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Community- and facility-based HIV testing interventions in northern Tanzania: Midterm results of Test & Treat Project
Test & Treat Project offers universal HIV testing and access to antiretroviral treatment in Northern Tanzania. The current cross-sectional study provides midterm results on HIV testing and counseling activities through community outreaches and facility-based services. A total 255,329 HIV tests w...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9004748/ https://www.ncbi.nlm.nih.gov/pubmed/35413074 http://dx.doi.org/10.1371/journal.pone.0266870 |
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author | Martelli, Giulia Van Duffel, Lukas Kwezi, Edith Cosmas Cavallin, Francesco Salehe, Idd Amiri Torelli, Giovanni F. Putoto, Giovanni Hermans, Sabine Rinke de Wit, Tobias F. Pozniak, Anton |
author_facet | Martelli, Giulia Van Duffel, Lukas Kwezi, Edith Cosmas Cavallin, Francesco Salehe, Idd Amiri Torelli, Giovanni F. Putoto, Giovanni Hermans, Sabine Rinke de Wit, Tobias F. Pozniak, Anton |
author_sort | Martelli, Giulia |
collection | PubMed |
description | Test & Treat Project offers universal HIV testing and access to antiretroviral treatment in Northern Tanzania. The current cross-sectional study provides midterm results on HIV testing and counseling activities through community outreaches and facility-based services. A total 255,329 HIV tests were performed: 198,451 (77.7%) during testing campaigns in the villages, 12,592 (4.9%) during special events outreach and 44,286 (17.4%) in the health facilities. Females represented 53.8% (23,809) among those tested in the health facilities, while males were the majority in the community (54.4%, 114,835). Over one third of tests (n = 104,605, 41%) were performed among first-time testers. The overall HIV positivity rate was 1.2%, ranging from 0.7% in the community to 3.8% in the health facilities and decreased over time. Using a multivariable analysis, a positive test result was associated with age ≥ 50 years (PR 1.22, 95% CI 1.11 to 1.34), with female gender (PR 1.61, 95% CI 1.50 to 1.73), being tested in health facilities (PR 5.00, 95% CI 4.65 to 5.36) and for the first time (PR 1.86, 95% CI 1.73 to 2.00). The estimated proportion of PLHIV who knew their status of the project area increased by 28.6% (from 35.7% to 64.3%) and 11.1% (from 57.7% to 68.8%) in the project areas of Shinyanga and Simiyu regions respectively. Reaching the first UNAIDS 90 target by the end of this project seems possible. Future strategies should focus on improving PITC coverage, implementing more targeted testing modalities, together with current universal community-based approach. |
format | Online Article Text |
id | pubmed-9004748 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-90047482022-04-13 Community- and facility-based HIV testing interventions in northern Tanzania: Midterm results of Test & Treat Project Martelli, Giulia Van Duffel, Lukas Kwezi, Edith Cosmas Cavallin, Francesco Salehe, Idd Amiri Torelli, Giovanni F. Putoto, Giovanni Hermans, Sabine Rinke de Wit, Tobias F. Pozniak, Anton PLoS One Research Article Test & Treat Project offers universal HIV testing and access to antiretroviral treatment in Northern Tanzania. The current cross-sectional study provides midterm results on HIV testing and counseling activities through community outreaches and facility-based services. A total 255,329 HIV tests were performed: 198,451 (77.7%) during testing campaigns in the villages, 12,592 (4.9%) during special events outreach and 44,286 (17.4%) in the health facilities. Females represented 53.8% (23,809) among those tested in the health facilities, while males were the majority in the community (54.4%, 114,835). Over one third of tests (n = 104,605, 41%) were performed among first-time testers. The overall HIV positivity rate was 1.2%, ranging from 0.7% in the community to 3.8% in the health facilities and decreased over time. Using a multivariable analysis, a positive test result was associated with age ≥ 50 years (PR 1.22, 95% CI 1.11 to 1.34), with female gender (PR 1.61, 95% CI 1.50 to 1.73), being tested in health facilities (PR 5.00, 95% CI 4.65 to 5.36) and for the first time (PR 1.86, 95% CI 1.73 to 2.00). The estimated proportion of PLHIV who knew their status of the project area increased by 28.6% (from 35.7% to 64.3%) and 11.1% (from 57.7% to 68.8%) in the project areas of Shinyanga and Simiyu regions respectively. Reaching the first UNAIDS 90 target by the end of this project seems possible. Future strategies should focus on improving PITC coverage, implementing more targeted testing modalities, together with current universal community-based approach. Public Library of Science 2022-04-12 /pmc/articles/PMC9004748/ /pubmed/35413074 http://dx.doi.org/10.1371/journal.pone.0266870 Text en © 2022 Martelli et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Martelli, Giulia Van Duffel, Lukas Kwezi, Edith Cosmas Cavallin, Francesco Salehe, Idd Amiri Torelli, Giovanni F. Putoto, Giovanni Hermans, Sabine Rinke de Wit, Tobias F. Pozniak, Anton Community- and facility-based HIV testing interventions in northern Tanzania: Midterm results of Test & Treat Project |
title | Community- and facility-based HIV testing interventions in northern Tanzania: Midterm results of Test & Treat Project |
title_full | Community- and facility-based HIV testing interventions in northern Tanzania: Midterm results of Test & Treat Project |
title_fullStr | Community- and facility-based HIV testing interventions in northern Tanzania: Midterm results of Test & Treat Project |
title_full_unstemmed | Community- and facility-based HIV testing interventions in northern Tanzania: Midterm results of Test & Treat Project |
title_short | Community- and facility-based HIV testing interventions in northern Tanzania: Midterm results of Test & Treat Project |
title_sort | community- and facility-based hiv testing interventions in northern tanzania: midterm results of test & treat project |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9004748/ https://www.ncbi.nlm.nih.gov/pubmed/35413074 http://dx.doi.org/10.1371/journal.pone.0266870 |
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