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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...

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Autores principales: 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
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
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.
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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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