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Decentralising HIV treatment in lower- and middle-income countries

  1. Tamara Kredo1,*,
  2. Nathan Ford2,
  3. Folasade B Adeniyi3,
  4. Paul Garner4

Editorial Group: Cochrane HIV/AIDS Group

Published Online: 27 JUN 2013

Assessed as up-to-date: 26 MAY 2013

DOI: 10.1002/14651858.CD009987.pub2


How to Cite

Kredo T, Ford N, Adeniyi FB, Garner P. Decentralising HIV treatment in lower- and middle-income countries. Cochrane Database of Systematic Reviews 2013, Issue 6. Art. No.: CD009987. DOI: 10.1002/14651858.CD009987.pub2.

Author Information

  1. 1

    South African Medical Research Council, South African Cochrane Centre, Tygerberg, Western Cape, South Africa

  2. 2

    Médecins Sans Frontières, Geneva, Switzerland

  3. 3

    Stellenbosch University, Centre for Evidence-based Health Care, Faculty of Medicine and Health Sciences, Tygerberg, Cape Town, South Africa

  4. 4

    Liverpool School of Tropical Medicine, Department of Clinical Sciences, Liverpool, Merseyside, UK

*Tamara Kredo, South African Cochrane Centre, South African Medical Research Council, PO Box 19070, Tygerberg, Western Cape, 7505, South Africa. tamara.kredo@mrc.ac.za.

Publication History

  1. Publication Status: New
  2. Published Online: 27 JUN 2013

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[Figure 1]
Figure 1. Study flow diagram.
[Figure 2]
Figure 2. Risk of bias summary: review authors' judgements about each risk of bias item for each included study.
[Figure 3]
Figure 3. Forest plot of comparison: 1 Partial decentralisation - initiation in hospital, maintenance at health centre, outcome: 1.1 Death or lost to care (12 months).
[Figure 4]
Figure 4. Forest plot of comparison: 1 Partial decentralisation - initiation in hospital, maintenance at health centre, outcome: 1.2 Lost to care.
[Figure 5]
Figure 5. Forest plot of comparison: 1 Partial decentralisation - initiation in hospital, maintenance at health centre, outcome: 1.3 Death.
[Figure 6]
Figure 6. Forest plot of comparison: 2 Full decentralisation - initiation and maintenance in health centre, outcome: 2.1 Death or lost to care (12 months).
[Figure 7]
Figure 7. Forest plot of comparison: 2 Full decentralisation - initiation and maintenance in health centre, outcome: 2.2 Lost to care.
[Figure 8]
Figure 8. Forest plot of comparison: 2 Full decentralisation - initiation and maintenance in health centre, outcome: 2.3 Death.
[Figure 9]
Figure 9. Forest plot of comparison: 3 Decentralisation - from the facility to the community for antiretroviral maintenance therapy, outcome: 3.1 Death or lost to care (12 months).
[Figure 10]
Figure 10. Forest plot of comparison: 3 Decentralisation - to community from facility, outcome: 3.2 lost to care.
[Figure 11]
Figure 11. Forest plot of comparison: 3 Decentralisation - to community from facility, outcome: 3.1 Death.
[Analysis 1.1]
Analysis 1.1. Comparison 1 Partial decentralisation - initiation in hospital, maintenance at health centre, Outcome 1 Death or lost to care (12 months).
[Analysis 1.2]
Analysis 1.2. Comparison 1 Partial decentralisation - initiation in hospital, maintenance at health centre, Outcome 2 Lost to care.
[Analysis 1.3]
Analysis 1.3. Comparison 1 Partial decentralisation - initiation in hospital, maintenance at health centre, Outcome 3 Death.
[Analysis 1.4]
Analysis 1.4. Comparison 1 Partial decentralisation - initiation in hospital, maintenance at health centre, Outcome 4 Cost of travel.
[Analysis 2.1]
Analysis 2.1. Comparison 2 Full decentralisation - initiation and maintenance in health centre, Outcome 1 Death or lost to care (12 months).
[Analysis 2.2]
Analysis 2.2. Comparison 2 Full decentralisation - initiation and maintenance in health centre, Outcome 2 Lost to care.
[Analysis 2.3]
Analysis 2.3. Comparison 2 Full decentralisation - initiation and maintenance in health centre, Outcome 3 Death.
[Analysis 3.1]
Analysis 3.1. Comparison 3 Decentralisation - from the facility to the community for antiretroviral maintenance therapy, Outcome 1 Death or lost to care (12 months).
[Analysis 3.2]
Analysis 3.2. Comparison 3 Decentralisation - from the facility to the community for antiretroviral maintenance therapy, Outcome 2 Lost to care.
[Analysis 3.3]
Analysis 3.3. Comparison 3 Decentralisation - from the facility to the community for antiretroviral maintenance therapy, Outcome 3 Death.
[Analysis 3.4]
Analysis 3.4. Comparison 3 Decentralisation - from the facility to the community for antiretroviral maintenance therapy, Outcome 4 Cost to patient.