Predictors of mortality in adult people living with HIV on antiretroviral therapy in Nepal: A retrospective cohort study, 2004-2013

This study found that mortality rates were higher when patients began antiretroviral therapy (ART) and in patients with advanced stages of HIV or poor health. The authors also found higher mortalities in remote health centers compared with district facilities with ART centers. To reduce early mortality, the authors recommend improving ART services and increasing coverage with decentralization of sites to lower levels, including community dispensing, differentiated and improved service delivery, and rapid initiation of ART.