The HIV care continuum among resident and non-resident populations found in venues in East Africa cross-border areas

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dc.contributor.authorEdwards, Jessie K.
dc.contributor.authorArimi, Peter
dc.contributor.authorSsengooba, Freddie
dc.contributor.authorMulholland, Grace
dc.contributor.authorMarkiewicz, Milissa
dc.contributor.authorBukusi, Elizabeth A.
dc.contributor.authorOrikiiriza, Judy T.
dc.contributor.authorVirkud, Arti
dc.contributor.authorWeir, Sharon
dc.date.accessioned2022-03-11T14:46:42Z
dc.date.available2022-03-11T14:46:42Z
dc.date.issued2019
dc.description.abstractHIV care and treatment in cross-border areas in East Africa face challenges perhaps not seen to the same extent in other geographic areas, particularly for mobile and migrant populations. Here, we estimate the proportion of people with HIV found in these cross-border areas in each stage of the HIV care and treatment cascade, including the proportion who knows their status, the proportion on treatment and the proportion virally suppressed. Methods: Participants (n = 11,410) working or socializing in public places in selected East Africa cross border areas were recruited between June 2016 and February 2017 using the Priorities for Local AIDS Control Efforts method and administered a behavioural survey and rapid HIV test. This approach was designed to recruit a stratified random sample of people found in public spaces or venues in each cross border area. For participants testing positive for HIV, viral load was measured from dried blood spots. The proportion in each step of the cascade was estimated using inverse probability weights to account for the sampling design and informative HIV test refusals. Estimates are reported separately for residents of the cross border areas and non-residents found in those areas. Results: Overall, 43% of participants with HIV found in cross-border areas knew their status, 87% of those participants were on antiretroviral therapy (ART), and 80% of participants on ART were virally suppressed. About 20% of people with HIV found in cross border areas were sampled outside their subdistrict or subcounty of residence. While both resident and non-resident individuals who knew their status were likely to be on ART (85% and 96% respectively), people on ART recruited outside their area of residence were less likely to be suppressed (64% suppressed; 95% CI: 43, 81) compared to residents (84% suppressed; 95% CI: 75, 93).en_US
dc.identifier.citationEdwards, J. K., Arimi, P., Ssengooba, F., Mulholland, G., Markiewicz, M., Bukusi, E. A., ... & Weir, S. (2019). The HIV care continuum among resident and non‐resident populations found in venues in East Africa cross‐border areas. Journal of the International AIDS Society, 22(1), e25226.en_US
dc.identifier.urihttps://onlinelibrary.wiley.com/doi/abs/10.1002/jia2.25226
dc.identifier.urihttps://nru.uncst.go.ug/xmlui/handle/123456789/2765
dc.language.isoenen_US
dc.publisherJournal of the International AIDS Societyen_US
dc.subjectViral Loaden_US
dc.subjectborder crossingen_US
dc.subjecttransients and migrantsen_US
dc.subjectsex workersen_US
dc.subjectEast Africaen_US
dc.subjectHIV Care Continuumen_US
dc.subjectviral suppressionen_US
dc.subjectlinkage to careen_US
dc.titleThe HIV care continuum among resident and non-resident populations found in venues in East Africa cross-border areasen_US
dc.typeArticleen_US
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