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District-level strategies to control the HIV epidemic in Zimbabwe: a practical example of precision public health
Richard Makurumidze
Institute of Tropical Medicine Antwerp
Corresponding Author
ORCiD: https://orcid.org/0000-0001-6490-1818
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published version at BMC Research Notes.
Objective We conducted a descriptive cross-sectional study using survey and programme data to assess district-level performance along the HIV care cascade (HIV testing target achievement, linkage to ART and ART coverage) in order to formulate district-specific recommendations, taking into consideration prevalence and yield of testing.
Results Data from 60 districts were analysed. Forty-eight districts (80.0%) surpassed 90% of their 2018 HIV testing targets. Linkage to ART was less than 90% in 40 districts (83.3%). Thirty districts (50.0%) had ART coverage above 90%. Of the 30 districts with suboptimal (<90%) ART coverage, 18 districts had achieved high HIV testing target but with suboptimal linkage to ART, 6 had achieved high HIV testing targets and high linkage to ART, 4 had both suboptimal HIV testing target achievement and linkage to ART and 2 had suboptimal HIV testing target achievement and high linkage to ART. Priority should be given to districts with suboptimal ART coverage. Remediation strategies should be tailored to address the poorly performing stage of the cascade in each of the districts.
Keywords
HIV testing, linkage to care, ART coverage, 90-90-90 targets, implementation, precision public health, Zimbabwe
Figure 1
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- Additionalfile1.png
Additional file 1: Yield per district among HIV tests performed in 2018 in Zimbabwe (PNG)
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CURRENT STATUS: Published
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Posted 17 Aug, 2020
Published
On 26 Aug, 2020
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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
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On 30 Jul, 2020
Editor invited
On 30 Jul, 2020
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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
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
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On 31 Jan, 2020
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On 31 Jan, 2020
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This preprint is under consideration at BMC Research Notes. A preprint is 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
District-level strategies to control the HIV epidemic in Zimbabwe: a practical example of precision public health
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
Version 4
Posted 17 Aug, 2020
Published
On 26 Aug, 2020
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
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: ...
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published version at BMC Research Notes.
Objective We conducted a descriptive cross-sectional study using survey and programme data to assess district-level performance along the HIV care cascade (HIV testing target achievement, linkage to ART and ART coverage) in order to formulate district-specific recommendations, taking into consideration prevalence and yield of testing.
Results Data from 60 districts were analysed. Forty-eight districts (80.0%) surpassed 90% of their 2018 HIV testing targets. Linkage to ART was less than 90% in 40 districts (83.3%). Thirty districts (50.0%) had ART coverage above 90%. Of the 30 districts with suboptimal (<90%) ART coverage, 18 districts had achieved high HIV testing target but with suboptimal linkage to ART, 6 had achieved high HIV testing targets and high linkage to ART, 4 had both suboptimal HIV testing target achievement and linkage to ART and 2 had suboptimal HIV testing target achievement and high linkage to ART. Priority should be given to districts with suboptimal ART coverage. Remediation strategies should be tailored to address the poorly performing stage of the cascade in each of the districts.
Figure 1