Pediatric Decentralization of ART in South Africa
NCT03049891 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 1583
Last updated 2017-02-10
Summary
The decentralization study will describe children taking antiretroviral therapy (ART) at a larger health facility in the Eastern Cape province of South Africa, between the years of 2004-2013. The study will be conducted at Dora Nginza Hospital (DNH). The study will measure how many children stay in care and how many die, as well as their health status. The study will also compare whether children do better if they stay in care a large hospitals or if they get health care at smaller clinics. A second part of the study will find children in the community who have stopped coming for health care and find out what happened to them and what their health status is.
Conditions
Interventions
- OTHER
-
Data abstraction
The investigators will abstract clinical data from down-referral sites and from NHLS to determine whether children made it to their down-referral sites or whether children are in care at a different facility.
- OTHER
-
Tracing questionnaire
The investigators will attempt to contact and visit caregivers of children who are determined to be LTF from DNH or from down-referral sites. If located and after providing consent, caregivers will be administered a tracing questionnaire, or a verbal autopsy if their child has died.
- OTHER
-
Tier.net
For all children who started ART at DNH between 2004 and 2013, the investigators will abstract data on these children from the electronic medical system in South Africa called Tier.net.
Sponsors & Collaborators
- lead OTHER
Principal Investigators
-
Elaine J Abrams, MD · ICAP at Columbia University
Eligibility
- Max Age
- 14 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2015-11-30
- Primary Completion
- 2016-03-31
- Completion
- 2016-03-31
Countries
- South Africa
Study Locations
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