Retaining HIV-positive patients in HIV care: a personalised approach for those at risk of loss to follow-up at an inner city sexual health serviceLoretta Healey A D and Catherine C. O’Connor A B C
A Sexual Health Service, Community Health, Sydney Local Health District, Sydney, NSW 2050, Australia.
B The Kirby Institute, UNSW, Sydney, NSW 2010, Australia.
C The Central Clinical School, The University of Sydney, Sydney, NSW 2006, Australia.
D Corresponding author. Email: firstname.lastname@example.org
Sexual Health - https://doi.org/10.1071/SH17036
Submitted: 21 February 2017 Accepted: 4 July 2017 Published online: 1 September 2017
In 2013 a personalised approach to follow-up of HIV patients who had withdrawn from HIV care was taken at RPA Sexual Health, a Sydney metropolitan sexual health service. HIV patients were telephoned, sent text messages, emailed and sent letters multiple times where applicable. With this intervention 20 of 23 people who had withdrawn from HIV care re-engaged. Since that time, active follow-up of all people diagnosed with HIV has resulted in only 2% of HIV patients at RPA Sexual Health being lost to follow-up.
References NSW Government, Ministry of Health. NSW HIV strategy 2016–2020. Available online at: http://www.health.nsw.gov.au/endinghiv/Publications/nsw-hiv-strategy-2016-2020.PDF [verified February 2017]
 Skarbinski J, Rosenberg E, Paz-Bailey G, Hall I, Rose CE, Viall AH, Fagan JL, Lansky A, Mermin JH. Human immunodeficiency virus transmission at each step of the care continuum in the United States. JAMA Intern Med 2015; 175 588–96.
| Human immunodeficiency virus transmission at each step of the care continuum in the United States.CrossRef |
 NSW Government, Ministry of Health. NSW HIV strategy 2012–2015. Data report. Annual and quarter 4. Appendix A. http://www.health.nsw.gov.au/endinghiv/Documents/q4-205-and-annual-hiv-data-report.pdf [verified February 2017]
 Ndiaye B, Ould-Kaci K, Salleron J, Bataille P, Bonnevie F, Cochonat K, Fontier C, Guerroumi H, Yazdanpanah Y. Characteristics of and outcomes in HIV-infected patients who return to care after loss to follow-up. AIDS 2009; 23 1786–9.
| Characteristics of and outcomes in HIV-infected patients who return to care after loss to follow-up.CrossRef |
 Dalal RP, MacPhail C, Mqhayi M, Wing J, Feldman C, Chersich MF. Characteristics and outcomes of adult patients lost to follow-up at an antiretroviral treatment clinic in Johannesburg, South Africa. J Acquir Immune Defic Syndr 2008; 47 101–7.
 INSIGHT START Study Group Initiation of antiretroviral therapy in early asymptomatic HIV infection. N Engl J Med 2015; 373 795–807.
| Initiation of antiretroviral therapy in early asymptomatic HIV infection.CrossRef |
 Tedaldi E, Richardson J, Debes R, Young B, Chmiel J, Durham M. Retention in care within 1 year of initial HIV care visit in a multisite US cohort: who’s in and who’s out? J Int Assoc Provid AIDS Care 2014; 13 232–41.
| Retention in care within 1 year of initial HIV care visit in a multisite US cohort: who’s in and who’s out?CrossRef |
 Udeagu CC, Webster TR, Bocour A, Michel P, Shepard CW. Lost or just not following up: public health effort to re-engage HIV-infected persons lost to follow-up into medical care. AIDS 2013; 27 2271–9.
| Lost or just not following up: public health effort to re-engage HIV-infected persons lost to follow-up into medical care.CrossRef |