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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...
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/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. |
format | Online Article Text |
id | pubmed-9770335 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
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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