{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T20:38:26Z","timestamp":1777927106535,"version":"3.51.4"},"reference-count":65,"publisher":"SAGE Publications","issue":"13","license":[{"start":{"date-parts":[[2016,7,11]],"date-time":"2016-07-11T00:00:00Z","timestamp":1468195200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J STD AIDS"],"published-print":{"date-parts":[[2016,11]]},"abstract":"<jats:p>We evaluated a novel on-site antiretroviral therapy (ART) programme in a South African correctional facility using routinely collected programme data, from a retrospective cohort of adult inmates starting ART between 03\/2007 and 03\/2009 followed-up to 09\/2009. We report (1) mortality (using survival analysis); (2) retention in the programme (to 09\/2009); and (3) virological suppression at six and 12 months (&lt;400 copies\/ml) following ART initiation. In total, 404 started ART (median age 33 years; 91.3% men; median baseline CD4 cell count 152\u2009cells\/\u00b5l [interquartile range 85\u2013225]). Among 299 starting ART for the first time (ART-na\u00efve), 23 deaths occurred during 252 person-years (median follow-up nine months). Mortality rates were 17.2 at 0\u20136 months (95% confidence interval 10.9\u201326.9) and 2.8 at &gt;6 months (95% confidence interval 1.1\u20137.5)\/100 person-years; p\u2009&lt;\u20090.001. At 09\/2009, 35.6% (144\/404) remained in the correctional facility, with 94.4% (136\/144) retained in the programme; 38.4% (155\/404) were released; and 20.0% (81\/404) transferred to another facility. ART-na\u00efve patients in care six and 12 months after ART initiation, 94.7% (124\/131) and 92.5% (74\/80) were virologically suppressed, respectively. High early mortality warrants the early identification and management of HIV-positive inmates. The high mobility of inmates necessitates systems for facilitating continuity of care. Good virological responses and retention supports decentralising HIV care to correctional facilities.<\/jats:p>","DOI":"10.1177\/0956462415584467","type":"journal-article","created":{"date-parts":[[2015,5,4]],"date-time":"2015-05-04T20:51:07Z","timestamp":1430772667000},"page":"1153-1161","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":16,"title":["Outcomes of on-site antiretroviral therapy provision in a South African correctional facility"],"prefix":"10.1177","volume":"27","author":[{"given":"Lilanganee","family":"Telisinghe","sequence":"first","affiliation":[{"name":"The Aurum Institute, Johannesburg, South Africa"},{"name":"CAPRISA, University of KwaZulu-Natal, Durban, South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Piotr","family":"Hippner","sequence":"additional","affiliation":[{"name":"The Aurum Institute, Johannesburg, South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gavin J","family":"Churchyard","sequence":"additional","affiliation":[{"name":"The Aurum Institute, Johannesburg, South Africa"},{"name":"London School of Hygiene and Tropical Medicine, London, UK"},{"name":"School of Public Health, University of Witwatersrand, Johannesburg, South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gillian","family":"Gresak","sequence":"additional","affiliation":[{"name":"The Aurum Institute, Johannesburg, South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alison D","family":"Grant","sequence":"additional","affiliation":[{"name":"London School of Hygiene and Tropical Medicine, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Salome","family":"Charalambous","sequence":"additional","affiliation":[{"name":"The Aurum Institute, Johannesburg, South Africa"},{"name":"School of Public Health, University of Witwatersrand, Johannesburg, South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katherine L","family":"Fielding","sequence":"additional","affiliation":[{"name":"CAPRISA, University of KwaZulu-Natal, Durban, South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2016,7,11]]},"reference":[{"key":"bibr1-0956462415584467","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(06)70685-5"},{"key":"bibr2-0956462415584467","unstructured":"World Health Organization.\n                      Effectiveness of interventions to address HIV in prisons\n                      , 2007"},{"key":"bibr3-0956462415584467","doi-asserted-by":"publisher","DOI":"10.1186\/1758-2652-14-26"},{"key":"bibr4-0956462415584467","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0b013e318195ad6c"},{"key":"bibr5-0956462415584467","doi-asserted-by":"publisher","DOI":"10.1310\/GTQM-QRM1-FDW8-Y2FT"},{"key":"bibr6-0956462415584467","doi-asserted-by":"publisher","DOI":"10.1086\/421410"},{"key":"bibr7-0956462415584467","doi-asserted-by":"publisher","DOI":"10.1086\/341418"},{"key":"bibr8-0956462415584467","doi-asserted-by":"publisher","DOI":"10.1177\/003335490512000114"},{"key":"bibr9-0956462415584467","doi-asserted-by":"publisher","DOI":"10.1086\/421392"},{"key":"bibr10-0956462415584467","doi-asserted-by":"publisher","DOI":"10.1086\/338400"},{"key":"bibr11-0956462415584467","doi-asserted-by":"publisher","DOI":"10.1258\/0956462011923327"},{"key":"bibr12-0956462415584467","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.322.7283.398"},{"key":"bibr13-0956462415584467","doi-asserted-by":"publisher","DOI":"10.1097\/00042560-200109010-00008"},{"key":"bibr14-0956462415584467","doi-asserted-by":"publisher","DOI":"10.1097\/00002030-199912030-00020"},{"key":"bibr15-0956462415584467","doi-asserted-by":"publisher","DOI":"10.7448\/IAS.15.6.18367"},{"key":"bibr16-0956462415584467","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2014.601"},{"key":"bibr17-0956462415584467","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(06)69158-7"},{"key":"bibr18-0956462415584467","unstructured":"Simooya O, Sanjobo N and Nyirenda A. 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Institutional care and antiretroviral (ARV) therapy for prison inmates living with HIV\/AIDS in Nigerian prisons.\n                      AIDS 2006\u2009-\u2009XVI International AIDS Conference: Abstract no CDB1260"},{"key":"bibr20-0956462415584467","doi-asserted-by":"publisher","DOI":"10.1097\/QAD.0b013e328347c0f1"},{"key":"bibr21-0956462415584467","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.0040204"},{"key":"bibr22-0956462415584467","first-page":"S4","volume-title":"In: International Union Against Tuberculosis and Lung Disease Conference","author":"Charalambous S","year":"2009"},{"key":"bibr23-0956462415584467","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199803263381301"},{"key":"bibr24-0956462415584467","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(06)68337-2"},{"key":"bibr25-0956462415584467","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1105243"},{"key":"bibr26-0956462415584467","doi-asserted-by":"publisher","DOI":"10.1097\/QAD.0b013e328340feb0"},{"key":"bibr27-0956462415584467","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0b013e318183a9ad"},{"key":"bibr28-0956462415584467","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa062360"},{"key":"bibr29-0956462415584467","unstructured":"Walmsley R. 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