Community Medicine (PSM) · National Health Programmes (NTEP, NVBDCP, NACP, NIS, RMNCH+A)

Under the National AIDS Control Programme (NACP-IV/V), which of the following is the CORRECT definition of a Lost to Follow-Up (LTFU) patient on ART?

  • A Missing a single ART dose
  • B Not collected ART for more than 28 days after the scheduled pick-up date
  • C CD4 count falling below 200 cells/µL despite ART
  • D Defaulting from ART for any duration
Correct answer: B. Not collected ART for more than 28 days after the scheduled pick-up date

Explanation

NACP/NACO defines LTFU as a patient who has not collected ART for more than 28 consecutive days from the last scheduled pick-up date. This definition is aligned with WHO and used for programme monitoring. Missing a single dose or transient gaps do not constitute LTFU; CD4 decline defines treatment failure rather than LTFU.

Reference: Park's Textbook of Preventive and Social Medicine, 27th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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