South Africa National Department of Health - Stable HIV-Positive Patients - Health Assignment Help

Assignment Task :

South Africa’s National Department of Health began decentralizing care of stable HIV-positive patients initiated and managed by doctors at higher levels of the health care system, to smaller health facilities employing nurse-managed care. In 2007, the Themba Lethu HIV Clinic (TLC) in Johannesburg, South Africa implemented a ‘down-referral’ system to transfer stable patients from the doctor-managed clinic where they initiated care (TLC) to nurse-managed local primary health clinics (PHC) for continued monitoring and treatment. At the time this analysis was done, nearly 2,000 patients had been down-referred from TLC, however, treatment outcomes amongst these patients have yet to be evaluated. This study compared one-year treatment outcomes amongst individuals down-referred for treatment maintenance at a nurse-managed PHC to patient’s eligible for down-referral who remained at the doctor-managed treatment-initiation site in Johannesburg, South Africa.

Part 1: Modeling 

1. Run an adjusted regression model to estimate the risk ratio assessing the association of down referral (exposure) with the outcome of death. Controlling for the exposure (down-referral) in addition to any of the seven variables that you identified as confounders in Part 2 above. 

2. Complete the table below based on the results of you model. 

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