Analysis of Existing Medical Record Data to Evaluate Coverage, Uptake, Benefits, and Costs of Differentiated Models of Service Delivery for HIV Treatment in Africa (Zambia)

Status: Recruiting
Location: See location...
Intervention Type: Other
Study Type: Observational
SUMMARY

To achieve global goals for the treatment of HIV, most high-prevalence countries are experimenting with and scaling up differentiated service delivery models (DSD). A handful of efforts have been formally described and evaluated in the literature; many others are being implemented formally or informally under routine care, without a research or evaluation goal. For most countries, however, there is little evidence on the big picture-the proportion of clinics offering alternative models, eligibility criteria and the proportion of patients considered eligible, the number of patients actually participating, health outcomes such as viral suppression, empirical resource utilization compared to traditional care, variations among the models, duration of patient participation, fidelity to model guidelines, effects on clinic efficiency, and sustainability without external donor support. AMBIT a set of data synthesis, data collection, and data analysis activities aimed at generating information for near- and long-term decision making and creating an approach and platform for ongoing evaluation of differentiated models of HIV treatment delivery in the future. The project will collect and analyze a wide range of existing data sets pertinent to DSD. This protocol is for an analysis of existing medical record data collected by the Ministry of Health, implementing partners, and other completed, ongoing, or new evaluations, trials, and observational studies. Outcomes to be reported include coverage/uptake of DSD, patients' outcomes, and distribution of each model. There will be no study interaction with individual patients, providers, caregivers, or others for this analysis.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 15
Healthy Volunteers: f
View:

• ≥ 15 years old

• Patients accessing care for HIV within the data collection period

• In any HIV transmission risk group

Locations
Other Locations
Zambia
All clinics
RECRUITING
Lusaka
Contact Information
Primary
Sydney B Rosen
sbrosen@bu.edu
6173582251
Backup
Brooke Nichols
brooken@bu.edu
6173282440
Time Frame
Start Date: 2019-12-01
Estimated Completion Date: 2027-12-31
Participants
Target number of participants: 1200000
Treatments
Patients enrolled in differentiated service delivery models
Patients not enrolled in DSD models
Related Therapeutic Areas
Sponsors
Collaborators: Bill and Melinda Gates Foundation, Clinton Health Access Initiative Inc., University of Witwatersrand, South Africa
Leads: Boston University

This content was sourced from clinicaltrials.gov