Sustained high HIV case‐finding through index testing and partner notification services: experiences from three provinces in Zimbabwe
| Autor: | Auxilia Muchedzi, Taurayi A. Tafuma, Nyikadzino Mahachi, Getrude Ncube, Otto N Chabikuli, Tendai Nyagura, Bazghina-Werq Semo, Liz Kariuki, Moses Bateganya, Mike B. Merrigan, Mulamuli Mpofu, Peter Mawora |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Counseling Male Zimbabwe Index (economics) Adolescent HIV Positivity Service delivery framework Human immunodeficiency virus (HIV) index testing HIV Infections Hiv testing medicine.disease_cause Young Adult 03 medical and health sciences 0302 clinical medicine Acquired immunodeficiency syndrome (AIDS) medicine Humans Serologic Tests 030212 general & internal medicine Child Disease Notification Research Articles 030505 public health business.industry partner notification services Public Health Environmental and Occupational Health HIV virus diseases Middle Aged medicine.disease Partner notification HIV positivity Sexual Partners Infectious Diseases Child Preschool Case finding Female 0305 other medical science business Research Article Demography |
| Zdroj: | Journal of the International AIDS Society |
| ISSN: | 1758-2652 |
| DOI: | 10.1002/jia2.25321 |
| Popis: | Introduction Several countries in southern Africa have made significant progress towards reaching the Joint United Nations Programme on HIV/AIDS goal of ensuring that 90% of people living with HIV are aware of their status. In Zimbabwe, progress towards this “first 90” was estimated at 73% in 2016. To reach the remaining people living with HIV who have undiagnosed infection, the Zimbabwe Ministry of Health and Child Care has been promoting index testing and partner notification services (PNS). We describe the implementation of index testing and PNS under the Zimbabwe HIV Care and Treatment (ZHCT) project and the resulting uptake, HIV positivity rate and links to HIV treatment. Methods The ZHCT project has been implemented since March 2016, covering a total of 12 districts in three provinces. To assess the project's performance on index testing, we extracted data on HIV testing from the district health information system (DHIS 2) from March 2016 to May 2018, validated it using service registers and calculated monthly HIV positivity rates using Microsoft Excel. Data were disaggregated by district, province, sex and service delivery point. We used SPSS to assess for statistical differences in paired monthly HIV positivity rates by sex, testing site, and province. Results The average HIV positivity rate rose from 10% during the first six months of implementation to more than 30% by August 2016 and was sustained above 30% through May 2018. The overall facility HIV positivity rate was 4.1% during the same period. The high HIV positivity rate was achieved for both males and females (mean monthly HIV positivity rate of 31.3% for males and 33.7% for females), with females showing significantly higher positivity compared to males (p |
| Databáze: | OpenAIRE |
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