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Progress towards the 2020 targets for HIV diagnosis and antiretroviral treatment in South Africa.

Abstract：

Background:The UNAIDS targets for 2020 are to achieve a 90% rate of diagnosis in HIV-positive individuals, to provide antiretroviral treatment (ART) to 90% of HIV-diagnosed individuals and to achieve virological suppression in 90% of ART patients. Objectives:To assess South Africa's progress towards the 2020 targets and variations in performance by province. Methods:A mathematical model was fitted to HIV data for each of South Africa's provinces, and for the country as a whole. Numbers of HIV tests performed in each province were estimated from routine data over the 2002-2015 period, and numbers of patients receiving ART in each province were estimated by fitting models to reported public and private ART enrolment statistics. Results:By the middle of 2015, 85.5% (95% CI: 84.5% - 86.5%) of HIV-positive South African adults had been diagnosed, with little variation between provinces. However, only 56.9% (95% CI: 55.3% - 58.7%) of HIV-diagnosed adults were on ART, with this proportion varying between 50.8% in North West and 72.7% in Northern Cape. In addition, 78.4% of adults on ART were virally suppressed, with rates ranging from 69.7% in Limpopo to 85.9% in Western Cape. Overall, 3.39 million (95% CI: 3.26-3.52 million) South Africans were on ART by mid-2015, equivalent to 48.6% (95% CI: 46.0% - 51.2%) of the HIV-positive population. ART coverage varied between 43.0% in Gauteng and 63.0% in Northern Cape. Conclusion:Although South Africa is well on its way to reaching the 90% HIV diagnosis target, most provinces face challenges in reaching the remaining two 90% targets.

journal_name

South Afr J HIV Med

journal_title

Southern African journal of HIV medicine

authors

Johnson LF,Dorrington RE,Moolla H

doi

10.4102/sajhivmed.v18i1.694

subject

Has Abstract

pub_date

2017-07-27 00:00:00

pages

694

issue

1

eissn

1608-9693

issn

2078-6751

pii

HIVMED-18-694

journal_volume

18

pub_type

杂志文章

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