Progress toward the 90-90-90 HIV targets in Zimbabwe and identifying those left behind

Details

• Alternative Title:
  J Acquir Immune Defic Syndr
• Personal Author:
  Hakim, Avi J. ; Barr, Beth A. Tippett ; Kinchen, Steven ; Musuka, Godfrey ; Manjengwa, Julius ; Munyati, Shungu ; Gwanzura, Lovemore ; Mugurungi, Owen ; Ncube, Getrude ; Saito, Suzue ; Parekh, Bharat S. ; Patel, Hetal ; Duong, Yen T. ; Gonese, Elizabeth ; Sleeman, Katrina ; Ruangtragool, Leala ; Justman, Jessica ; Herman-Roloff, Amy ; Radin, Elizabeth
  More +
• Description:
  Objective: ; We present findings from the nationally representative Zimbabwe Population-based HIV Impact Assessment (ZIMPHIA) that characterize Zimbabwe’s progress toward the Joint United Nations Programme on HIV/AIDS 90-90-90 targets. ; Design: ; We conducted a cross-sectional household survey. ; Methods: ; Consenting adults and children in the household were eligible to participate in ZIMPHIA (October 2015–August 2016). Participants completed face-to-face interviews and provided blood for HIV, CD4, viral load, and syphilis testing. VLS was defined as HIV RNA <1,000 copies/mL. HIV-positive specimens were tested for the presence of selected antiretroviral drugs. Data were weighted. Analysis was restricted to HIV-positive adults aged 15–64 years. ; Results: ; We enrolled 11,098 men and 14,033 women aged 15–64 years. HIV prevalence was 14.1%. Of those living with HIV, 76.8% (95% confidence interval CI: 74.9–78.7) were aware of their HIV status or had detectable antiretroviral levels. Of these, 88.4% (95% CI: 87.1–89.7) were receiving ART, and of these people, 85.3% (95% CI: 83.4–87.1) had VLS. Male sex age 15–34 years and having one or more sexual partners were associated with being unaware of one’s HIV-positive status. Age <50 years and not taking cotrimoxazole were associated with being less likely to be being both aware and taking ART. Male sex, age <50 years, and taking cotrimoxazole were associated with being on ART but not having VLS. ; Conclusions: ; Zimbabwe has made great strides toward epidemic control. Focusing resources on case finding, particularly among men, people aged<35 years, and sexually active individuals can help Zimbabwe attain 90-90-90 targets.
• Keywords:
  • Zimbabwe
  • 90-90-90
  • awareness
  • treatment coverage
  • viral suppression
  • Adolescent
  • Adult
  • Anti-Retroviral Agents
  • Child
  • Cross-Sectional Studies
  More +
• Source:
  J Acquir Immune Defic Syndr. 88(3):272-281
• Pubmed ID:
  34321414
• Pubmed Central ID:
  PMC8526397
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/ ; U2G GH001226/GH/CGH CDC HHSUnited States/ ; PEPFAR/PEPFARUnited States/
• Volume:
  88
• Issue:
  3
• Download URL:
  https://stacks.cdc.gov/view/cdc/110940/cdc_110940_DS1.pdf
• File Type:
  [PDF - 231.49 KB]
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:87494bfe005191173174898f302b085045fd1de114d46009dae2e61e16ec84f2