Cost-Effectiveness of Improving Health Care to People with HIV in Nicaragua

A 2010 evaluation found generally poor outcomes among HIV patients on antiretroviral therapy in Nicaragua. Edward Brougton and team evaluated an intervention to improve HIV nursing services in hospital outpatient departments to improve patient treatment and retention in care. This pre/postintervention study examined opportunistic infections and clinical status of HIV patients before and after implementation of changes to the system of nursing care. This resulted in opportunistic infections decreasing by 24% (95% CI: 14%–34%) and 11.3% of patients improving in CDC clinical stage. It is recommended the intervention be implemented in all HIV service facilities in Nicaragua.

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