HIV treatment and monitoring patterns in routine practice: a multi-country retrospective chart review of patient care

What is it about?

A study of patient records in four HIV clinics in three sub-Saharan African countries examined routine clinical care patterns and variations. There was wide variation in available clinic health work force, assessments of progress and treatments given. This indicates sub-optimal adherence to current guidelines in routine clinical care. There is room for further work to understand the reasons for this variation, and to standardise record keeping and routine care of HIV positive patients.

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Why is it important?

The study was designed to explore variation in the evaluation, treatment, care and follow-up among patients diagnosed with HIV in routine care settings in low- to middle-income countries. Findings may differ from usual publications which come from research settings rather than from routine care settings, and should lead to improvements in care and in health outcomes.

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