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Achieving HIV epidemic control through integrated community and facility-based strategies: Lessons learnt from ART-surge implementation in Akwa Ibom, Nigeria

This study examines the lessons learnt from the implementation of a surge program in Akwa Ibom State, Nigeria as part of the Strengthening Integrated Delivery of HIV/AIDS Services (SIDHAS) Project. In this analysis, we included all clients who received HIV counseling and testing services, tested HIV...

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Autores principales: Nwaokoro, Pius, Sanwo, Olusola, Toyo, Otoyo, Akpan, Uduak, Nwanja, Esther, Elechi, Iheanyichukwu, Ukpong, Kufre-Abasi, Idiong, Helen, Gana, Bala, Badru, Titilope, Idemudia, Augustine, Ogbechie, Matthew-David, Imohi, Philip, Achanya, Anthony, Oqua, Dorothy, Kakanfo, Kunle, Olatunbosun, Kolawole, Umoh, Augustine, Essiet, Patrick, Usanga, Ime, Ezeanolue, Echezona, Obiora-Okafo, Chika, James, Ezekiel, Iyortim, Isa, Chiegil, Robert, Khamofu, Hadiza, Pandey, Satish Raj, Bateganya, Moses
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9770335/
https://www.ncbi.nlm.nih.gov/pubmed/36542606
http://dx.doi.org/10.1371/journal.pone.0278946
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author Nwaokoro, Pius
Sanwo, Olusola
Toyo, Otoyo
Akpan, Uduak
Nwanja, Esther
Elechi, Iheanyichukwu
Ukpong, Kufre-Abasi
Idiong, Helen
Gana, Bala
Badru, Titilope
Idemudia, Augustine
Ogbechie, Matthew-David
Imohi, Philip
Achanya, Anthony
Oqua, Dorothy
Kakanfo, Kunle
Olatunbosun, Kolawole
Umoh, Augustine
Essiet, Patrick
Usanga, Ime
Ezeanolue, Echezona
Obiora-Okafo, Chika
James, Ezekiel
Iyortim, Isa
Chiegil, Robert
Khamofu, Hadiza
Pandey, Satish Raj
Bateganya, Moses
author_facet Nwaokoro, Pius
Sanwo, Olusola
Toyo, Otoyo
Akpan, Uduak
Nwanja, Esther
Elechi, Iheanyichukwu
Ukpong, Kufre-Abasi
Idiong, Helen
Gana, Bala
Badru, Titilope
Idemudia, Augustine
Ogbechie, Matthew-David
Imohi, Philip
Achanya, Anthony
Oqua, Dorothy
Kakanfo, Kunle
Olatunbosun, Kolawole
Umoh, Augustine
Essiet, Patrick
Usanga, Ime
Ezeanolue, Echezona
Obiora-Okafo, Chika
James, Ezekiel
Iyortim, Isa
Chiegil, Robert
Khamofu, Hadiza
Pandey, Satish Raj
Bateganya, Moses
author_sort Nwaokoro, Pius
collection PubMed
description This study examines the lessons learnt from the implementation of a surge program in Akwa Ibom State, Nigeria as part of the Strengthening Integrated Delivery of HIV/AIDS Services (SIDHAS) Project. In this analysis, we included all clients who received HIV counseling and testing services, tested HIV positive, and initiated ART in SIDHAS-supported local government areas (LGAs) from April 2017 to March 2021. We employed descriptive and inferential statistics to analyze our results. A total of 2,018,082 persons were tested for HIV. Out of those tested, 102,165 (5.1%) tested HIV-positive. Comparing the pre-surge and post-surge periods, we observed an increase in HIV testing from 490,450 to 2,018,082 (p≤0.031) and in HIV-positive individuals identified from 21,234 to 102,165 (p≤0.001) respectively. Of those newly identified positives during the surge, 98.26% (100,393/102,165) were linked to antiretroviral therapy compared to 99.24% (21,073/21,234) pre-surge. Retention improved from 83.3% to 92.3% (p<0.001), and viral suppression improved from 73.5% to 96.2% (p<0.001). A combination of community and facility-based interventions implemented during the surge was associated with the rapid increase in case finding, retention, and viral suppression; propelling the State towards HIV epidemic control. HIV programs should consider a combination of community and facility-based interventions in their programming.
