Reducing Post-Hospital Mortality in HIV-infected Adults in Tanzania

Reducing Post-Hospital Mortality in HIV-infected Adults in Tanzania

This research is being done to assess the efficacy of a case management intervention to improve the one year mortality rate of hospitalized, HIV-infected, Tanzanian adults.

This research is being done to assess the efficacy of a case management intervention to improve the one year mortality rate of hospitalized, HIV-infected, Tanzanian adults. The study is being conducted at hospitals in Mwanza, Tanzania. 500 participants will be enrolled: 250 will be randomized to the case management intervention and 250 will randomized to routine clinical care. The case management intervention consists of 5 sessions over 90 days, and is designed to link hospitalized, HIV-infected patients to long term care at an HIV clinic. Participants will be followed for two years in order to evaluate primary and secondary study objectives.

Secondary outcome measures time frames have been updated to add the 24-month time point for consistency with the pre-specified endpoints in the study protocol.

Inclusion Criteria:

• 18 years of age or older
• HIV-infected
• ART (anti-retroviral therapy) naïve or have been on ART but have not used ART for > 7 days
• Lives in the region of Mwanza
• Able to be referred to an HIV clinic inside the region of Mwanza
• Has mobile phone or access to mobile phone
• Planning to stay in the region of Mwanza for the next 24 months
• Able to speak Kiswahili or English
• Capable and willing to provide informed consent
• Willing to provide locator information and two designated contact persons
• Willing to have a home visits from a study team member

Exclusion Criteria

• Pregnant
• On anti-retrovirals at hospital admission and already linked to an HIV clinic
• Medical, psychiatric or psychological condition that, in the opinion of the site investigator, would interfere with completion of study procedures