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Diversity in HIV epidemic transitions in India: An application of HIV epidemiological metrices and benchmarks
BACKGROUND: The Joint United Nations Programme on AIDS (UNAIDS) has emphasized on the incidence-prevalence ratio (IPR) and incidence-mortality ratio (IMR) to measure the progress in HIV epidemic control. In this paper, we describe the status of epidemic control in India and in various states in term...
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/PMC9292090/ https://www.ncbi.nlm.nih.gov/pubmed/35849570 http://dx.doi.org/10.1371/journal.pone.0270886 |
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author | Kumar, Pradeep Das, Chinmoyee Kumar, Arvind Sahu, Damodar Rai, Sanjay K. Godbole, Sheela Arumugam, Elangovan P. V. M., Lakshmi Dutta, Shanta Devi, H. Sanayaima Vardhana Rao Mendu, Vishnu Kant, Shashi Pandey, Arvind Reddy, Dandu Chandra Sekhar Mehendale, Sanjay Rajan, Shobini |
author_facet | Kumar, Pradeep Das, Chinmoyee Kumar, Arvind Sahu, Damodar Rai, Sanjay K. Godbole, Sheela Arumugam, Elangovan P. V. M., Lakshmi Dutta, Shanta Devi, H. Sanayaima Vardhana Rao Mendu, Vishnu Kant, Shashi Pandey, Arvind Reddy, Dandu Chandra Sekhar Mehendale, Sanjay Rajan, Shobini |
author_sort | Kumar, Pradeep |
collection | PubMed |
description | BACKGROUND: The Joint United Nations Programme on AIDS (UNAIDS) has emphasized on the incidence-prevalence ratio (IPR) and incidence-mortality ratio (IMR) to measure the progress in HIV epidemic control. In this paper, we describe the status of epidemic control in India and in various states in terms of UNAIDS’s recommended metrices. METHOD: The National AIDS Control Programme (NACP) of India spearheads work on mathematical modelling to estimate HIV burden based on periodically conducted sentinel surveillance for providing guidance to program implementation and policymaking. Using the results of the latest round of HIV Estimations in 2019, IPR and IMR were calculated. RESULTS: National level IPR was 0.029 [0.022–0.037] in 2019 and ranged from 0.01 to 0.15 in various States and Union Territories (UTs). Corresponding Incidence-Mortality Ratio was at 0.881 [0.754–1.014] nationally and ranged between 0.20 and 12.90 across the States/UTs. CONCLUSIONS: Based on UNAIDS recommended indicators for HIV epidemic control, namely IPR and IMR; national AIDS response in India appears on track. However, the program success is not uniform and significant heterogeneity as well as expanding epidemic was observed at the level of States or UTs. Reinforcing States/UTs specific and focused HIV prevention, testing and treatment initiatives may help in the attainment of 2030 Sustainable Development Goals of ending AIDS as a public health threat by 2030. |
format | Online Article Text |
id | pubmed-9292090 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-92920902022-07-19 Diversity in HIV epidemic transitions in India: An application of HIV epidemiological metrices and benchmarks Kumar, Pradeep Das, Chinmoyee Kumar, Arvind Sahu, Damodar Rai, Sanjay K. Godbole, Sheela Arumugam, Elangovan P. V. M., Lakshmi Dutta, Shanta Devi, H. Sanayaima Vardhana Rao Mendu, Vishnu Kant, Shashi Pandey, Arvind Reddy, Dandu Chandra Sekhar Mehendale, Sanjay Rajan, Shobini PLoS One Research Article BACKGROUND: The Joint United Nations Programme on AIDS (UNAIDS) has emphasized on the incidence-prevalence ratio (IPR) and incidence-mortality ratio (IMR) to measure the progress in HIV epidemic control. In this paper, we describe the status of epidemic control in India and in various states in terms of UNAIDS’s recommended metrices. METHOD: The National AIDS Control Programme (NACP) of India spearheads work on mathematical modelling to estimate HIV burden based on periodically conducted sentinel surveillance for providing guidance to program implementation and policymaking. Using the results of the latest round of HIV Estimations in 2019, IPR and IMR were calculated. RESULTS: National level IPR was 0.029 [0.022–0.037] in 2019 and ranged from 0.01 to 0.15 in various States and Union Territories (UTs). Corresponding Incidence-Mortality Ratio was at 0.881 [0.754–1.014] nationally and ranged between 0.20 and 12.90 across the States/UTs. CONCLUSIONS: Based on UNAIDS recommended indicators for HIV epidemic control, namely IPR and IMR; national AIDS response in India appears on track. However, the program success is not uniform and significant heterogeneity as well as expanding epidemic was observed at the level of States or UTs. Reinforcing States/UTs specific and focused HIV prevention, testing and treatment initiatives may help in the attainment of 2030 Sustainable Development Goals of ending AIDS as a public health threat by 2030. Public Library of Science 2022-07-18 /pmc/articles/PMC9292090/ /pubmed/35849570 http://dx.doi.org/10.1371/journal.pone.0270886 Text en © 2022 Kumar 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 Kumar, Pradeep Das, Chinmoyee Kumar, Arvind Sahu, Damodar Rai, Sanjay K. Godbole, Sheela Arumugam, Elangovan P. V. M., Lakshmi Dutta, Shanta Devi, H. Sanayaima Vardhana Rao Mendu, Vishnu Kant, Shashi Pandey, Arvind Reddy, Dandu Chandra Sekhar Mehendale, Sanjay Rajan, Shobini Diversity in HIV epidemic transitions in India: An application of HIV epidemiological metrices and benchmarks |
title | Diversity in HIV epidemic transitions in India: An application of HIV epidemiological metrices and benchmarks |
title_full | Diversity in HIV epidemic transitions in India: An application of HIV epidemiological metrices and benchmarks |
title_fullStr | Diversity in HIV epidemic transitions in India: An application of HIV epidemiological metrices and benchmarks |
title_full_unstemmed | Diversity in HIV epidemic transitions in India: An application of HIV epidemiological metrices and benchmarks |
title_short | Diversity in HIV epidemic transitions in India: An application of HIV epidemiological metrices and benchmarks |
title_sort | diversity in hiv epidemic transitions in india: an application of hiv epidemiological metrices and benchmarks |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9292090/ https://www.ncbi.nlm.nih.gov/pubmed/35849570 http://dx.doi.org/10.1371/journal.pone.0270886 |
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