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Progress toward the 90-90-90 HIV targets in Zimbabwe and identifying those left behind
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11 01 2021
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Source: J Acquir Immune Defic Syndr. 88(3):272-281
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Details:
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Alternative Title:J Acquir Immune Defic Syndr
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Personal Author:
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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.
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Source:
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Pubmed ID:34321414
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Pubmed Central ID:PMC8526397
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Funding:
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Volume:88
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Issue:3
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