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Low retention in care among patients with newly diagnosed HIV infection has been identified as a major obstacle to more successful scale-up of antiretroviral therapy (ART) in resource-poor countries. In this retrospective study, researchers evaluated whether the introduction of point-of-care CD4 cell–count testing at four public HIV clinics in Mozambique reduced loss to follow-up in the period before treatment initiation.
Medical records were reviewed for 492 patients who were seen before the introduction of point-of-care CD4 cell–count testing and 437 who were seen afterward. The baseline standard practice was to obtain blood samples from newly diagnosed patients, send the samples in weekly batches to a reference laboratory, and then have t…