Changes Over Time in the Proportion of Advanced HIV Disease in Two High HIV Prevalence Settings in Ndhiwa (Kenya) and Eshowe (South Africa)
| Autor: | Menard Chihana PhD, Nolwenn Conan MSc, Liesbet Ohler MSc, Helena Huerga PhD, Stephen Wanjala MSc, Charles Masiku MSc, Elisabeth Szumilin MS, MSPH, Tom Ellman BSc, MSc, MBChB, MRCP, Jean-Francois Etard PhD, David Maman PhD, Mary-Ann Davies MBChB, MMed, PhD |
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| Jazyk: | angličtina |
| Rok vydání: | 2024 |
| Předmět: | |
| Zdroj: | Journal of the International Association of Providers of AIDS Care, Vol 23 (2024) |
| Druh dokumentu: | article |
| ISSN: | 2325-9582 23259582 |
| DOI: | 10.1177/23259582241260219 |
| Popis: | Background The burden of advanced HIV disease remains a significant concern in sub-Saharan Africa. In 2015, the World Health Organization released recommendations to treat all people living with HIV (PLHIV) regardless of CD4 (“treat all”) and in 2017 guidelines for managing advanced HIV disease. We assessed changes over time in the proportion of PLHIV with advanced HIV and their care cascade in two community settings in sub-Saharan Africa. Methods Cross-sectional population-based surveys were conducted in Ndhiwa (Kenya) in 2012 and 2018 and in Eshowe (South Africa) in 2013 and 2018. We recruited individuals aged 15-59 years. Consenting participants were interviewed and tested for HIV at home. All participants with HIV had CD4 count measured. Advanced HIV was defined as CD4 |
| Databáze: | Directory of Open Access Journals |
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