The Shinyanga Patient: A Patient’s Journey through HIV Treatment Cascade in Rural Tanzania
| Autor: | Sabine Hermans, Eric van Praag, Werner Maokola, Denise Naniche, Yudas Ndungile, Tobias F. Rinke de Wit, Veryeh Sambu, Gabriela B. Gomez, Nwanneka E Okere |
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| Přispěvatelé: | Graduate School, AII - Infectious diseases, APH - Global Health, APH - Methodology, APH - Personalized Medicine, APH - Quality of Care, Global Health |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Rural Population
sub-Saharan Africa medicine.medical_specialty Health Toxicology and Mutagenesis Human immunodeficiency virus (HIV) HIV Infections medicine.disease_cause Tanzania Article access Acquired immunodeficiency syndrome (AIDS) patient-pathway analysis Environmental health Health care medicine Humans Epidemics health services biology Diagnostic Tests Routine business.industry Public health Public sector Public Health Environmental and Occupational Health HIV Private sector biology.organism_classification medicine.disease Medicine business Viral load |
| Zdroj: | International Journal of Environmental Research and Public Health Volume 18 Issue 16 International Journal of Environmental Research and Public Health, Vol 18, Iss 8418, p 8418 (2021) International journal of environmental research and public health, 18(16):8418. Multidisciplinary Digital Publishing Institute (MDPI) |
| ISSN: | 1660-4601 1661-7827 |
| DOI: | 10.3390/ijerph18168418 |
| Popis: | The 2016–2017 Tanzania HIV Impact Survey (THIS) reported the accomplishments towards the 90-90-90 global HIV targets at 61-94-87, affirming the need to focus on the first 90 (i.e., getting 90% of people living with HIV (PLHIV) tested). We conducted a patient-pathway analysis to understand the gap observed, by assessing the alignment between where PLHIV seek healthcare and where HIV services are available in the Shinyanga region, Tanzania. We used existing and publicly available data from the National AIDS Control program, national surveys, registries, and relevant national reports. Region-wide, the majority (n = 458/722, 64%) of THIS respondents accessed their last HIV test at public sector facilities. There were 65.9%, 45.1%, and 74.1% who could also access antiretroviral therapy (ART), CD4 testing, and HIV viral load testing at the location of their last HIV test, respectively. In 2019, the viral suppression rate estimated among PLHIV on ART in the Shinyanga region was 91.5%. PLHIV access HIV testing mostly in public health facilities our research shows that synergies can be achieved to improve access to services further down the cascade in this sector. Furthermore, effective engagement with the private sector (not-for-profit and for-profit) will help to achieve the last mile toward ending the HIV epidemic. |
| Databáze: | OpenAIRE |
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