Direct collaboration between hospitals and NGOs, an essential tool to reinforce linkage to care in people living with HIV
Abstract With the aim of improving access and engagement to healthcare in people living with HIV (PLHIV), in 2022 Gregorio Marañón Hospital and the NGO COGAM developed a circuit for recruitment and referral to hospital. Program targeted PLHIV who were neither receiving antiretroviral treatment (ART)...
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Nature Portfolio
2025-01-01
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| Online Access: | https://doi.org/10.1038/s41598-025-86540-8 |
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| author | Teresa Aldámiz-Echevarria Chiara Fanciulli Mónica Lopez Leire Perez Francisco Tejerina David Sanchez Blanca Lodeiros Juan Carlos López Juan Berenguer Jose Maria Bellon Maria Ferris Mario Blazquez Almudena Calvo Mario Domene Oswaldo Vegas Carmen Rodriguez Patricia Muñoz Paloma Gijon Pedro Montilla Elena Bermudez Maricela Valerio Roberto Alonso Belen Padilla Critina Ventimilla Cristina Diez |
| author_facet | Teresa Aldámiz-Echevarria Chiara Fanciulli Mónica Lopez Leire Perez Francisco Tejerina David Sanchez Blanca Lodeiros Juan Carlos López Juan Berenguer Jose Maria Bellon Maria Ferris Mario Blazquez Almudena Calvo Mario Domene Oswaldo Vegas Carmen Rodriguez Patricia Muñoz Paloma Gijon Pedro Montilla Elena Bermudez Maricela Valerio Roberto Alonso Belen Padilla Critina Ventimilla Cristina Diez |
| author_sort | Teresa Aldámiz-Echevarria |
| collection | DOAJ |
| description | Abstract With the aim of improving access and engagement to healthcare in people living with HIV (PLHIV), in 2022 Gregorio Marañón Hospital and the NGO COGAM developed a circuit for recruitment and referral to hospital. Program targeted PLHIV who were neither receiving antiretroviral treatment (ART) nor on medical follow-up (FU); but also, individuals at risk who underwent screening tests at the NGO and, if positive, were referred for confirmation. The result was an increase in annual new PLHIV seen in hospital by reaching a population who were, essentially, young men (94% male, median age 30 years), migrants (95%) with recent diagnosis of HIV (median 5 years) and who were recently arrived in Spain (median 5 months). Most of them hadn´t healthcare coverage (78%). In multivariate analysis, that included all PLHIV seen for the first time in the ID Unit between 2019 and 2022, lack of healthcare coverage was the only independent predictor of lost to FU that reached statistical significance (HR 5.19, CI 2.76–9.47). Furthermore, time from HIV diagnosis to ART initiating was shortened from 14 to 6 days without affecting linkage to care. Our conclusion is that collaboration with NGOs reinforce diagnosis, FU, and adherence to ART for PLHIV. |
| format | Article |
| id | doaj-art-1aba3acf06844dce9daa392e7f86b006 |
| institution | Kabale University |
| issn | 2045-2322 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj-art-1aba3acf06844dce9daa392e7f86b0062025-02-02T12:16:34ZengNature PortfolioScientific Reports2045-23222025-01-011511810.1038/s41598-025-86540-8Direct collaboration between hospitals and NGOs, an essential tool to reinforce linkage to care in people living with HIVTeresa Aldámiz-Echevarria0Chiara Fanciulli1Mónica Lopez2Leire Perez3Francisco Tejerina4David Sanchez5Blanca Lodeiros6Juan Carlos López7Juan Berenguer8Jose Maria Bellon9Maria Ferris10Mario Blazquez11Almudena Calvo12Mario Domene13Oswaldo Vegas14Carmen Rodriguez15Patricia Muñoz16Paloma Gijon17Pedro Montilla18Elena Bermudez19Maricela Valerio20Roberto Alonso21Belen Padilla22Critina Ventimilla23Cristina Diez24Servicio de Microbiología Clínica y Enfermedades Infecciosas, Gregorio Marañón General University HospitalServicio de Microbiología Clínica y Enfermedades Infecciosas, Gregorio Marañón General University HospitalDepartment of Social Workers, Gregorio Marañón General University HospitalServicio de Microbiología Clínica y Enfermedades Infecciosas, Gregorio Marañón General University HospitalServicio de Microbiología Clínica y Enfermedades Infecciosas, Gregorio Marañón General University HospitalServicio de Medicina Interna, Gregorio Marañón General University HospitalServicio de Medicina Interna, Gregorio Marañón General University HospitalServicio de Microbiología