Prosper Lutala

Prosper Lutala started a discussion "Re : [Adherence & Retention] Food assistance is associated with improved body mass index, food security and attendance at clinic in an HIV program in central Haiti: a prospective observational cohort study" in the Adherence & Retention community.

Thank you Rosenthal for posting this article which reflects problems we are meeting in most of our sites. Some acnedoctal reports confirm those findings in Malawi but the main issue we are facing is the continuity in supply of food in the program. Also, how to make sure that the food supplied in ART clinic is just used by the targeted patients and not some others vulnerable in the family? Those will remain big challenges ...

Prosper Lutala replied to "Impact of metabolic complications on ART adherence: clinical and public health implications" in the Adherence & Retention community.

Dear all; This problem is really acute and in Africa and is one cause of non compliance. It is very difficult to tackle in Africa for several reasons including lack of community support to trace non addherent patients, use of drugs with bad side effects profile (Triomune) on a long term, difficult in biological follow-up due to technical constraints which lead to minimise some side effects and a shortage of staff able to spend enough ...

Prosper Lutala replied to "Effectiveness of GPS for following study participants" in the Adherence & Retention community.

Dear Chinenye; I agree with you. In addition to that it will be a good experience in Africa (Uganda) given the situation of several african countries whereby HIV program is surving due to shifting of tasks by doctors to low caders. Shortage of medical staff explaning their workload cannot sustain such policy in several countries. Even trained Family physician are failing to applu home visits as required in their principles. Lets wait and see What ...

Prosper Lutala replied to "Barriers to ART delivery during complex emergencies" in the Adherence & Retention community.

Hi Anat; Thank for this input regarding issues surrounding practices/researches in complex emergencies situation. Sincerely; P. Lutala

Prosper Lutala replied to "PEP in context of complex emergency: congo experience" in the Adherence & Retention community.

Hi Ziad El-Khatib; Can you share with us this model which can be very helpful in our contry end even in others Great Lakes Region countries. We hope it will fit the context of Congo very closed to Uganda . Prosper Lutala