Progress towards 90-90-90 and 95-95-95 strategy implementations and HIV positivity trends in the City of Johannesburg
Background. The 95-95-95 strategy implementation is a positive initiative for moving the HIV tide towards elimination, with a focus on addressing the huge inequalities in existence in access to HIV services. Objectives. To establish performance towards the 90-90-90 and 95-95-95 targets and tren...
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South African Medical Association
2023-12-01
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| Series: | South African Medical Journal |
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| Online Access: | https://samajournals.co.za/index.php/samj/article/view/862 |
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| author | J C Y Nyasulu I Maposa |
| author_facet | J C Y Nyasulu I Maposa |
| author_sort | J C Y Nyasulu |
| collection | DOAJ |
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Background. The 95-95-95 strategy implementation is a positive initiative for moving the HIV tide towards elimination, with a focus on addressing the huge inequalities in existence in access to HIV services.
Objectives. To establish performance towards the 90-90-90 and 95-95-95 targets and trends in HIV positivity rates since strategy implementation rollout in the City of Johannesburg (CoJ), South Africa.
Methods. This was a descriptive study, part of the bigger quasi-experimental study using the monthly District Health Information System during the implementation and rollout of the 90-90-90 strategy. HIV access trends were tracked and compared with the set strategy implementation targets. In addition, the HIV positivity rate was analysed to observe trends. A time trend analysis for aggregated data was performed on all the measured indicators to determine whether the decrease or increase was statistically significant. P<0.05 was used to indicate statistical significance.
Results. The study has shown that by March 2022, 15 months after December 2020, CoJ had reached 91-65-88. There were significant steady increases in the number of people who knew their HIV status (slope = 0.044, p<0.001) and initiating on antiretroviral therapy (ART) (slope = 0.001, p<0.001), and significant decreases for overall HIV positivity rate (slope = –0.016, p<0.001), adolescent positivity rate (slope = –0.0087, p<0.001) and antenatal care HIV positivity rate (slope = –0.013, p<0.001).
Conclusion. This study has established positive progress made by the CoJ towards HIV testing, ART initiation, viral load suppression and HIV positivity rate. On the other hand, gaps in linkage to care after testing positive have been highlighted. It is therefore critical in the 95-95-95 strategy implementation era to focus on finding those missed during the 90-90-90 phase through revised and renewed innovative approaches.
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| format | Article |
| id | doaj-art-eb1fd4f2080e41a4bd8db72b8147def4 |
| institution | Kabale University |
| issn | 0256-9574 2078-5135 |
| language | English |
| publishDate | 2023-12-01 |
| publisher | South African Medical Association |
| record_format | Article |
| series | South African Medical Journal |
| spelling | doaj-art-eb1fd4f2080e41a4bd8db72b8147def42025-02-10T12:26:33ZengSouth African Medical AssociationSouth African Medical Journal0256-95742078-51352023-12-01114110.7196/SAMJ.2024.v114i1.862Progress towards 90-90-90 and 95-95-95 strategy implementations and HIV positivity trends in the City of JohannesburgJ C Y Nyasulu0I Maposa1Division of Health Systems and Public Health, Department of Global Health, Faculty of Clinical Medicine, Stellenbosch University, Cape Town, South Africa; Health Systems Strengthening, AFRIQUIP, Johannesburg, South AfricaDivision of Epidemiology and Biostatistics, Department of Global Health, Faculty of Clinical Medicine, Stellenbosch University, Cape Town, South Africa Background. The 95-95-95 strategy implementation is a positive initiative for moving the HIV tide towards elimination, with a focus on addressing the huge inequalities in existence in access to HIV services. Objectives. To establish performance towards the 90-90-90 and 95-95-95 targets and trends in HIV positivity rates since strategy implementation rollout in the City of Johannesburg (CoJ), South Africa. Methods. This was a descriptive study, part of the bigger quasi-experimental study using the monthly District Health Information System during the implementation and rollout of the 90-90-90 strategy. HIV access trends were tracked and compared with the set strategy implementation targets. In addition, the HIV positivity rate was analysed to observe trends. A time trend analysis for aggregated data was performed on all the measured indicators to determine whether the decrease or increase was statistically significant. P<0.05 was used to indicate statistical significance. Results. The study has shown that by March 2022, 15 months after December 2020, CoJ had reached 91-65-88. There were significant steady increases in the number of people who knew their HIV status (slope = 0.044, p<0.001) and initiating on antiretroviral therapy (ART) (slope = 0.001, p<0.001), and significant decreases for overall HIV positivity rate (slope = –0.016, p<0.001), adolescent positivity rate (slope = –0.0087, p<0.001) and antenatal care HIV positivity rate (slope = –0.013, p<0.001). Conclusion. This study has established positive progress made by the CoJ towards HIV testing, ART initiation, viral load suppression and HIV positivity rate. On the other hand, gaps in linkage to care after testing positive have been highlighted. It is therefore critical in the 95-95-95 strategy implementation era to focus on finding those missed during the 90-90-90 phase through revised and renewed innovative approaches. https://samajournals.co.za/index.php/samj/article/view/86290-90-90 strategy; 95-95-95 strategy implementation; HIV testing; ART initiation; Viral suppression. |
| spellingShingle | J C Y Nyasulu I Maposa Progress towards 90-90-90 and 95-95-95 strategy implementations and HIV positivity trends in the City of Johannesburg South African Medical Journal 90-90-90 strategy; 95-95-95 strategy implementation; HIV testing; ART initiation; Viral suppression. |
| title | Progress towards 90-90-90 and 95-95-95 strategy implementations and HIV positivity trends in the City of Johannesburg |
| title_full | Progress towards 90-90-90 and 95-95-95 strategy implementations and HIV positivity trends in the City of Johannesburg |
| title_fullStr | Progress towards 90-90-90 and 95-95-95 strategy implementations and HIV positivity trends in the City of Johannesburg |
| title_full_unstemmed | Progress towards 90-90-90 and 95-95-95 strategy implementations and HIV positivity trends in the City of Johannesburg |
| title_short | Progress towards 90-90-90 and 95-95-95 strategy implementations and HIV positivity trends in the City of Johannesburg |
| title_sort | progress towards 90 90 90 and 95 95 95 strategy implementations and hiv positivity trends in the city of johannesburg |
| topic | 90-90-90 strategy; 95-95-95 strategy implementation; HIV testing; ART initiation; Viral suppression. |
| url | https://samajournals.co.za/index.php/samj/article/view/862 |
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