PREVAIL VIII: A CoHOrt Clinical, Viral, and ImmuNOlogic Monitoring Study of People Living with Retroviral Infection in Liberia (HONOR)

Moses, Joloba; Wachekwa, Ian; Migueles, Stephen A.

doi:10.13028/scq9-dr48

Cited by 1 publication

(3 citation statements)

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“…In the strategy, a 95-95-95 target was set, whereby, 95% of PLWH should know of their status, of these, 95% should be on antiretroviral therapy (ART), and 95% of people on treatment should have a fully suppressed viral load by 2030 [ 14 ]. Despite the adoption of this strategy since then [ 8 ], these targets have not been achieved in Liberia [ 8 15 ]. At the end of 2019, while the global HIV testing and care continuum stood at 81-67-59 [ 1 ], in the UNAIDS spectrum estimate for Liberia the first 95 was 57, the second 95 was 55 and for the third 95, there was no estimate [ 16 ].…”

Section: Progress Towards Unaids 95-95-95 – Resources and Gapsmentioning

confidence: 99%

“…In 2020 following a needs assessment at one of the large volume ART site – John F Kennedy Medical Center (JFKMC) in Monrovia, a memorandum of understanding (MoU) was developed between the NACP, Partnership for Research on Vaccines and Infectious Diseases in Liberia (PREVAIL) and JFKMC to create access to GeneXpert platforms and other research infrastructure [ 15 ]. This system has added additional capacity for 120 VL tests per week significantly ramping up existing VL testing capacity.…”

Section: Progress Towards Unaids 95-95-95 – Resources and Gapsmentioning

confidence: 99%

“…Beyond routine reporting of HIV data to the health information management systems, effort should be made to enhance and capture good quality data from routine programmatic activities for quality improvement and research [ 15 ]. A good example is the leadership and management structure and quality management committee set up at the JFKMC by the RRHS programme faculty.…”

Section: Opportunities and Recommendations For Optimizing Hiv-related Services In Liberiamentioning

confidence: 99%

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Gaps and Opportunities in HIV Service Delivery in High Volume HIV Care Centers in Liberia: Lessons From the Field

Adeiza¹,

Wachekwa²,

Nuta³

et al. 2021

Annals of Global Health

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Background: Human Immunodeficiency Virus (HIV) infection continues to have a profound humanitarian and public health impact in western and central Africa, a region that risks being left behind in the global response to ending the AIDS epidemic. In Liberia, where the health system is being rebuilt following protracted civil wars and an Ebola virus disease outbreak, the Resilient and Responsive Health System (RRHS) is assisting with quality HIV services delivery through support from PEPFAR and HRSA but gaps remain across the cascade of care from diagnosis to viral load suppression. Objective: To highlight gaps in HIV service delivery in Liberia, identify opportunities and offer recommendations for improving the quality of service delivery. Methods: A narrative review of relevant literature was conducted following a search of all local and online databases known to the authors. Findings: Antiretroviral therapy (ART) has transformed the HIV response in Liberia by averting deaths, improving quality of life, and preventing new HIV infections but critical gaps remain. These include weak HIV prevention and testing strategies; suboptimal ART initiation and retention in care; low viral load testing volumes, commodity supply chain disruptions and a HIV workforce built on non-physician healthcare workers. In the context of the prevailing socioeconomic, heath system and programmatic challenges, these will impact achievement of the UNAIDS targets of 95-95-95 by 2030 and ending the epidemic. Conclusion: Combination prevention approaches are necessary to reach the most at risk populations, while a robust health workforce operating through facilities and communities will be needed to reach people with undiagnosed HIV earlier to provide efficient and effective services to ensure that people know their HIV status, receive and sustain ART to achieve viral suppression to maintain a long and healthy life within the framework of overall health system strengthening, achieving universal health coverage and the sustainable development goal.

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Section: Progress Towards Unaids 95-95-95 – Resources and Gapsmentioning

confidence: 99%

Section: Progress Towards Unaids 95-95-95 – Resources and Gapsmentioning

confidence: 99%

Section: Opportunities and Recommendations For Optimizing Hiv-related Services In Liberiamentioning

confidence: 99%

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