Key populations and Sub-Saharan Africa's HIV response

Moyo, Enos; Moyo, Perseverance; Murewanhema, Grant; Mhango, Malizgani; Chitungo, Itai; Dzinamarira, Tafadzwa

doi:10.3389/fpubh.2023.1079990

Cited by 20 publications

(14 citation statements)

References 18 publications

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“…Also, it is reported that more than two-thirds of PLWH were from Eastern and southern Africa [ 1 ]. This region was responsible for 670,000 of the 1.5 million new infections and 280,000 of the 650,000 AIDS-related deaths reported globally in 2021 [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

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Trends and factors associated with recent HIV testing among women in Haiti: a cross-sectional study using data from nationally representative surveys

Joseph,

Jean Simon,

Kondo Tokpovi

et al. 2024

BMC Infect Dis

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Introduction In the Latin America and Caribbean region, Haiti is one of the countries with the highest rates of HIV. Therefore, this study examined the factors associated with HIV testing among women in Haiti and trends in HIV testing in 2006, 2012, and 2016/17. Methods Data from the last three Haitian Demographic and Health Surveys (2006, 2012, and 2016/17) were used. The analysis was restricted to women aged of 15–49 years who made their sexual debut. STATA/SE 16.0 was employed to analyze the data by computing descriptive statistics, Chi‑square, and multilevel regression model to describe the trends and identify factors associated with HIV testing in Haiti. P-value less than 0.05 was taken as a significant association. Results HIV testing prevalence increased more than twofold from 2006 (8.8%) to 2017 (21.3%); however, it decreased by 11.6% between 2012 and 2016/17. Additionally, the results indicated that age, place of residence, region, education level, wealth index, mass media exposure, marital status, health insurance, age at first sex and number of sexual partners were significantly associated with HIV testing. Conclusions To significantly increase HIV testing prevalence among women, the Haitian government must invest much more in their health education while targeting vulnerable groups (youth, women in union, and women with low economic status).

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Section: Introductionmentioning

confidence: 99%

“…Over 150,000 people live with HIV, representing a prevalence of 1.8% [ 4 ]. Among PLWH, a third do not know their serostatus, and 58% are not receiving antiretroviral treatment [ 2 ]. Moreover, it should be noted that HIV infection is disproportionally distributed by gender in Haiti.…”

Section: Introductionmentioning

confidence: 99%

Trends and factors associated with recent HIV testing among women in Haiti: a cross-sectional study using data from nationally representative surveys

Joseph,

Jean Simon,

Kondo Tokpovi

et al. 2024

BMC Infect Dis

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“…Globally, 70% of new Human Immunodeficiency Virus (HIV) infections reported in 2021 were among Key Populations (KPs) and their partners [1]. The World Health Organization (WHO) defines KPs as populations who are at higher risk for HIV irrespective of the epidemic type or local context and who face social and legal challenges that increase their vulnerability.…”

Section: Introductionmentioning

confidence: 99%

The status quo on existing routine health information management systems that have incorporated key population unique identifier codes in Sub-Saharan Africa: Protocol for systematic review

