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March 22, 2026BMC Infectious DiseasesOpen Access

Progress of HIV care cascade and transition dynamics along the continuum of care among persons living with HIV in Ifakara, Tanzania: a prospective study

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Authors

AKAneth Vedastus KalinjumaAMAaloke ModyTGTracy Renée Glass

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Overview

Prospective study assesses HIV care engagement and retention in persons living with HIV, suggesting critical focus periods for improvement.

Key Points

  • The aim was to evaluate the progress of the HIV care cascade and identify factors influencing engagement and transitions among PLHIV.
  • Conducted a prospective study including PLHIV enrolled in care from 2005 to 2022.
  • Utilized both cross-sectional and longitudinal analyses to assess care cascade and engagement.
  • Applied continuous-time, non-parametric multistate, and Cox proportional hazards models for data analysis.
  • 63% of the 11,591 included PLHIV were female, and 75% were aged 20-49 years.
  • Retention in care for those initiated on ART reached 95% with viral loads < 1000 copies/mL.
  • 45% were in care 12 months post-enrollment, while 24% were lost to follow-up, with 34% returning within a year.

Cite This Study

Kalinjuma et al. (2026) studied this question.

synapsesocial.com/papers/69bf86ecf665edcd009e8fdfhttps://doi.org/10.1186/s12879-026-13065-4
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