Testing modality associated with fast-track ART initiation in Botswana.
Botswana
HIV
community-based testing
index testing
linkage
test and start
Journal
Tropical medicine & international health : TM & IH
ISSN: 1365-3156
Titre abrégé: Trop Med Int Health
Pays: England
ID NLM: 9610576
Informations de publication
Date de publication:
05 2022
05 2022
Historique:
pubmed:
18
3
2022
medline:
6
5
2022
entrez:
17
3
2022
Statut:
ppublish
Résumé
The aim of this study was to identify community testing modalities associated with fast-track ART initiation in Botswana. We conducted a retrospective cohort study that included all Botswana citizens 15 years or older who were newly identified as HIV-positive from 1 May 2017 to 31 January 2019, in Mahalapye and Southern districts. We used Poisson regression with robust error variance and generalised linear mixed models to control for cluster effects to model risk of ART initiation within 7 and 30 days of HIV diagnosis, testing modality factors. A total of 1436 individuals were newly identified HIV-positive, with men accounting for 60% across all testing modalities. 22% of all HIV-positive individuals were initiated on ART within 7 days. Clients diagnosed through index testing were more likely to be started on ART within 7 days (adjusted risk ratio [aRR] = 1.38, 95% CI 1.37-1.38) and 30 days (aRR = 1.17, 95% CI 1.09-1.26) than those diagnosed through mobile/outreach testing. Community HIV testing can complement facility-based testing by reaching individuals who may be less likely to seek HIV services at a facility, such as men. Monitoring ART initiation by testing modalities is critical to identify the optimal ones and to guide continuous programme improvement.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
537-543Informations de copyright
© 2022 John Wiley & Sons Ltd.
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