. Yakan, D. Assandje, J. Ebana, S. Ebo’o, D. Etoundi, D. Ngama, G. Mbarga Ango, P. Mbezele, J. Mbong, G. Moung, C. Ekotto, N. Nguemba Balla, G. Ottou, G. Tigougmo, M. Beyala, R. Ebene, B. Effemba, C. Eyebe, F. Hadjaratou, M-M. Mbarga, T. Metou, M. Ndam, M. Ngoa, B. Ngock, EB. Obam, N. Abomo, A. M. Angoula, G. Ekassi, E. Essama, Lentchou, J.J. Mvilongo, I. Ngapou, J. Ntokombo, F. Ondoua, V. Palawo, R. Sebe, S. Sinou, E. Wankam, D. Zobo, I. Akono, B. Ambani, A. L. Bilock, L. Bilo’o, R. Boombhi, J. Fouda, F.X. Guitonga, M. Mad’aa, R. Metou’ou, D.R. Mgbih, S. Noah, A. Tadena, M. Ntcham, Ambassa Elime, G. Bonongnaba, A.A. Foaleng, E. Heles, R.M. Messina, R. Nana Ndankou, O. Ngono, S.A. Ngono Menounga, D. Sil, S.S. Tchouamou, L. Zambou, B. Abomo, R. Ambomo, J. Beyomo, C. Eloundou, P. Ewole, C. Fokom, J. Mvoto, M. Ngadena, M. Nyolo, R. Onana, C. Oyie, A. Antyimi, P. Bella Mbatonga, S. Bikomo, M. Molo Bodo, Y. Ndi Ntang, S. Ndoudoumou, P. Ndzomo, L. Ngolo, S.O. Nkengue, M. Nkoa, Tchinda, Y. |
author_facet | Ndziessi, Gilbert Cohen, Julien Kouanfack, Charles Marcellin, Fabienne Carierri, Maria Patrizia Laborde-Balen, Gabrièle Protopopescu, Camélia Aghokeng, Avelin Fobang Moatti, Jean-Paul Spire, Bruno Delaporte, Eric Laurent, Christian Boyer, Sylvie Biwolé-Sida, M. Kouanfack, C. Koulla-Shiro, S. Bourgeois, A. Delaporte, E. Laurent, C. Peeters, M. Laborde-Balen, G. Dontsop, M. Kazé, S. Mben, J-M. Aghokeng, A. Edoul, M.G. Mpoudi-Ngolé, E. Tongo, M. Boyer, S. Carrieri, M.P. Marcellin, F. Moatti, J-P. Spire, B. Abé, C. Abega, S-C. Bonono, C-R. Mimcheu, H. Ngo Yebga, S. Paul Bile, C. Abada, S. Abanda, T. Baga, J. Bilobi Fouda, P. Etong Mve, P. Fetse Tama, G. Kemo, H. Ongodo, A. Tadewa, V. Voundi, HD. Ambani, A. Atangana, M. Biaback, J-C. Kennedy, M. Kibedou, H. Kounga, F. Maguip Abanda, M. Mamang, E. Mikone, A. Tang, S. Tchuangue, E. Tchuenko, S. Yakan, D. Assandje, J. Ebana, S. Ebo’o, D. Etoundi, D. Ngama, G. Mbarga Ango, P. Mbezele, J. Mbong, G. Moung, C. Ekotto, N. Nguemba Balla, G. Ottou, G. Tigougmo, M. Beyala, R. Ebene, B. Effemba, C. Eyebe, F. Hadjaratou, M-M. Mbarga, T. Metou, M. Ndam, M. Ngoa, B. Ngock, EB. Obam, N. Abomo, A. M. Angoula, G. Ekassi, E. Essama, Lentchou, J.J. Mvilongo, I. Ngapou, J. Ntokombo, F. Ondoua, V. Palawo, R. Sebe, S. Sinou, E. Wankam, D. Zobo, I. Akono, B. Ambani, A. L. Bilock, L. Bilo’o, R. Boombhi, J. Fouda, F.X. Guitonga, M. Mad’aa, R. Metou’ou, D.R. Mgbih, S. Noah, A. Tadena, M. Ntcham, Ambassa Elime, G. Bonongnaba, A.A. Foaleng, E. Heles, R.M. Messina, R. Nana Ndankou, O. Ngono, S.A. Ngono Menounga, D. Sil, S.S. Tchouamou, L. Zambou, B. Abomo, R. Ambomo, J. Beyomo, C. Eloundou, P. Ewole, C. Fokom, J. Mvoto, M. Ngadena, M. Nyolo, R. Onana, C. Oyie, A. Antyimi, P. Bella Mbatonga, S. Bikomo, M. Molo Bodo, Y. Ndi Ntang, S. Ndoudoumou, P. Ndzomo, L. Ngolo, S.O. Nkengue, M. Nkoa, Tchinda, Y. |
author_sort | Ndziessi, Gilbert |
collection | PubMed |
description | OBJECTIVES: Using cohort data nested in a randomized trial conducted in Cameroon, this study aimed to investigate time trends and predictors of the susceptibility to transmitting HIV during the first 24 months of treatment. METHODS: The outcome, susceptibility to transmitting HIV, was defined as reporting inconsistent condom use and experiencing incomplete virological suppression. Mixed logistic regressions were performed to identify predictors of this outcome among 250 patients reporting to have had sexual relationships either with HIV-negative or unknown HIV status partner(s). RESULTS: Despite an initial decrease from 76% at M0 to 50% at M6, the rate of inconsistent condom use significantly increased from M12 (59%) to M24 (66%) (p = 0.017). However, the proportion of patients susceptible to transmitting HIV significantly decreased over follow-up from 76% at M0, to 50% at M6, 31% at M12 and 27% at M24 (p<0.001). After controlling for age, gender and intervention group, we found that perceiving healthcare staff’s readiness to listen as poor (adjusted odds ratios (AOR) [95% Confidence Interval (CI)] = 1.87 [1.01–3.46]), reporting to have sexual relationships more than once per week (AOR [95%CI] = 2.52 [1.29–4.93]), having more than one sexual partner (AOR [95%CI] = 2.53 [1.21–5.30]) and desiring a/another child (AOR [95%CI] = 2.07 [1.10–3.87]) were all associated with a higher risk of being susceptible to transmitting HIV. Conversely, time since ART initiation (AOR [95%CI] = 0.66 [0.53–0.83] for an extra 6 months and ART adherence (AOR [95%CI] = 0.33 [0.15–0.72]) were significantly associated with a lower risk of being susceptible to transmitting HIV. CONCLUSIONS: The decrease observed in the susceptibility to transmitting HIV suggests that fear of behavioural disinhibition should not be a barrier to universal access to ART. However, developing adequate preventive interventions matching patients’ expectations -like the desire to have children- and strengthening healthcare staff’s counselling skills are urgently needed to maximize the impact of ART in slowing the HIV epidemic. |
