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Richard Makurumidze
Institute of Tropical Medicine Antwerp
Corresponding Author
ORCiD: https://orcid.org/0000-0001-6490-1818
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Objective Despite the improvement towards the 90-90-90 targets, more than 25% of people living with HIV in Zimbabwe still do not know their HIV status. We used data from a recently published survey to recommend district-level HIV testing strategies based on HIV prevalence and antiretroviral therapy coverage to implementers and policy makers.
Results Of the 62 districts in Zimbabwe 38% were in the low HIV prevalence /low antiretroviral therapy coverage, 34% in low HIV prevalence /high antiretroviral therapy coverage, 15% in high HIV prevalence/high antiretroviral therapy coverage and 13% in high HIV prevalence/low antiretroviral therapy coverage categories. Districts with low HIV prevalence and low antiretroviral therapy coverage should employ targeted HIV testing approaches (index case testing, targeting sexual partners and HIV exposed infants; intensified provider initiated testing; key populations and hot spots). Those with high HIV prevalence and low antiretroviral therapy coverage should focus on expanding access to HIV testing to the community. Districts with already high antiretroviral therapy coverage should move to targeted HIV testing so that the few yet to be tested are reached. Further exploration to assess other contextual factors in the cascade of care beyond HIV testing is warranted to achieve the 90-90-90 strategies.
Keywords
HIV testing, 90-90-90 targets, implementation, differentiated care, Zimbabwe
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CURRENT STATUS: Published
View the published article at BMC Research Notes.
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On 14 Aug, 2020
Editorial decision: Accept
On 13 Aug, 2020
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Editorial decision: Minor revision
On 06 Aug, 2020
Editor assigned
On 31 Jul, 2020
Submission checks complete
On 30 Jul, 2020
Editor invited
On 30 Jul, 2020
No comments provided
Editorial decision: Minor revision
On 22 Jul, 2020
Review #1 received
Received 21 Jul, 2020
Reviewers invited
Invitations sent on 10 Jul, 2020
Reviewer #1 agreed
On 10 Jul, 2020
Editor assigned
On 28 Mar, 2020
Submission checks complete
On 27 Mar, 2020
Editor invited
On 27 Mar, 2020
Version 1
Posted 05 Feb, 2020
No comments provided
Editorial decision: Major revision
On 26 Feb, 2020
Review #1 received
Received 12 Feb, 2020
Reviewers invited
Invitations sent on 03 Feb, 2020
Reviewer #1 agreed
On 03 Feb, 2020
Editor assigned
On 01 Feb, 2020
First submitted
On 31 Jan, 2020
Submission checks complete
On 31 Jan, 2020
Editor invited
On 31 Jan, 2020
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Subject Areas
Infectious Diseases
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See the published version of this preprint at BMC Research Notes.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research note
Richard Makurumidze
Institute of Tropical Medicine Antwerp
Corresponding Author
ORCiD: https://orcid.org/0000-0001-6490-1818
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
View the published article at BMC Research Notes.
No community comments so far
Submission checks complete
On 14 Aug, 2020
Editorial decision: Accept
On 13 Aug, 2020
No comments provided
Editorial decision: Minor revision
On 06 Aug, 2020
Editor assigned
On 31 Jul, 2020
Submission checks complete
On 30 Jul, 2020
Editor invited
On 30 Jul, 2020
No comments provided
Editorial decision: Minor revision
On 22 Jul, 2020
Review #1 received
Received 21 Jul, 2020
Reviewers invited
Invitations sent on 10 Jul, 2020
Reviewer #1 agreed
On 10 Jul, 2020
Editor assigned
On 28 Mar, 2020
Submission checks complete
On 27 Mar, 2020
Editor invited
On 27 Mar, 2020
Version 1
Posted 05 Feb, 2020
No comments provided
Editorial decision: Major revision
On 26 Feb, 2020
Review #1 received
Received 12 Feb, 2020
Reviewers invited
Invitations sent on 03 Feb, 2020
Reviewer #1 agreed
On 03 Feb, 2020
Editor assigned
On 01 Feb, 2020
First submitted
On 31 Jan, 2020
Submission checks complete
On 31 Jan, 2020
Editor invited
On 31 Jan, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Infectious Diseases
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published article at BMC Research Notes.
Objective Despite the improvement towards the 90-90-90 targets, more than 25% of people living with HIV in Zimbabwe still do not know their HIV status. We used data from a recently published survey to recommend district-level HIV testing strategies based on HIV prevalence and antiretroviral therapy coverage to implementers and policy makers.
Results Of the 62 districts in Zimbabwe 38% were in the low HIV prevalence /low antiretroviral therapy coverage, 34% in low HIV prevalence /high antiretroviral therapy coverage, 15% in high HIV prevalence/high antiretroviral therapy coverage and 13% in high HIV prevalence/low antiretroviral therapy coverage categories. Districts with low HIV prevalence and low antiretroviral therapy coverage should employ targeted HIV testing approaches (index case testing, targeting sexual partners and HIV exposed infants; intensified provider initiated testing; key populations and hot spots). Those with high HIV prevalence and low antiretroviral therapy coverage should focus on expanding access to HIV testing to the community. Districts with already high antiretroviral therapy coverage should move to targeted HIV testing so that the few yet to be tested are reached. Further exploration to assess other contextual factors in the cascade of care beyond HIV testing is warranted to achieve the 90-90-90 strategies.
Figure 1
This is a list of supplementary files associated with this preprint. Click to download.
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