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HIV Care Cascade among Prisoners of the Mandalay Central Prison in Myanmar: 2011–2018

Prisoners have a higher HIV prevalence and higher rates of attrition from care as compared with the general population. There is no published evidence on this issue from Myanmar. We assessed (1) HIV test uptake, HIV positivity, and enrollment in care among newly admitted prisoners between 2017 and 1...

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Autores principales: Nom, Nang A Mwe, Kyaw, Khine Wut Yee, Kumar, Ajay M. V., Hone, San, Thida, Thida, Nwe, Thet Wai, Soan, Pyae, Htun, Thurain, Oo, Htun Nyunt
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7157648/
https://www.ncbi.nlm.nih.gov/pubmed/31906265
http://dx.doi.org/10.3390/tropicalmed5010004
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author Nom, Nang A Mwe
Kyaw, Khine Wut Yee
Kumar, Ajay M. V.
Hone, San
Thida, Thida
Nwe, Thet Wai
Soan, Pyae
Htun, Thurain
Oo, Htun Nyunt
author_facet Nom, Nang A Mwe
Kyaw, Khine Wut Yee
Kumar, Ajay M. V.
Hone, San
Thida, Thida
Nwe, Thet Wai
Soan, Pyae
Htun, Thurain
Oo, Htun Nyunt
author_sort Nom, Nang A Mwe
collection PubMed
description Prisoners have a higher HIV prevalence and higher rates of attrition from care as compared with the general population. There is no published evidence on this issue from Myanmar. We assessed (1) HIV test uptake, HIV positivity, and enrollment in care among newly admitted prisoners between 2017 and 18 (2) Treatment outcomes among HIV-positive prisoners enrolled in care between 2011 and 18. This was a cohort study involving secondary analysis of program data. Among 26,767 prisoners admitted to the Mandalay Central Prison between 2017 and 2018, 10,421 (39%) were HIV-tested, 547 (5%) were HIV-positive, and 376 (69%) were enrolled in care. Among the 1288 HIV-positive prisoners enrolled in care between 2011 and 2018, 1178 (92%) were started on antiretroviral therapy. A total of 883 (69%) were transferred out (post-release) to other health facilities, and among these, only 369 (42%) reached their destination health facilities. The final outcomes (censored on 30 June 2019) included the following: (i) Alive and in care 495 (38%), (ii) death 138 (11%), (iii) loss to follow-up 596 (46%), and (iv) transferred out after reaching the health facilities 59 (5%). We found major gaps at every step of the HIV care cascade among prisoners, both inside and outside the prison. Future research should focus on understanding the reasons for these gaps and designing appropriate interventions to fill these gaps.
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spelling pubmed-71576482020-05-01 HIV Care Cascade among Prisoners of the Mandalay Central Prison in Myanmar: 2011–2018 Nom, Nang A Mwe Kyaw, Khine Wut Yee Kumar, Ajay M. V. Hone, San Thida, Thida Nwe, Thet Wai Soan, Pyae Htun, Thurain Oo, Htun Nyunt Trop Med Infect Dis Article Prisoners have a higher HIV prevalence and higher rates of attrition from care as compared with the general population. There is no published evidence on this issue from Myanmar. We assessed (1) HIV test uptake, HIV positivity, and enrollment in care among newly admitted prisoners between 2017 and 18 (2) Treatment outcomes among HIV-positive prisoners enrolled in care between 2011 and 18. This was a cohort study involving secondary analysis of program data. Among 26,767 prisoners admitted to the Mandalay Central Prison between 2017 and 2018, 10,421 (39%) were HIV-tested, 547 (5%) were HIV-positive, and 376 (69%) were enrolled in care. Among the 1288 HIV-positive prisoners enrolled in care between 2011 and 2018, 1178 (92%) were started on antiretroviral therapy. A total of 883 (69%) were transferred out (post-release) to other health facilities, and among these, only 369 (42%) reached their destination health facilities. The final outcomes (censored on 30 June 2019) included the following: (i) Alive and in care 495 (38%), (ii) death 138 (11%), (iii) loss to follow-up 596 (46%), and (iv) transferred out after reaching the health facilities 59 (5%). We found major gaps at every step of the HIV care cascade among prisoners, both inside and outside the prison. Future research should focus on understanding the reasons for these gaps and designing appropriate interventions to fill these gaps. MDPI 2020-01-01 /pmc/articles/PMC7157648/ /pubmed/31906265 http://dx.doi.org/10.3390/tropicalmed5010004 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Nom, Nang A Mwe
Kyaw, Khine Wut Yee
Kumar, Ajay M. V.
Hone, San
Thida, Thida
Nwe, Thet Wai
Soan, Pyae
Htun, Thurain
Oo, Htun Nyunt
HIV Care Cascade among Prisoners of the Mandalay Central Prison in Myanmar: 2011–2018
title HIV Care Cascade among Prisoners of the Mandalay Central Prison in Myanmar: 2011–2018
title_full HIV Care Cascade among Prisoners of the Mandalay Central Prison in Myanmar: 2011–2018
title_fullStr HIV Care Cascade among Prisoners of the Mandalay Central Prison in Myanmar: 2011–2018
title_full_unstemmed HIV Care Cascade among Prisoners of the Mandalay Central Prison in Myanmar: 2011–2018
title_short HIV Care Cascade among Prisoners of the Mandalay Central Prison in Myanmar: 2011–2018
title_sort hiv care cascade among prisoners of the mandalay central prison in myanmar: 2011–2018
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7157648/
https://www.ncbi.nlm.nih.gov/pubmed/31906265
http://dx.doi.org/10.3390/tropicalmed5010004
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