Table 3 Factors associated with virological non-suppression among HIV patients on ART, August 2014–July 2015, (N = 100,678)
Variable | Not suppressed (%) | Suppressed (%) | ORcrude(95%CI) | ORadj(95%CI)a |
|---|---|---|---|---|
Reason for testing | ||||
Routine testing | 8966(84) | 8966(96) | 1.0 | 1.0 |
Suspected treatment failure | 1018(10) | 2474(3.0) | 4.2(3.6–4.2) | 3.3(3.0–3.6) |
Repeat testers after suspected failure | 716(6) | 720(1.0) | 9.5(8.6–10) | 6.3(5.5–7.2) |
Age category | ||||
35+ | 4119(38) | 52,527(59) | 1.0 | 1.0 |
34–30 | 1579(15) | 13,915(16) | 1.4(1.4–1.5) | 1.6(1.5–1.7) |
29–25 | 1141(11) | 9554(11) | 1.5(1.4–1.6) | 1.9(1.7–2.0) |
24–20 | 746(7) | 4035(5) | 2.4(2.2–2.6) | 2.7(2.5–3.0) |
19–15 | 837(8) | 2248(3) | 4.7(4.4–5.2) | 4.1(3.7–4.6) |
14–10 | 960(9) | 3271(4) | 3.7(3.5–4.1) | 3.3(2.9–3.7) |
9–5 | 916(9) | 3067(3) | 3.8(3.5–4.1) | 3.4(3.1–3.8) |
4–0 | 507(5) | 1256(1) | 5.1(4.6–5.7) | 5.3(4.6–6.1) |
Indication for treatment initiation | ||||
PMTCT/Option B+ | 589(6) | 9231(11) | 1.0 | 1.0 |
Child <15 Years | 1826(19) | 5886(7) | 4.9(4.4–5.6) | 2.1(1.9–2.4) |
TB infection | 194(2) | 1302(2) | 2.3(1.9–2.8) | 2.1(1.8–2.6) |
CD4 < 500 | 7169(73) | 67,232(80) | 1.7(1.5–1.8) | 2.0(1.8–2.2) |
ARV adherence | ||||
> 95% | 8145(79) | 77,295(89) | 1.0 | 1.0 |
85–94% | 1659(17) | 8406(8) | 1.9(1.8–2.0) | 1.6(1.5–1.7) |
< 85% | 453(4) | 839(1) | 5.1(4.6–5.8) | 3.4(2.9–3.9) |
Treatment line | ||||
First line | 9945(93) | 8453(95) | 1.0 | 1.0 |
Second/Third line | 747(7) | 4800(5) | 1.3(1.3–1.4) | 0.86(0.78–0.95) |
Sex | ||||
Female | 6524(61) | 60,573(68) | 1.0 | 1.0 |
Male | 4132(39) | 28,071(32) | 1.4(1.3–1.4) | 1.2(1.1–1.3) |
Active TB | ||||
No | 1,0236(99) | 86,650(99) | 1.0 | 1.0 |
Yes | 131(1) | 537(1) | 2.1(1.7–2.5) | 1.9(1.6–2.4) |
Health Facility Level | ||||
HCII + HCIII | 1455(13) | 13,949(16) | 1.0 | 1.0 |
HCIV + General hospital | 2293(21) | 23,809(27) | 0.92(0.86–0.99) | 0.89(0.82–0.97) |
Specialized HIV services | 1482(14) | 12,462(14) | 1.1(1.1–1.2) | 1.2(1.1–1.3) |
RRH + NRH | 5575(52) | 39,628(44) | 1.3(1.3–1.4) | 1.0(0.96–1.1) |
Duration on treatment | ||||
0–2 Years | 3680(34) | 32,661(36) | 1.0 | 1.0 |
3–5 Years | 3900(36) | 29,028(32) | 1.2(1.1–1.3) | 1.3(1.2–1.4) |
6–10 Years | 2928(27) | 2549(28) | 1.0(0.97–1.1) | 1.1(1.1–1.2) |
> 10 Years | 257(3) | 2469(4) | 0.92(0.81–1.1) | 0.91(0.78–1.1) |
Breast feeding | ||||
No | 5964(95) | 54,369(93) | 1.0 | |
Yes | 297(5) | 4400(8) | 0.61(0.54–0.69) | − |
Pregnant | ||||
No | 6113(98) | 56,841(97) | ||
Yes | 153(2) | 1856(3) | 0.77(0.65–0.91) | − |