Clínica y Enfermedades Infecciosas, Gregorio Marañón General University HospitalInstituto de Investigación Sanitaria Gregorio Marañón (IiSGM)Instituto de Investigación Sanitaria Gregorio Marañón (IiSGM)Servicio de Farmacología Clínica, Gregorio Marañón General University HospitalCogam, NGOCogam, NGOCogam, NGOCogam, NGOServicio de Farmacología Clínica, Gregorio Marañón General University HospitalServicio de Microbiología Clínica y Enfermedades Infecciosas, Gregorio Marañón General University HospitalServicio de Microbiología Clínica y Enfermedades Infecciosas, Gregorio Marañón General University HospitalServicio de Microbiología Clínica y Enfermedades Infecciosas, Gregorio Marañón General University HospitalServicio de Microbiología Clínica y Enfermedades Infecciosas, Gregorio Marañón General University HospitalServicio de Microbiología Clínica y Enfermedades Infecciosas, Gregorio Marañón General University HospitalServicio de Microbiología Clínica y Enfermedades Infecciosas, Gregorio Marañón General University HospitalServicio de Microbiología Clínica y Enfermedades Infecciosas, Gregorio Marañón General University HospitalServicio de Microbiología Clínica y Enfermedades Infecciosas, Gregorio Marañón General University HospitalServicio de Microbiología Clínica y Enfermedades Infecciosas, Gregorio Marañón General University HospitalAbstract With the aim of improving access and engagement to healthcare in people living with HIV (PLHIV), in 2022 Gregorio Marañón Hospital and the NGO COGAM developed a circuit for recruitment and referral to hospital. Program targeted PLHIV who were neither receiving antiretroviral treatment (ART) nor on medical follow-up (FU); but also, individuals at risk who underwent screening tests at the NGO and, if positive, were referred for confirmation. The result was an increase in annual new PLHIV seen in hospital by reaching a population who were, essentially, young men (94% male, median age 30 years), migrants (95%) with recent diagnosis of HIV (median 5 years) and who were recently arrived in Spain (median 5 months). Most of them hadn´t healthcare coverage (78%). In multivariate analysis, that included all PLHIV seen for the first time in the ID Unit between 2019 and 2022, lack of healthcare coverage was the only independent predictor of lost to FU that reached statistical significance (HR 5.19, CI 2.76–9.47). Furthermore, time from HIV diagnosis to ART initiating was shortened from 14 to 6 days without affecting linkage to care. Our conclusion is that collaboration with NGOs reinforce diagnosis, FU, and adherence to ART for PLHIV.https://doi.org/10.1038/s41598-025-86540-8HIVLinkage-to-careAccess to antiretroviral treatmentMigrantsNGO |
| spellingShingle | Teresa Aldámiz-Echevarria Chiara Fanciulli Mónica Lopez Leire Perez Francisco Tejerina David Sanchez Blanca Lodeiros Juan Carlos López Juan Berenguer Jose Maria Bellon Maria Ferris Mario Blazquez Almudena Calvo Mario Domene Oswaldo Vegas Carmen Rodriguez Patricia Muñoz Paloma Gijon Pedro Montilla Elena Bermudez Maricela Valerio Roberto Alonso Belen Padilla Critina Ventimilla Cristina Diez Direct collaboration between hospitals and NGOs, an essential tool to reinforce linkage to care in people living with HIV Scientific Reports HIV Linkage-to-care Access to antiretroviral treatment Migrants NGO |
| title | Direct collaboration between hospitals and NGOs, an essential tool to reinforce linkage to care in people living with HIV |
| title_full | Direct collaboration between hospitals and NGOs, an essential tool to reinforce linkage to care in people living with HIV |
| title_fullStr | Direct collaboration between hospitals and NGOs, an essential tool to reinforce linkage to care in people living with HIV |
| title_full_unstemmed | Direct collaboration between hospitals and NGOs, an essential tool to reinforce linkage to care in people living with HIV |
| title_short | Direct collaboration between hospitals and NGOs, an essential tool to reinforce linkage to care in people living with HIV |
| title_sort | direct collaboration between hospitals and ngos an essential tool to reinforce linkage to care in people living with hiv |
| topic | HIV Linkage-to-care Access to antiretroviral treatment Migrants NGO |
| url | https://doi.org/10.1038/s41598-025-86540-8 |
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