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Impact of Food Assistance on Clinic Attendance among Patients on Antiretroviral Therapy in Haiti

Impact of Food Assistance on Clinic Attendance among Patients on Antiretroviral Therapy in Haiti. MOPDD0305. D. Bernard 1 , S.P. Koenig 2 , C. Riviere 1 , C. Bertil 1 , P. Severe 1 ,M.M. Deschamps 1 , J.W . Pape 1,3 Institutions:

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Impact of Food Assistance on Clinic Attendance among Patients on Antiretroviral Therapy in Haiti

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  1. Impact of Food Assistance on Clinic Attendance among Patients on Antiretroviral Therapy in Haiti MOPDD0305 D. Bernard1, S.P. Koenig2, C. Riviere1, C. Bertil1, P. Severe1,M.M. Deschamps1, J.W. Pape1,3 Institutions: 1The GHESKIO Centers, Port-au-Prince, Haiti, 2Division of Global Health Equity Brigham and Women's Hospital/Harvard Medical School Boston, MA, United States, 3Division of Global Health, Weil Medical School of Cornel University, New York, United States Page 1 of 7

  2. BACKGROUND • In resource limited settings (RSL) such as Haiti, people living with HIV/AIDS face great challenges in maintaining adequate nutrition. • The evaluation of the benefits of nutritional supplementation(NS) programs on HIV clinic attendance among HIV infected subjects in developing countries is limited. • GHESKIO is the main Center for HIV/AIDS services in Haiti • This abstract focuses on the assessment of the rate of timely antiretroviral therapy (ART) visit attendance for a cohort of patients before food assistance, while receiving food assistance, and after receiving food assistance by using electronic pharmacy visit data. Page 2 of 7

  3. METHODS • From October 2007 to January 2011, our study population included 2654 patients that received at least 6 months of ART prior to receiving NS from the World food program (WFP) at the GHESKIO Centers. • Using pharmacy visit data, we calculated the number of late visits (at least 6 days after the scheduled visit date): a) during the 6 months before receiving WFP supplementation b) during the approximate 6 months of WFP supplementation c) 6 months after receiving WFP supplementation. Page 3 of 7

  4. RESULTS From November 2007 to December 2011, among the 2654 patients a total of 4098 scheduled visits was found. During that period there were: • 1625 late visits during the 6 months period prior to NS which indicates that 39% of the scheduled visits were late visits • 1291 late visits during the 6 months of NS which indicates that 31% of the scheduled visits were late visits, • 1135 late visits during the 6 months after NS which indicates that 27% of the scheduled visits were late visits . Page 4 of 7

  5. RESULTS Page 5 of 7

  6. CONCLUSIONS • Our findings demonstrate that food assistance plays a key role in the regularity of the visits to the pharmacy, which is associated with Antiretroviral therapy adherence. • Nutritional Supplementation should be part of the package of care and support offered to all patients on ART, particularly those with advanced immunodepressionwho are so desperately in need. Page 6 of 7

  7. Thank You ! Page 7 of 7

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