Optimizing community linkage to care and antiretroviral therapy Initiation: Lessons from the Nigeria HIV/AIDS Indicator and Impact Survey (NAIIS) and their adaptation in Nigeria ART Surge

Autor: Ahmad Aliyu, Matthias Alagi, Emilio Dirlikov, Charles Mensah, Ibrahim Jahun, Denis Onotu, Pamela Bachanas, Ademola Oladipo, Chidozie Meribe, John Oko, Patrick Dakum, Prosper Okonkwo, Solomon Odafe, Ayodele Fagbemi, Aminu Yakubu, Megan Bronson, Ibrahim Dalhatu, Aliyu Gambo, Chinedu Agbakwuru, Akudo Ikpeazu, Uzoma Ene, Michelle Williams-Sherlock, Ibrahim El-Imam, Chibuzor Onyenuobi, Charles Nzelu, Akipu Ehoche, Ifunanya Mgbakor, Obinna Ogbanufe, Bolanle Oyeledun, Sani H. Aliyu, Andrew T Boyd, Joy Amafah, Ishaq Said, Tingir Nguhemen, Daniel B Williams, Omodele Johnson Fagbamigbe, Mahesh Swaminathan, Stacie M. Greby, Manhattan Charurat, Timothy Efuntoye, Kristin Brown, Andrew Abutu, Ayo Adeola, Moyosola Bamidele, Orji Bassey, Tedd V. Ellerbrock, Olugbenga Asaolu
Rok vydání: 2021
Předmět:
RNA viruses
Male
Epidemiology
Art initiation
HIV Infections
Pathology and Laboratory Medicine
Geographical Locations
Documentation
Immunodeficiency Viruses
Mobile community
Surveys and Questionnaires
Medicine and Health Sciences
Public and Occupational Health
mHealth
Virus Testing
Multidisciplinary
HIV diagnosis and management
Vaccination and Immunization
Telemedicine
Anti-Retroviral Agents
Medical Microbiology
HIV epidemiology
Viral Pathogens
Viruses
Medicine
Female
Pathogens
Information Technology
Research Article
Adult
Computer and Information Sciences
medicine.medical_specialty
Adolescent
Science
Immunology
MEDLINE
Antiretroviral Therapy
Nigeria
Hiv testing
Microbiology
Databases
Young Adult
Antiviral Therapy
Acquired immunodeficiency syndrome (AIDS)
Diagnostic Medicine
Retroviruses
medicine
Humans
Microbial Pathogens
business.industry
Lentivirus
Organisms
Biology and Life Sciences
HIV
medicine.disease
Antiretroviral therapy
Health Care
Cross-Sectional Studies
Health Care Facilities
Family medicine
People and Places
Africa
Preventive Medicine
Self Report
business
Delivery of Health Care
Zdroj: PLoS ONE, Vol 16, Iss 9, p e0257476 (2021)
PLoS ONE
ISSN: 1932-6203
Popis: Background Ineffective linkage to care (LTC) is a known challenge for community HIV testing. To overcome this challenge, a robust linkage to care strategy was adopted by the 2018 Nigeria HIV/AIDS Indicator and Impact Survey (NAIIS). The NAIIS linkage to care strategy was further adapted to improve Nigeria’s programmatic efforts to achieve the 1st 90 as part of the Nigeria Antiretroviral Therapy (ART) Surge initiative, which also included targeted community testing. In this paper we provide an overview of the NAIIS LTC strategy and describe the impact of this strategy on both the NAIIS and the Surge initiatives. Methods The NAIIS collaborated with community-based organizations (CBOs) and deployed mobile health (mHealth) technology with real-time dashboards to manage and optimize community LTC for people living with HIV (PLHIV) diagnosed during the survey. In NAIIS, CBOs’ role was to facilitate linkage of identified PLHIV in community to facility of their choice. For the ART Surge, we modified the NAIIS LTC strategy by empowering both CBOs and mobile community teams as responsible for not only active LTC but also for community testing, ART initiation, and retention in care. Results Of the 2,739 PLHIV 15 years and above identified in NAIIS, 1,975 (72.1%) were either unaware of their HIV-positive status (N = 1890) or were aware of their HIV-positive status but not receiving treatment (N = 85). Of these, 1,342 (67.9%) were linked to care, of which 952 (70.9%) were initiated on ART. Among 1,890 newly diagnosed PLHIV, 1,278 (67.6%) were linked to care, 33.7% self-linked and 66.3% were linked by CBOs. Among 85 known PLHIV not on treatment, 64 (75.3%) were linked; 32.8% self-linked and 67.2% were linked by a CBO. In the ART Surge, LTC and treatment initiation rates were 98% and 100%, respectively. Three-month retention for monthly treatment initiation cohorts improved from 76% to 90% over 6 months. Conclusions Active LTC strategies by local CBOs and mobile community teams improved LTC and ART initiation in the ART Surge initiative. The use of mHealth technology resulted in timely and accurate documentation of results in NAIIS. By deploying mHealth in addition to active LTC, CBOs and mobile community teams could effectively scale up ART with real-time documentation of client-level outcomes.
Databáze: OpenAIRE
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