Global Trends of Monitoring and Data Collection on the HIV Response among Key Populations Since the 2001 UN Declaration of Commitment on HIV/AIDS

Since 2001 the UNAIDS Secretariat has retained the responsibility for monitoring progress towards global commitments on HIV/AIDS. Key critical characteristics of the reporting system were assessed for the reporting period from 2004 to 2014 and analyses were undertaken of response rates and core indicator performance. Country submission rates ranged from 102 (53%) Member States in 2004 to 186 (96%) in 2012. There was great variance in response rates for specific indicators, with the highest response rates for treatment-related indicators. The Global AIDS reporting system has improved substantially over time and has provided key trend data on responses to the HIV epidemic, serving as the global accountability mechanism and providing reference data on the global AIDS response. It will be critical that reporting systems continue to evolve to support the monitoring of the Sustainable Development Goals, in view of ending the AIDS epidemic as a public health threat by 2030.Electronic supplementary materialThe online version of this article (doi:10.1007/s10461-016-1662-9) contains supplementary material, which is available to authorized users.

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“…hard to reach populations, such as sex workers, men who have sex with men and people who inject drugs [24]. …”

Section: Challenges/opportunitiesmentioning

confidence: 99%

Global AIDS Reporting-2001 to 2015: Lessons for Monitoring the Sustainable Development Goals

Alfvén

Erkkola

et al. 2017

AIDS Behav

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“…We did not describe the many size estimation methods available or address issues regarding the validity of these size estimation methods. For transparency, we recommend reporting the methods used to estimate population size and construct denominators for 90-90-90 estimates [ 11 ].…”

Section: Discussionmentioning

confidence: 99%

“…Sex worker surveys may restrict participation to women aged 18 years and older who report commercial sex in the past 3 months, whereas programs do not generally screen out part-time sex workers or adolescents who exchange sex for goods or services. An assessment by the Joint United Nations Programme on HIV/AIDS (UNAIDS) and the Global Fund to Fight AIDS, Tuberculosis, and Malaria of the availability and quality of subnational data on sexually transmitted infection (STI) or HIV prevalence, behaviors, and coverage of HIV testing and size estimates for key populations in low- and middle-income countries between 2001 and 2015 found wide variation in the definition of key populations and few examples where definitions were sufficiently consistent to allow trend analysis [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Opportunities for Enhanced Strategic Use of Surveys, Medical Records, and Program Data for HIV Surveillance of Key Populations: Scoping Review

Weir¹,

Baral²,

Edwards³

et al. 2018

JMIR Public Health Surveill

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BackgroundNormative guidelines from the World Health Organization recommend tracking strategic information indicators among key populations. Monitoring progress in the global response to the HIV epidemic uses indicators put forward by the Joint United Nations Programme on HIV/AIDS. These include the 90-90-90 targets that require a realignment of surveillance data, routinely collected program data, and medical record data, which historically have developed separately.ObjectiveThe aim of this study was to describe current challenges for monitoring HIV-related strategic information indicators among key populations ((men who have sex with men [MSM], people in prisons and other closed settings, people who inject drugs, sex workers, and transgender people) and identify future opportunities to enhance the use of surveillance data, programmatic data, and medical record data to describe the HIV epidemic among key populations and measure the coverage of HIV prevention, care, and treatment programs.MethodsTo provide a historical perspective, we completed a scoping review of the expansion of HIV surveillance among key populations over the past three decades. To describe current efforts, we conducted a review of the literature to identify published examples of SI indicator estimates among key populations. To describe anticipated challenges and future opportunities to improve measurement of strategic information indicators, particularly from routine program and health data, we consulted participants of the Third Global HIV Surveillance Meeting in Bangkok, where the 2015 World Health Organization strategic information guidelines were launched.ResultsThere remains suboptimal alignment of surveillance and programmatic data, as well as routinely collected medical records to facilitate the reporting of the 90-90-90 indicators for HIV among key populations. Studies (n=3) with estimates of all three 90-90-90 indicators rely on cross-sectional survey data. Programmatic data and medical record data continue to be insufficiently robust to provide estimates of the 90-90-90 targets for key populations.ConclusionsCurrent reliance on more active data collection processes, including key population-specific surveys, remains warranted until the quality and validity of passively collected routine program and medical record data for key populations is optimized.

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“…Surveillance of the HIV pandemic started in the middle of 1980s with information about key populations. Continuous surveillance of specific target group over the years allows the understanding of the trend of HIV epidemic within the stipulated regions as well as population sub-groups [7]. Although, early clinical case reports of patients with AIDS focused on clinical manifestations and immunological findings, which also noted the presence or absence of behavioral risk, including homosexuality, injecting drug use, and prostitution populations [8], was characterised by insufficient data which has been a challenge for monitoring the epidemic response among key populations [9].…”

Section: Introductionmentioning

confidence: 99%

Sero-Prevalence of Human Immunodeficiency Virus (HIV-1) among High Risk Groups in Abuja, Nigeria

Mohammed¹,

Ya’aba²,

Abarike³

et al. 2019

OJEpi

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Measurement of HIV prevalence among the general population as well as among specific subgroups who are at high risk of infection is crucial for planning and for providing health care for those who are infected. This study was aimed to determine the prevalence of HIV-1 infection among high risk groups in Abuja. The testing for the presence of HIV antibodies was carried out using Determine® HIV-1/2 Test Cards (Inverness Medical, Japan), Unigold™ kit (Trinity Biotech, Ireland) and Stat Pak® HIV-1/2 (Chembio Diagnostic Systems, Inc. USA). A total of 1587 high risk persons were screened for HIV-1, 739 (46.6%) were males while 848 (53.4%) were females. 261 (16.4%) tested HIV-1 positive, out of which 74 (5.3%) were males and 190 (11.1%) were females. This study indicates that the incidence of HIV-1 is higher among the females. Prevalence is higher within the age range of 26-30 years (5.17%) and highest prevalence was observed within the age range of 31-35 years in males (1.32%) and of 26-30 years in females (3.91%). Commercial sex workers had the highest prevalence of HIV-1 (7.01%), while Commercial Motorcyclists had the least (2.02%) (p ≤ 0.05). This study has shown that there are local sub-epidemics of HIV infection in Abuja.

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Global Trends of Monitoring and Data Collection on the HIV Response among Key Populations Since the 2001 UN Declaration of Commitment on HIV/AIDS

Cited by 10 publications

References 9 publications

Global AIDS Reporting-2001 to 2015: Lessons for Monitoring the Sustainable Development Goals

Global AIDS Reporting-2001 to 2015: Lessons for Monitoring the Sustainable Development Goals

Opportunities for Enhanced Strategic Use of Surveys, Medical Records, and Program Data for HIV Surveillance of Key Populations: Scoping Review

Sero-Prevalence of Human Immunodeficiency Virus (HIV-1) among High Risk Groups in Abuja, Nigeria

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