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Delays in fast track ART initiation and reasons for not starting treatment among eligible children in Eastern Cape, South Africa

Teasdale, Chloe A.a,b; Yuengling, Katharine A.a; Mutiti, Anthonya; Arpadi, Stephena,b; Nxele, Mahlubandilec; Pepeta, Lungilec,d; Mogashoa, Marye; Rivadeneira, Emilia D.f; Abrams, Elaine J.a,b,g

doi: 10.1097/QAD.0000000000002309
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We report data from an observational cohort of South African children living with HIV <12 years of age eligible for fast track ART (rapid) initiation. We found that less than half those eligible for rapid ART initiation based on immunologic and disease status started treatment within one week.

aICAP at Columbia, Mailman School of Public Health, Columbia University, New York, NY USA

bDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY USA

cPort Elizabeth Hospital Complex, Port Elizabeth, South Africa

dNelson Mandela University, Faculty of Health Sciences, Port Elizabeth, South Africa

eUS Centers for Disease Control and Prevention, Pretoria, South Africa

fUS Centers for Disease Control and Prevention, Atlanta, GA USA

gCollege of Physicians & Surgeons, Columbia University, New York, NY USA.

Correspondence to Chloe A. Teasdale, ICAP-Columbia University, MSPH, 722 W168th Street, Room 1319, New York, NY 10032. Tel: +212 304 7920; fax: +212 342 1824; e-mail: ct116@columbia.edu

Received 25 April, 2019

Revised 30 May, 2019

Accepted 6 June, 2019

Copyright © 2019 Wolters Kluwer Health, Inc.