Patterns of engagement in care during clients’ first 12 months after HIV treatment initiation in Zambia: a retrospective cohort analysis using routinely collected data
Fewer than 60% of clients initiating antiretroviral therapy care between 2018 and 2022 at Zambian facilities remained continuously engaged at month 6 and 34% at month 12. Cyclical engagement and frequent interruptions should be accepted as the norm and models of service delivery designed to accommodate them.
Authors
- Khozya Zyambo (ORCID: https://orcid.org/0000-0002-3813-2784)
- Mhairi Maskew (ORCID: https://orcid.org/0000-0003-4238-0200)
- Theodora Savory (ORCID: https://orcid.org/0009-0004-5401-4990)
- Mariet Benade (ORCID: https://orcid.org/0000-0001-9498-3199)
- Phillip Chilembo (ORCID: https://orcid.org/0000-0002-2434-7004)
- Sydney Rosen (ORCID: https://orcid.org/0000-0002-6560-2964)
- Carolyn Bolton‐Moore (ORCID: https://orcid.org/0000-0001-9103-7746)
- Lloyd Mulenga (ORCID: https://orcid.org/0000-0002-1044-4209)
- Brooke E Nichols (ORCID: https://orcid.org/0000-0003-4682-4999)
- Suilanji Sivile (ORCID: https://orcid.org/0009-0005-3072-475X)
- Mwansa Wa Mwansa
Institutions
- Boston University (US)
- Centre for Infectious Disease Research in Zambia (ZM)
- Ministry of Health (ZM)
- University of the Witwatersrand (ZA)
- University Teaching Hospital (ZM)
- Lusaka Apex Medical University (ZM)
- Amsterdam Institute for Global Health and Development (NL)
- Amsterdam University Medical Centers (NL)
- University of Amsterdam (NL)
Publication Details
- Journal
- BMJ Global Health
- Published
- 2025-08-01
- DOI
- https://doi.org/10.1136/bmjgh-2024-017930
- Citations
- 3
- Primary Topic
- HIV/AIDS Research and Interventions
- Type
- article
- Field-Weighted Citation Impact
- 4.19
Funders
- National Institutes of Health
- National Institute on Alcohol Abuse and Alcoholism
- National Heart, Lung, and Blood Institute
- National Institute on Drug Abuse
- National Institute of Allergy and Infectious Diseases
- Fogarty International Center
- National Institute of Diabetes and Digestive and Kidney Diseases