format | Online Article Text |
id | pubmed-3640048 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-36400482013-05-01 Susceptibility to Transmitting HIV in Patients Initiating Antiretroviral Therapy in Rural District Hospitals in Cameroon (Stratall ANRS 12110/ESTHER Trial) Ndziessi, Gilbert Cohen, Julien Kouanfack, Charles Marcellin, Fabienne Carierri, Maria Patrizia Laborde-Balen, Gabrièle Protopopescu, Camélia Aghokeng, Avelin Fobang Moatti, Jean-Paul Spire, Bruno Delaporte, Eric Laurent, Christian Boyer, Sylvie Biwolé-Sida, M. Kouanfack, C. Koulla-Shiro, S. Bourgeois, A. Delaporte, E. Laurent, C. Peeters, M. Laborde-Balen, G. Dontsop, M. Kazé, S. Mben, J-M. Aghokeng, A. Edoul, M.G. Mpoudi-Ngolé, E. Tongo, M. Boyer, S. Carrieri, M.P. Marcellin, F. Moatti, J-P. Spire, B. Abé, C. Abega, S-C. Bonono, C-R. Mimcheu, H. Ngo Yebga, S. Paul Bile, C. Abada, S. Abanda, T. Baga, J. Bilobi Fouda, P. Etong Mve, P. Fetse Tama, G. Kemo, H. Ongodo, A. Tadewa, V. Voundi, HD. Ambani, A. Atangana, M. Biaback, J-C. Kennedy, M. Kibedou, H. Kounga, F. Maguip Abanda, M. Mamang, E. Mikone, A. Tang, S. Tchuangue, E. Tchuenko, S. Yakan, D. Assandje, J. Ebana, S. Ebo’o, D. Etoundi, D. Ngama, G. Mbarga Ango, P. Mbezele, J. Mbong, G. Moung, C. Ekotto, N. Nguemba Balla, G. Ottou, G. Tigougmo, M. Beyala, R. Ebene, B. Effemba, C. Eyebe, F. Hadjaratou, M-M. Mbarga, T. Metou, M. Ndam, M. Ngoa, B. Ngock, EB. Obam, N. Abomo, A. M. Angoula, G. Ekassi, E. Essama, Lentchou, J.J. Mvilongo, I. Ngapou, J. Ntokombo, F. Ondoua, V. Palawo, R. Sebe, S. Sinou, E. Wankam, D. Zobo, I. Akono, B. Ambani, A. L. Bilock, L. Bilo’o, R. Boombhi, J. Fouda, F.X. Guitonga, M. Mad’aa, R. Metou’ou, D.R. Mgbih, S. Noah, A. Tadena, M. Ntcham, Ambassa Elime, G. Bonongnaba, A.A. Foaleng, E. Heles, R.M. Messina, R. Nana Ndankou, O. Ngono, S.A. Ngono Menounga, D. Sil, S.S. Tchouamou, L. Zambou, B. Abomo, R. Ambomo, J. Beyomo, C. Eloundou, P. Ewole, C. Fokom, J. Mvoto, M. Ngadena, M. Nyolo, R. Onana, C. Oyie, A. Antyimi, P. Bella Mbatonga, S. Bikomo, M. Molo Bodo, Y. Ndi Ntang, S. Ndoudoumou, P. Ndzomo, L. Ngolo, S.O. Nkengue, M. Nkoa, Tchinda, Y. PLoS One Research Article OBJECTIVES: Using cohort data nested in a randomized trial conducted in Cameroon, this study aimed to investigate time trends and predictors of the susceptibility to transmitting HIV during the first 24 months of treatment. METHODS: The outcome, susceptibility to transmitting HIV, was defined as reporting inconsistent condom use and experiencing incomplete virological suppression. Mixed logistic regressions were performed to identify predictors of this outcome among 250 patients reporting to have had sexual relationships either with HIV-negative or unknown HIV status partner(s). RESULTS: Despite an initial decrease from 76% at M0 to 50% at M6, the rate of inconsistent condom use significantly increased from M12 (59%) to M24 (66%) (p = 0.017). However, the proportion of patients susceptible to transmitting HIV significantly decreased over follow-up from 76% at M0, to 50% at M6, 31% at M12 and 27% at M24 (p<0.001). After controlling for age, gender and intervention group, we found that perceiving healthcare staff’s readiness to listen as poor (adjusted odds ratios (AOR) [95% Confidence Interval (CI)] = 1.87 [1.01–3.46]), reporting to have sexual relationships more than once per week (AOR [95%CI] = 2.52 [1.29–4.93]), having more than one sexual partner (AOR [95%CI] = 2.53 [1.21–5.30]) and desiring a/another child (AOR [95%CI] = 2.07 [1.10–3.87]) were all associated with a higher risk of being susceptible to transmitting HIV. Conversely, time since ART initiation (AOR [95%CI] = 0.66 [0.53–0.83] for an extra 6 months and ART adherence (AOR [95%CI] = 0.33 [0.15–0.72]) were significantly associated with a lower risk of being susceptible to transmitting HIV. CONCLUSIONS: The decrease observed in the susceptibility to transmitting HIV suggests that fear of behavioural disinhibition should not be a barrier to universal access to ART. However, developing adequate preventive interventions matching patients’ expectations -like the desire to have children- and strengthening healthcare staff’s counselling skills are urgently needed to maximize the impact of ART in slowing the HIV epidemic. Public Library of Science 2013-04-30 /pmc/articles/PMC3640048/ /pubmed/23638126 http://dx.doi.org/10.1371/journal.pone.0062611 Text en © 2013 Ndziessi et al http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited. |
