Achieving HIV epidemic control through integrated community and facility-based strategies: Lessons learnt from ART-surge implementation in Akwa Ibom, Nigeria.

Autor: Pius Nwaokoro, Olusola Sanwo, Otoyo Toyo, Uduak Akpan, Esther Nwanja, Iheanyichukwu Elechi, Kufre-Abasi Ukpong, Helen Idiong, Bala Gana, Titilope Badru, Augustine Idemudia, Matthew-David Ogbechie, Philip Imohi, Anthony Achanya, Dorothy Oqua, Kunle Kakanfo, Kolawole Olatunbosun, Augustine Umoh, Patrick Essiet, Ime Usanga, Echezona Ezeanolue, Chika Obiora-Okafo, Ezekiel James, Isa Iyortim, Robert Chiegil, Hadiza Khamofu, Satish Raj Pandey, Moses Bateganya
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: PLoS ONE, Vol 17, Iss 12, p e0278946 (2022)
Druh dokumentu: article
ISSN: 1932-6203
DOI: 10.1371/journal.pone.0278946
Popis: This study examines the lessons learnt from the implementation of a surge program in Akwa Ibom State, Nigeria as part of the Strengthening Integrated Delivery of HIV/AIDS Services (SIDHAS) Project. In this analysis, we included all clients who received HIV counseling and testing services, tested HIV positive, and initiated ART in SIDHAS-supported local government areas (LGAs) from April 2017 to March 2021. We employed descriptive and inferential statistics to analyze our results. A total of 2,018,082 persons were tested for HIV. Out of those tested, 102,165 (5.1%) tested HIV-positive. Comparing the pre-surge and post-surge periods, we observed an increase in HIV testing from 490,450 to 2,018,082 (p≤0.031) and in HIV-positive individuals identified from 21,234 to 102,165 (p≤0.001) respectively. Of those newly identified positives during the surge, 98.26% (100,393/102,165) were linked to antiretroviral therapy compared to 99.24% (21,073/21,234) pre-surge. Retention improved from 83.3% to 92.3% (p
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