Strengthening HIV surveillance: measurements to track the epidemic in real time

Buthelezi, Usangiphile Evile.; Davidson, Candace L.; Kharsany, Ayesha B. M.

doi:10.2989/16085906.2016.1196223

Cited by 11 publications

(12 citation statements)

References 62 publications

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“…Secondary distribution of the self-test kits by FSW to family members, friends and clients was also shown to be feasible and acceptable, with three quarters of women sharing a test kit with another individual. Our results suggest that HIV-self-testing by FSW (and dissemination of HIV self-test kits by FSW to others) is acceptable and feasible, and is a viable component of programs in sub-Saharan Africa that are scaling up HIV self-testing [ 18 , 24 , 45 , 46 ].…”

Section: Discussionmentioning

confidence: 99%

Feasibility of oral HIV self-testing in female sex workers in Gaborone, Botswana

et al. 2021

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Background Oral HIV self-testing (HIVST) may be useful for increasing testing in persons at elevated risk of acquiring HIV. Methods We conducted a pilot study to evaluate the feasibility (defined by uptake) of HIVST among FSW in Gaborone, Botswana. FSW age 18 years and above were recruited through a non-governmental organization serving FSW. FSW with unknown or negative HIV status at screening performed HIVST in the study clinic following brief training. FSW testing HIV-negative were each given two test kits to take home: one kit to perform unassisted HIVST and another to share with others. Feasibility (use) of HIVST (and sharing of test kits with others) was assessed in these women at a study visit four months later. Results Two hundred FSW were screened. Their average age was 34 years (range 18–59), and 115 (58%) were HIV-positive. Eighty-five (42%) tested HIV-negative at entry and were eligible to take part in the HIVST pilot study. All 85 (100%) agreed to take home HIVST kits. Sixty-nine (81%) of these 85 participants had a follow-up visit, 56 (81%) of whom reported performing HIVST at a mean of three and half months after the initial visit. All 56 participants who performed HIVST reported negative HIVST results. Fifty (73%) of the 69 participants who took HIVST kits home shared them with others. Of the 50 women sharing HIVST kits, 25 (50%) shared with their non-client partners, 15 with a family member, 8 with friends, and 3 with a client. One participant did not test herself but shared both her test kits. Most participants 53/56 (95%) found oral HIVST very easy to use whilst 3/56 (5%) felt it was fairly easy. Conclusion Oral HIVST is feasible among FSW in Gaborone, Botswana. The majority of FSW used the HIVST kits themselves and also shared extra HIVST kits with other individuals.

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Section: Discussionmentioning

confidence: 99%

Feasibility of oral HIV self-testing in female sex workers in Gaborone, Botswana

et al. 2021

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“…First, there are a number of methods to measuring HIV incidence ( e.g. , cohort estimation, mathematical modelling, inference incidence from antenatal clinic data, laboratory tests, a combination of HIV testing algorithms), each with benefits and limitations [ 8 ]. More recently, these methods have been complemented by phylogenetic and geospatial epidemiology [ 8 , 9 ].…”

Section: Epidemiological Patterns Of Hiv In the Esarmentioning

confidence: 99%

“…, cohort estimation, mathematical modelling, inference incidence from antenatal clinic data, laboratory tests, a combination of HIV testing algorithms), each with benefits and limitations [ 8 ]. More recently, these methods have been complemented by phylogenetic and geospatial epidemiology [ 8 , 9 ]. Given that some of these methods employ newer technologies, more expertise and resources are required for implementation especially in low resourced settings.…”

Section: Epidemiological Patterns Of Hiv In the Esarmentioning

confidence: 99%

“…Given that some of these methods employ newer technologies, more expertise and resources are required for implementation especially in low resourced settings. In addition, most national surveillance systems are not fully equipped to implement location-based approaches at sub-national or at health facility levels [ 8 ], which results in a lack of context-specific data (by age and gender) to inform locally-based programming. The challenges in tracking the epidemic at local levels is further compounded by low rates of HIV testing [ 5 ].…”