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spelling pubmed-97703352022-12-22 Achieving HIV epidemic control through integrated community and facility-based strategies: Lessons learnt from ART-surge implementation in Akwa Ibom, Nigeria Nwaokoro, Pius Sanwo, Olusola Toyo, Otoyo Akpan, Uduak Nwanja, Esther Elechi, Iheanyichukwu Ukpong, Kufre-Abasi Idiong, Helen Gana, Bala Badru, Titilope Idemudia, Augustine Ogbechie, Matthew-David Imohi, Philip Achanya, Anthony Oqua, Dorothy Kakanfo, Kunle Olatunbosun, Kolawole Umoh, Augustine Essiet, Patrick Usanga, Ime Ezeanolue, Echezona Obiora-Okafo, Chika James, Ezekiel Iyortim, Isa Chiegil, Robert Khamofu, Hadiza Pandey, Satish Raj Bateganya, Moses PLoS One Research Article This study examines the lessons learnt from the implementation of a surge program in Akwa Ibom State, Nigeria as part of the Strengthening Integrated Delivery of HIV/AIDS Services (SIDHAS) Project. In this analysis, we included all clients who received HIV counseling and testing services, tested HIV positive, and initiated ART in SIDHAS-supported local government areas (LGAs) from April 2017 to March 2021. We employed descriptive and inferential statistics to analyze our results. A total of 2,018,082 persons were tested for HIV. Out of those tested, 102,165 (5.1%) tested HIV-positive. Comparing the pre-surge and post-surge periods, we observed an increase in HIV testing from 490,450 to 2,018,082 (p≤0.031) and in HIV-positive individuals identified from 21,234 to 102,165 (p≤0.001) respectively. Of those newly identified positives during the surge, 98.26% (100,393/102,165) were linked to antiretroviral therapy compared to 99.24% (21,073/21,234) pre-surge. Retention improved from 83.3% to 92.3% (p<0.001), and viral suppression improved from 73.5% to 96.2% (p<0.001). A combination of community and facility-based interventions implemented during the surge was associated with the rapid increase in case finding, retention, and viral suppression; propelling the State towards HIV epidemic control. HIV programs should consider a combination of community and facility-based interventions in their programming. Public Library of Science 2022-12-21 /pmc/articles/PMC9770335/ /pubmed/36542606 http://dx.doi.org/10.1371/journal.pone.0278946 Text en https://creativecommons.org/publicdomain/zero/1.0/This is an open access article, free of all copyright, and may be freely reproduced, distributed, transmitted, modified, built upon, or otherwise used by anyone for any lawful purpose. The work is made available under the Creative Commons CC0 (https://creativecommons.org/publicdomain/zero/1.0/) public domain dedication.
spellingShingle Research Article
Nwaokoro, Pius
Sanwo, Olusola
Toyo, Otoyo
Akpan, Uduak
Nwanja, Esther
Elechi, Iheanyichukwu
Ukpong, Kufre-Abasi
Idiong, Helen
Gana, Bala
Badru, Titilope
Idemudia, Augustine
Ogbechie, Matthew-David
Imohi, Philip
Achanya, Anthony
Oqua, Dorothy
Kakanfo, Kunle
Olatunbosun, Kolawole
Umoh, Augustine
Essiet, Patrick
Usanga, Ime
Ezeanolue, Echezona
Obiora-Okafo, Chika
James, Ezekiel
Iyortim, Isa
Chiegil, Robert
Khamofu, Hadiza
Pandey, Satish Raj
Bateganya, Moses
Achieving HIV epidemic control through integrated community and facility-based strategies: Lessons learnt from ART-surge implementation in Akwa Ibom, Nigeria
title Achieving HIV epidemic control through integrated community and facility-based strategies: Lessons learnt from ART-surge implementation in Akwa Ibom, Nigeria
title_full Achieving HIV epidemic control through integrated community and facility-based strategies: Lessons learnt from ART-surge implementation in Akwa Ibom, Nigeria
title_fullStr Achieving HIV epidemic control through integrated community and facility-based strategies: Lessons learnt from ART-surge implementation in Akwa Ibom, Nigeria
title_full_unstemmed Achieving HIV epidemic control through integrated community and facility-based strategies: Lessons learnt from ART-surge implementation in Akwa Ibom, Nigeria
title_short Achieving HIV epidemic control through integrated community and facility-based strategies: Lessons learnt from ART-surge implementation in Akwa Ibom, Nigeria
title_sort achieving hiv epidemic control through integrated community and facility-based strategies: lessons learnt from art-surge implementation in akwa ibom, nigeria
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9770335/
https://www.ncbi.nlm.nih.gov/pubmed/36542606
http://dx.doi.org/10.1371/journal.pone.0278946
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