A comparison of HIV outpatient care in primary and secondary healthcare-level settings in Zimbabwe.

Setting: Decentralisation of HIV care to nurse-led primary care services is being implemented across low- and middle-income countries in sub-Saharan Africa.

Objective: To compare services offered to clients attending for HIV care at a physician-led and a nurse-led service in Harare, Zimbabwe.

Design: A cross-sectional study was performed at Harare Central Hospital (HCH) and Budiriro Primary Care Clinic (PCC) from June to August 2018.

Factors influencing treatment failure in HIV positive adult patients on first line antiretroviral therapy.

Background: Risk factors for treatment failure in HIV positive adults have not been studied extensively in Zimbabwe.

Aim: To investigate socio-demographic, psychosocial and antiretroviral drug related factors as possible risk factors for treatment failure.

Objective: To compare the accuracy and reliability of CD4 count results in diagnosing treatment failure versus viral load results.

Iodine deficiency disorder (IDD) presenting as hypothyroidism with a large pericardial effusion.

Iodine deficiency in Zimbabwe is common, but resultant hypothyroidism is said to be rare. A case of goitrous hypothyroidism with a large pericardia effusion is presented.