spellingShingle | Research Article Ndziessi, Gilbert Cohen, Julien Kouanfack, Charles Marcellin, Fabienne Carierri, Maria Patrizia Laborde-Balen, Gabrièle Protopopescu, Camélia Aghokeng, Avelin Fobang Moatti, Jean-Paul Spire, Bruno Delaporte, Eric Laurent, Christian Boyer, Sylvie Biwolé-Sida, M. Kouanfack, C. Koulla-Shiro, S. Bourgeois, A. Delaporte, E. Laurent, C. Peeters, M. Laborde-Balen, G. Dontsop, M. Kazé, S. Mben, J-M. Aghokeng, A. Edoul, M.G. Mpoudi-Ngolé, E. Tongo, M. Boyer, S. Carrieri, M.P. Marcellin, F. Moatti, J-P. Spire, B. Abé, C. Abega, S-C. Bonono, C-R. Mimcheu, H. Ngo Yebga, S. Paul Bile, C. Abada, S. Abanda, T. Baga, J. Bilobi Fouda, P. Etong Mve, P. Fetse Tama, G. Kemo, H. Ongodo, A. Tadewa, V. Voundi, HD. Ambani, A. Atangana, M. Biaback, J-C. Kennedy, M. Kibedou, H. Kounga, F. Maguip Abanda, M. Mamang, E. Mikone, A. Tang, S. Tchuangue, E. Tchuenko, S. Yakan, D. Assandje, J. Ebana, S. Ebo’o, D. Etoundi, D. Ngama, G. Mbarga Ango, P. Mbezele, J. Mbong, G. Moung, C. Ekotto, N. Nguemba Balla, G. Ottou, G. Tigougmo, M. Beyala, R. Ebene, B. Effemba, C. Eyebe, F. Hadjaratou, M-M. Mbarga, T. Metou, M. Ndam, M. Ngoa, B. Ngock, EB. Obam, N. Abomo, A. M. Angoula, G. Ekassi, E. Essama, Lentchou, J.J. Mvilongo, I. Ngapou, J. Ntokombo, F. Ondoua, V. Palawo, R. Sebe, S. Sinou, E. Wankam, D. Zobo, I. Akono, B. Ambani, A. L. Bilock, L. Bilo’o, R. Boombhi, J. Fouda, F.X. Guitonga, M. Mad’aa, R. Metou’ou, D.R. Mgbih, S. Noah, A. Tadena, M. Ntcham, Ambassa Elime, G. Bonongnaba, A.A. Foaleng, E. Heles, R.M. Messina, R. Nana Ndankou, O. Ngono, S.A. Ngono Menounga, D. Sil, S.S. Tchouamou, L. Zambou, B. Abomo, R. Ambomo, J. Beyomo, C. Eloundou, P. Ewole, C. Fokom, J. Mvoto, M. Ngadena, M. Nyolo, R. Onana, C. Oyie, A. Antyimi, P. Bella Mbatonga, S. Bikomo, M. Molo Bodo, Y. Ndi Ntang, S. Ndoudoumou, P. Ndzomo, L. Ngolo, S.O. Nkengue, M. Nkoa, Tchinda, Y. Susceptibility to Transmitting HIV in Patients Initiating Antiretroviral Therapy in Rural District Hospitals in Cameroon (Stratall ANRS 12110/ESTHER Trial) |
title | Susceptibility to Transmitting HIV in Patients Initiating Antiretroviral Therapy in Rural District Hospitals in Cameroon (Stratall ANRS 12110/ESTHER Trial) |
title_full | Susceptibility to Transmitting HIV in Patients Initiating Antiretroviral Therapy in Rural District Hospitals in Cameroon (Stratall ANRS 12110/ESTHER Trial) |
title_fullStr | Susceptibility to Transmitting HIV in Patients Initiating Antiretroviral Therapy in Rural District Hospitals in Cameroon (Stratall ANRS 12110/ESTHER Trial) |
title_full_unstemmed | Susceptibility to Transmitting HIV in Patients Initiating Antiretroviral Therapy in Rural District Hospitals in Cameroon (Stratall ANRS 12110/ESTHER Trial) |
title_short | Susceptibility to Transmitting HIV in Patients Initiating Antiretroviral Therapy in Rural District Hospitals in Cameroon (Stratall ANRS 12110/ESTHER Trial) |
title_sort | susceptibility to transmitting hiv in patients initiating antiretroviral therapy in rural district hospitals in cameroon (stratall anrs 12110/esther trial) |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3640048/ https://www.ncbi.nlm.nih.gov/pubmed/23638126 http://dx.doi.org/10.1371/journal.pone.0062611 |
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susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT koungaf susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT maguipabandam susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT mamange susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT mikonea susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT tangs susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT tchuanguee susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT tchuenkos susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT yakand susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT assandjej susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT ebanas susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT ebood susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT etoundid susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT ngamag susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT mbargaangop susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT mbezelej susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT mbongg susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT moungc susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT ekotton susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT nguembaballag susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT ottoug susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT tigougmom susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT beyalar susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT ebeneb susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT effembac susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT eyebef susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT hadjaratoumm susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT mbargat susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT metoum susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT ndamm susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT ngoab susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT ngockeb susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT obamn susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT abomoam susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT angoulag susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT ekassie susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT essama susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT lentchoujj susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT mvilongoi susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT ngapouj susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT ntokombof susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT ondouav susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT palawor susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT sebes susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT sinoue susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT wankamd susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT zoboi susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT akonob susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT ambanial susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT bilockl susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT biloor susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT boombhij susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT foudafx susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT guitongam susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT madaar susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT metououdr susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT mgbihs susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT noaha susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT tadenam susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT ntcham susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT ambassaelimeg susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT bonongnabaaa susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT foalenge susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT helesrm susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT messinar susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT nanandankouo susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT ngonosa susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT ngonomenoungad susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT silss susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT tchouamoul susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT zamboub susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT abomor susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT ambomoj susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT beyomoc susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT eloundoup susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT ewolec susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT fokomj susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT mvotom susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT ngadenam susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT nyolor susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT onanac susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT oyiea susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT antyimip susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT bellambatongas susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT bikomom susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT molobodoy susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT ndintangs susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT ndoudoumoup susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT ndzomol susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT ngoloso susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT nkenguem susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT nkoa susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial AT tchinday susceptibilitytotransmittinghivinpatientsinitiatingantiretroviraltherapyinruraldistricthospitalsincameroonstratallanrs12110esthertrial |