title: Experience in piloting HIV drug resistance early warning indicators to improve the antiretroviral program in Papua New Guinea.
abstract: In 2009, World Health Organization human immunodeficiency virus drug resistance early warning indicator monitoring was piloted at 2 large antiretroviral therapy (ART) clinics in Papua New Guinea: Heduru Clinic in Port Moresby and Tininga Clinic in Mount Hagen. Results demonstrated that both Heduru and Tininga clinics met internationally suggested targets for prescribing appropriate first-line ART regimens in accordance with national ART guidelines, retention on first-line ART at 12 months, and drug supply continuity. However, both clinics failed to achieve suggested targets for rates of loss to follow-up and on-time pill pickup. Reasons for poor clinic performance on loss to follow-up and on-time pill pickup were explored, and appropriate corrective actions were implemented.
authors.affiliation: HIV/AIDS Program, National Department of Health, Waigani, National Capital District, Papua New Guinea.
authors.forename: Esorom
authors.initials: E
authors.lastname: Daoni
authors.forename: Urarang
authors.initials: U
authors.lastname: Kitur
authors.forename: Apa
authors.initials: A
authors.lastname: Parunga
authors.forename: Fabian
authors.initials: F
authors.lastname: Ndenzako
authors.forename: Agatha
authors.initials: A
authors.lastname: Lloyd
authors.forename: Dongbao
authors.initials: D
authors.lastname: Yu
mesh_terms: D000554:Ambulatory Care Facilities / Q000706:statistics & numerical data; D044966:Anti-Retroviral Agents / Q000494:pharmacology* / Q000627:therapeutic use; D024882:Drug Resistance, Viral; D015658:HIV Infections / Q000188:drug therapy* / Q000453:epidemiology*; D006801:Humans; D059012:Lost to Follow-Up; D055118:Medication Adherence; D009313:National Health Programs; D010219:Papua New Guinea / Q000453:epidemiology; D011159:Population Surveillance; D014944:World Health Organization
chemical_list: D044966:Anti-Retroviral Agents