Following Patients from Hospital to Home to Clinic: Strategies for Better HIV Outcomes

Linkage intervention administered by social workers for patients hospitalized with HIV in Tanzania improved viral suppression at 1 year, but mortality was not reduced.

Hospitalized people with HIV (PWH) in sub-Saharan Africa have high risk for death within 1 year of discharge. Investigators in Tanzania conducted a randomized trial to assess outcomes of the Daraja intervention, which consisted of five 45-minute sessions administered by a social worker beginning in the hospital and continuing for 3 months after the patient was discharged home. A total of 500 PWH who were hospitalized and antiretroviral therapy (ART) naive (80%) or off therapy for >7 days were randomized 1:1 to the intervention or enhanced standard of care (eSOC). The eSOC arm received predischarge HIV counseling and a warm handoff to the HIV clinic.

The primary outcome, 1-year mortality, did not differ between arms (43 participants died in t…

Reviewing Author

Wendy S. Armstrong, MD

Disclosures

Consultant/Advisory BoardNIH Therapeutics and Prevention Data Safety Monitoring Board

Leadership Positions in Professional SocietiesAmerican Board of Internal Medicine Infectious Diseases Subspecialty Board (member), Infectious Diseases Society of America (Vice President)

Wendy S. Armstrong, MD

Disclosures

Consultant/Advisory BoardNIH Therapeutics and Prevention Data Safety Monitoring Board

Leadership Positions in Professional SocietiesAmerican Board of Internal Medicine Infectious Diseases Subspecialty Board (member), Infectious Diseases Society of America (Vice President)

Following Patients from Hospital to Home to Clinic: Strategies for Better HIV Outcomes

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Reviewing Author