Publications by authors named "Sheldon Chetty"
Monitoring patients on ART within the CCMDD programme and those attending an urban healthcare facility in KwaZulu-Natal.
S Afr Fam Pract (2004)
October 2024
Article Synopsis
- South Africa's healthcare system faces challenges due to a high number of patients on antiretroviral treatment, prompting the CCMDD programme, which allows stable patients to collect medications from convenient pick-up points instead of crowded facilities.
- This study examined patient satisfaction and virological suppression rates between participants in the CCMDD programme and those receiving routine care at a health center over a year.
- Results showed that most patients transitioned to CCMDD, with 97% maintaining virological suppression, indicating strong satisfaction with the programme and its effectiveness in easing healthcare facility congestion.
Background: Introduction of tenofovir (TDF) plus lamivudine (3TC) and dolutegravir (DTG) in first- and second-line HIV treatment regimens in South Africa warrants characterization of acquired HIV-1 drug resistance (ADR) mutations that could impact DTG-based antiretroviral therapy (ART). In this study, we sought to determine prevalence of ADR mutations and their potential impact on susceptibility to drugs used in combination with DTG among HIV-positive adults (≥ 18 years) accessing routine care at a selected ART facility in KwaZulu-Natal, South Africa.
Methods: We enrolled adult participants in a cross-sectional study between May and September 2019.
Background: There is a need for innovative strategies to improve TB testing uptake and patient retention along the continuum of TB care early-on in treatment without burdening under-resourced health systems. We used a mixed methods approach to develop and pilot test a tuberculosis literacy and counselling intervention at an urban clinic in KwaZulu Natal, South Africa, to improve TB testing uptake and retention in tuberculosis care.
Methods: We engaged in discussions with clinic staff to plan and develop the intervention, which was delivered by senior social work students who received one-week training.