District-level strategies to control the HIV epidemic in Zimbabwe: a practical example of precision public health.

Résumé

Abstract Objective We conducted a descriptive cross-sectional study using survey and programme data to asses district-level performance along the HIV care cascade (HIV testing target achievement, linkage to ART, ART coverage) in order to formulate district-specific recommendations, taking into consideration prevalence and yield of testing.Results Data from 60 districts were analysed. Most 48 (80.0%) of districts surpassed 90% of their 2018 HIV testing targets. Linkage to ART was less than 90% in 40 (83.3%) of districts. Half (30) of districts had an ART coverage above 90%. Of 30 districts with suboptimal(<90%) ART coverage, 18 had achieved high HIV testing target achievement but suboptimal linkage to ART, 6 had achieved high HIV testing targets and high linkage to ART, 4 had both suboptimal HIV testing target achievement and linkage to ART and 2 had suboptimal HIV testing target achievement and high linkage to ART. Priority should be given to districts with suboptimal ART coverage. Remediation strategies should be tailored to address the poorly performing stage of the cascade in each district.

Citer ce document

Accès au document

Ce document est hébergé sur son dépôt institutionnel d'origine.

Auteur(s)

Statistiques

Consultations : 1

Téléchargements : 0