Explore the latest advancements in the fight against HIV in Johannesburg, as we delve into the progress of the ambitious 90-90-90 and 95-95-95 strategies and their impact on HIV positivity trends.
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Progress towards 90-90-90 and 95-95-95 strategy implementations and HIV positivity trends in the City of Johannesburg.
Nyasulu et al., S Afr Med J 2023
<!– DOI: 10.7196/SAMJ.2024.v114i1.862 //–>
https://doi.org/10.7196/SAMJ.2024.v114i1.862
The study evaluates the progress of the City of Johannesburg (CoJ), South Africa, in achieving the 90-90-90 and 95-95-95 HIV strategy targets, which aim for 95% of people living with HIV to know their status, 95% of those diagnosed to be on antiretroviral therapy (ART), and 95% of those on ART to achieve viral suppression. Utilizing data from the District Health Information System, the study tracks HIV service access and positivity rates since the strategy’s implementation. By March 2022, CoJ reported achieving 91-65-88 targets, indicating progress in HIV testing and ART initiation but revealing gaps in linking diagnosed individuals to care. Significant trends include increases in HIV status awareness and ART initiation, alongside decreases in overall HIV positivity rates, including among adolescents and in antenatal care. These findings underscore the importance of innovative approaches to address care linkage gaps and continue progress towards HIV elimination.
Key Highlights:
– CoJ’s progress towards 91-65-88 targets 15 months post-implementation.
– Significant increases in HIV status awareness and ART initiation.
– Decreases in overall and specific group HIV positivity rates.
– The need for innovative strategies to improve care linkage.