Section: Epidemiological Patterns Of Hiv In the Esarmentioning

confidence: 99%

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HIV Prevention in Adolescents and Young People in the Eastern and Southern African Region: A Review of Key Challenges Impeding Actions for an Effective Response

Govender¹,

Masebo²,

Nyamaruze³

et al. 2018

TOAIDJ

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The global commitment to ending the AIDS epidemic by 2030 places HIV prevention at the centre of the response. With the disease continuing to disproportionately affect young populations in the Eastern and Southern African Region (ESAR), particularly adolescent girls and young women, reducing HIV infections in this group is integral to achieving this ambitious target. This paper examines epidemiological patterns of the HIV epidemic among adolescents and young people, indicating where HIV prevention efforts need to be focused (i.e., adolescent girls and young women, adolescent boys and young men and young key populations).Key innovations in the science of HIV prevention and strategies for dealing with programme implementation are reviewed. The paper also discusses the value of processes to mitigate HIV vulnerability and recommends actions needed to sustain the HIV prevention response. Stemming the tide of new HIV infections among young people in the ESAR requires an amplification of efforts across all sectors, which will safeguard past achievements and advance actions towards eliminating AIDS as a public health threat.

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“…The high HIV incidences across sub-Saharan Africa mount pressure on decentralized services, which have been underutilized [ 4 , 5 ], in allowing infected individuals to know their status with subsequent linkage to care. Increasing the capability of decentralized testing will be critical in an effort to allocate resources to people and places of greatest need [ 6 , 7 ] to achieve an HIV-free generation (a goal of United Nations sustainable development plans by 2030 [ 8 ]).…”

Section: Introductionmentioning

confidence: 99%

Bringing Real-Time Geospatial Precision to HIV Surveillance Through Smartphones: Feasibility Study

Nsabimana¹,

Uzabakiriho²,

Kagabo³

et al. 2018

JMIR Public Health Surveill

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BackgroundPrecise measurements of HIV incidences at community level can help mount a more effective public health response, but the most reliable methods currently require labor-intensive population surveys. Novel mobile phone technologies are being tested for adherence to medical appointments and antiretroviral therapy, but using them to track HIV test results with automatically generated geospatial coordinates has not been widely tested.ObjectiveWe customized a portable reader for interpreting the results of HIV lateral flow tests and developed a mobile phone app to track HIV test results in urban and rural locations in Rwanda. The objective was to assess the feasibility of this technology to collect front line HIV test results in real time and with geospatial context to help measure HIV incidences and improve epidemiological surveillance.MethodsTwenty health care workers used the technology to track the test results of 2190 patients across 3 hospital sites (2 urban sites in Kigali and a rural site in the Western Province of Rwanda). Mobile phones for less than US $70 each were used. The mobile phone app to record HIV test results could take place without internet connectivity with uploading of results to the cloud taking place later with internet.ResultsA total of 91.51% (2004/2190) of HIV test results could be tracked in real time on an online dashboard with geographical resolution down to street level. Out of the 20 health care workers, 14 (70%) would recommend the lateral flow reader, and 100% would recommend the mobile phone app.ConclusionsSmartphones have the potential to simplify the input of HIV test results with geospatial context and in real time to improve public health surveillance of HIV.

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Strengthening HIV surveillance: measurements to track the epidemic in real time

Cited by 11 publications

References 62 publications

Feasibility of oral HIV self-testing in female sex workers in Gaborone, Botswana

Feasibility of oral HIV self-testing in female sex workers in Gaborone, Botswana

HIV Prevention in Adolescents and Young People in the Eastern and Southern African Region: A Review of Key Challenges Impeding Actions for an Effective Response

Bringing Real-Time Geospatial Precision to HIV Surveillance Through Smartphones: Feasibility Study

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