Rampilo,

Phalane,

Phaswana-Mafuya

2024

Preprint

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Introduction: Despite having the world's largest HIV epidemic, Sub-Saharan Africa (SSA) including South Africa (SA) has not yet achieved the 95-95-95 targets. To meet these targets, accurate and reliable key populations (KPs) disaggregated data is critical for guiding the HIV response. The inclusion of KPs Unique Identifier Code (UIC) on country routine health information management systems (RHIMS) can improve targeted resource allocation, reporting, and accountability. There is a gap in comprehensive review on how countries that implemented the unique identifier code went about in doing so. Methods and analysis A three-step search strategy will be utilized to get both published and unpublished documents. First, an initial search of MEDLINE identified keywords and MeSH terms. Second, a systematic search of electronic bibliographic databases including MEDLINE, PubMed, Scopus, PLOS ONE and Google Scholar, and thirdly, searching the reference list of all included reviews (hand-searching journals and reference tracking). Studies that meet the following PICO (Population, Intervention, Comparison, Outcome) criteria will be included: P: Published and unpublished materials reporting on key populations, namely men who have sex with men (MSM), sex workers (SW), people who inject/use drugs (PWI/UD), and transgender (TG); I: biometric fingerprint, alphanumeric code and any KPs UIC system; C: no unique identifier system; and O: KPs-specific 95-95-95 HIV cascade, KPs knowing HIV status, KPs on ART, ART adherence and Viral load suppression. This protocol was prepared using the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA-P). References will be managed through ENDNOTE version 21 software. Two authors will screen the studies using Covidence software version 2.0 for inclusion according to the prescribed eligibility criteria. Differences will be addressed by consensus and with the assistance of an experienced third reviewer. Ethics and dissemination: This review will summarize findings from published studies containing non-identifiable data. The results will be disseminated via preprints, open-access peer-reviewed journals, and conference presentations. PROSPERO registration number: CRD42023440656

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“…Acquired immune deficiency syndrome (AIDS), is a disease caused by a retrovirus, the human immunodeficiency virus (HIV), which attacks and impairs the body's natural defense system against disease and infections ( 12 ). About two-thirds of the 38.4 million people living with HIV (PLWH), 45% of the 1.5 million new cases, and 43% of the 650,000 AIDS-related mortality recorded worldwide in 2021 were from SSA ( 13 ). When HIV/AIDS and malnutrition coexist in the same individual, they can be fatal combos that feed off one another.…”

Section: Introductionmentioning

confidence: 99%

Nearly half of HIV-positive children attending public health facilities are suffering from chronic under-nutrition in conflict-affected zones of Southern Ethiopia

Abraham,

Kawuki,

Aragie

et al. 2024

Front. Nutr.

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BackgroundIn combination with HIV infection, malnutrition is a complicated medical condition with high morbidity and mortality rates in affected children due to a variety of socioeconomic and medical etiological variables. To combat this, information from a range of contexts is required, but there is little evidence, particularly about the nutritional status of under 15 living with HIV in impoverished communities such as conflict affected areas. Therefore, in this study the magnitude and related factors of stunting among under 15 children antiretroviral therapy at public health facilities was assessed.MethodsAn institution-based cross-sectional study was conducted among under 15 children living with HIV in conflict-affected zones of Southern Ethiopia. After providing written informed consent to study participants, data were collected using an interviewer-administered questionnaire and anthropometric measurements. Bivariable and multivariable logistic regression models were used to identify factors associated with nutritional status, using SPSS Version 25.ResultsOf the 401 participants, 197 (49.1%, 95% CI: 0.44, 0.54) had height-for-age z-score ≤ -2. In the multivariable analysis, larger household size (AOR = 1.58, 95% CI: 1.04–2.40), dietary diversity (AOR = 1.78; 95% CI: 1.07–2.96) and having a history of recurrent diarrhea (AOR = 1.96; 95% CI: 1.07–3.59) were significantly associated with chronic under nutrition.ConclusionsThe prevalence found in this study was high when compared with the stunting target set in SDG, which states to end all forms of malnutrition In order to mitigate the negative health effects of diarrhea during HIV therapy, extra attention needs to be paid to facilitate timely detection and on-going monitoring. Nutrition programs in conflict-affected areas need to consider households with larger family sizes and/or routinely having fewer food groups.

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Key populations and Sub-Saharan Africa's HIV response

Cited by 20 publications

References 18 publications

Trends and factors associated with recent HIV testing among women in Haiti: a cross-sectional study using data from nationally representative surveys

Trends and factors associated with recent HIV testing among women in Haiti: a cross-sectional study using data from nationally representative surveys

The status quo on existing routine health information management systems that have incorporated key population unique identifier codes in Sub-Saharan Africa: Protocol for systematic review

Nearly half of HIV-positive children attending public health facilities are suffering from chronic under-nutrition in conflict-affected zones of Southern Ethiopia

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