Journal article

Impact of Home-Based HIV Testing Services on Progress Toward the UNAIDS 90-90-90 Targets in a Hyperendemic Area of South Africa

Lara Lewis, Brendan Maughan-Brown, Anneke Grobler, Cherie Cawood, David Khanyile, Mary Glenshaw, Ayesha BM Kharsany

JAIDS-JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES | LIPPINCOTT WILLIAMS & WILKINS | Published : 2019

Abstract

BACKGROUND: In several subgroups of South Africa, the percentage of HIV-positive individuals aware of their status falls well below the UNAIDS 90% target. This study examined the impact that home-based HIV testing services (HBHTS) had on knowledge of status in a hyperendemic area of South Africa. METHODS: We analysed data from the second cross-sectional HIV Incidence Provincial Surveillance System survey (2015/2016), a representative sample (n = 10,236) of individuals aged 15-49 years. Participants completed a questionnaire, provided blood samples for laboratory testing (used to estimate HIV prevalence), and were offered HBHTS. The proportion of people living with HIV (n = 3870) made aware o..

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Grants

Awarded by US President's Emergency Plan for AIDS Relief (PEPFAR) through the Centers for Disease Control and Prevention (CDC)


Awarded by joint South Africa-US Program for Collaborative Biomedical Research, National Institutes of Health


Awarded by EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT


Funding Acknowledgements

The HIV Incidence Provincial Surveillance System (HIPSS) is funded by the US President's Emergency Plan for AIDS Relief (PEPFAR) through the Centers for Disease Control and Prevention (CDC) under the terms of cooperative agreement 3U2GGH000372-02 W1. Support was provided to B.M.-B. by the National Research Foundation, South Africa, through the Research Career Advancement Fellowship. A.B.M.K. is supported by a joint South Africa-US Program for Collaborative Biomedical Research, National Institutes of Health grant (R01HD083343).