Achieving sustainable development goals for HIV/AIDS in the Republic of the Congo — Progress, obstacles and challenges in HIV/AIDS health services

Linguissi, Laure Stella Ghoma; Lucaccioni, V.; Bates, Matthew; Zumla, Alimuddin; Ntoumi, Francine

doi:10.1016/j.ijid.2018.10.009

Cited by 6 publications

(7 citation statements)

References 15 publications

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“…Human immunodeficiency virus infection and acquired immune deficiency syndrome (HIV/AIDS) continue to be a major global public health issue. 1 By the end of 2018, an estimated 37.9 million individuals worldwide were living with HIV/ AIDS. 2,3 However, not all population sub-categories face the same risk of acquiring HIV/AIDS.…”

Section: Introductionmentioning

confidence: 99%

A Review of Pre-Exposure Prophylaxis Adherence among Female Sex Workers

et al. 2020

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Globally and in Africa specifically, female sex workers (FSWs) are at an extraordinarily high risk of contracting human immunodeficiency virus (HIV). Pre-exposure prophylaxis (PrEP) has emerged as an effective and ethical method with which to prevent HIV infection among FSWs. PrEP efficacy is, however, closely linked to adherence, and adherence to PrEP among FSWs is a complex and interrelated process that has been shown to be of importance to public health policies and HIV control and intervention programs. This comprehensive review categorizes barriers to and facilitators of adherence to HIV PrEP for FSWs, and describes five strategies for promoting PrEP adherence among FSWs. These strategies encompass 1) a long-term educational effort to decrease the stigma associated with sex work and PrEP use, 2) education on how PrEP works, 3) lifestyle modification, 4) research on nextgeneration PrEP products to address the inconvenience of taking daily pills, and 5) integration of PrEP into existing services, such as social services and routine primary care visits, to reduce the economic burden of seeking the medication. Our review is expected to be useful for the design of future PrEP intervention programs. Multidisciplinary intervention should be considered to promote PrEP adherence among FSWs in order to help control the HIV epidemic.

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Section: Introductionmentioning

confidence: 99%

A Review of Pre-Exposure Prophylaxis Adherence among Female Sex Workers

et al. 2020

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“…For example, Cameroon has a 3.8% HIV prevalence in the general population compared to 28.6% among MSM in Douala and 47.3% in Yaoundé. The 2012 HIV-related behavioral survey in four locations across the Republic of Congo (Brazzaville) (Cuvette-Ouest, Plateaux, Pool, and Lékoumou), found a HIV prevalence of 3.2% in the general population aged 15-49 years and 26.1% among MSM (Linguissi et al, 2018). Considering that Western and Central Africa is the most populous region of sub-Saharan Africa, with an estimated population of 356 million living in 24 countries, the high prevalence of HIV among MSM is a matter of concern.…”

Section: Discussionmentioning

confidence: 99%

HIV Prevalence and Related Risk Behaviors among Men Who Have Sex with Men in Kinshasa, the Democratic Republic of the Congo

Inungu

Ndeke

Jahanfar

et al. 2019

EUROPEAN J ENV PUBLI

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The purpose of this study was to determine the prevalence of HIV and syphilis and examine the HIV-related behaviors among men who have sex with other men (MSM) in Kinshasa, Congo. A modified snowball sampling was used to recruit the participants. The results showed that among the 401 men studied, 23.7% and 11.2% were infected with HIV and syphilis, respectively. HIV risk behaviors were rampant in this population. In the last 6 months preceding the survey, 83.3% of MSM reported receptive anal sex (RAS) with an average of 7 sexual partners. As high as 37.7% of MSM did not use condoms during the last RAS. About 65.9% (n = 249) reported drinking alcohol before sex. Logistic regression model indicated that being diagnosed with syphilis and not using lubricant were associated with positive HIV test. High-risk behaviors coupled with high prevalence of HIV among MSM underscore the need for the National HIV Control program to design new interventions to prevent HIV transmission from the MSM community into the general population.

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“…The variables in our study included: socio-demographic data: sex (Male, Female); the patient's age (in years), level of education (None, Primary, Secondary, University) and marital status (Single, Divorced, Married, Free union, Widowed). Clinical data: WHO clinical stage: stage I; II; III and IV [16]. Virological and immunological data: plasma viral load (in copies / ml) and CD4 T lymphocyte count (/ mm 3).…”

Section: Presentation Of Study Variablesmentioning

confidence: 99%

Long-term survival analysis of HIV patients on antiretroviral therapy in Congo: a 14 years retrospective cohort analysis, 2003-2017

Ndziessi

Niama

Nkodia

et al. 2022

Preprint

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Background The long-term survival of patients on antiretroviral treatment in Congo remains less documented. Our study aimed to analyze the long-term survival of adults living with HIV on ART (Antiretroviral Therapy). Methods We conducted a historical cohort study on 2,309 adult PLHIV (People Living with HIV) followed between January 1, 2003 and December 31, 2017 whose viral load and date of initiation of ART were known. The Kaplan Meier method was used to estimate the probability of survival and the Cox regression model to identify factors associated with death. Results The median age was 49 years; the female sex was predominant with 68.56%. The probability of survival at 14 years was 83%, (95% CI (Confidence Interval) [78-87]). On the other hand, when the lost to follow-up died, it was 66% (95% CI [62-70]) in the worst scenario. Stratified cox regression analysis showed that: being male, AHR (Adjusted Hazard Ratio) = 1.65 (95% CI [1.26-2.17]) was significantly associated with death, p-value <0.0001. Furthermore, having a viral load> 1000 copies / ml, AHR = 2.56 (95% CI [1.93-3.40]), be in the advanced WHO clinical stage, in particular: stage II, AHR = 4.07 (95% CI [2.36-7.01]); stage III, AHR = 13.49 (95% CI [8.99-20.27]) and stage IV, AHR = 34.45 (95% CI [23.74-50]) were also significantly associated with death; p-value <0.0001. Conclusion The long-term survival of PLHIV is worrying despite the offer of ARVs.

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Achieving sustainable development goals for HIV/AIDS in the Republic of the Congo — Progress, obstacles and challenges in HIV/AIDS health services

Cited by 6 publications

References 15 publications

A Review of Pre-Exposure Prophylaxis Adherence among Female Sex Workers

A Review of Pre-Exposure Prophylaxis Adherence among Female Sex Workers

HIV Prevalence and Related Risk Behaviors among Men Who Have Sex with Men in Kinshasa, the Democratic Republic of the Congo

Long-term survival analysis of HIV patients on antiretroviral therapy in Congo: a 14 years retrospective cohort analysis, 2003-2017

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