Clinical Study

Entry, Retention, and Virological Suppression in an HIV Cohort Study in India: Description of the Cascade of Care and Implications for Reducing HIV-Related Mortality in Low- and Middle-Income Countries

Table 1

Outcomes at each stage of HIV care.

% (95% CI)

Entry into care ( )
 <3 months70.3 (69.2–71.3)
 3–6 months4.5 (4–5)
 6–9 months2 (1.7–2.4)
 9–12 months1.1 (0.9–1.4)
 >12 months3.8 (3.4–4.2)
 No entry18.4 (17.5–19.2)
Retention in pre-ART care ( )
 100%26.3 (24.3–28.4)
 75–99.9%9 (7.7–10.5)
 50–74.9%23 (21.1–25.1)
 <50%12.7 (11.2–14.4)
 0%29 (26.8–31.2)
 CD4 > 250 in the last year of followup56 (53.6–58.3)
ART initiation ( )
 <3 months67.3 (65.8–68.7)
 3–6 months4.6 (4–5.2)
 6–9 months2.3 (1.9–2.8)
 9–12 months0.9 (0.7–1.3)
 >12 months3.1 (2.6–3.6)
 No ART initiation21.9 (20.6–23.1)
Retention in ART care ( )
 Died15.1 (13.9–16.4)
 ART stopped0.7 (0.5–1.1)
 LTFU15 (13.8–16.2)
 Alive and on ART69.2 (67.5–70.8)
Last viral load <400 c/mL ( )
 No18.2 (16.6–20)
 Yes81.8 (80–83.4)

ART: antiretroviral therapy; CI: confidence interval; LTFU: lost to followup.