Improving Management of Recipients of Care With HIV Viremia to Optimize Viral Suppression in Zambia: A Process and Outcome Evaluation

Completed · Not applicable

Conditions studied: HIV - Human Immunodeficiency Virus

In brief

The Centre for Infectious Disease Research in Zambia (CIDRZ) as an implementing partner (IP) through its Centers for Disease Control and Prevention (CDC) and President's Emergency Plan for AIDS Relief (PEPFAR)-funded programs provides technical assistance to the Zambian Ministry of Health (MOH) to support the 95-95-95 HIV care cascade targets. Following the expansion of the DSD approach to cover non-established PLHIV, the MOH, with assistance from CIDRZ piloted the introduction of viremic clinics (VCs) as a DSD model in Lusaka to manage recipients of care (ROCs) with unsuppressed viral loads. In this paper, we describe and report on the programmatic performance and outcomes of VL testing at 6 and 12-months in PLHIV on first line ART in the VC model programme in Lusaka province as well as identify the patient and healthcare workers facilitators and barriers to improve viral suppression within the VCs.

Key facts

Study ID

NCT07747987

Run by

Centre for Infectious Disease Research in Zambia

People needed

548

Starts

2023-04-01

Expected to finish

2023-09-30

Last updated by the study team

2026-08-05

Who can join

Age: 15 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• RoCs will be included if they are aged 15 years and above ,
• Started first line ART before March 2020
• on ART at least 6 months of continuous ART treatment
• With complete medical records in smart care, HVL registers and enrolled with HVL RoCs and active
• Inclusion criteria for IDIs:
• RoCs in the qualitative evaluation clinics
• Aged >15 years old
• having received EAC in the past 6 months.
• Inclusion criteria for FGDs :
• Health care workers involved in the care of those who are not virally suppressed (treatment supporters, EAC counselors, professional healthcare workers)

You may not qualify if…

• ROCs< 15 years,

Where it is running

• CIDRZ — Lusaka, Zambia

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