Threefold Increases in Population HIV Viral Load Suppression Among Men and Young Adults — Bukoba Municipal Council, Tanzania, 2014–2017

Community-wide HIV testing, linkage case management, and defaulter tracing in Bukoba, Tanzania: pre-intervention and post-intervention, population-based survey evaluation

“…Our findings suggest that comprehensive facility-based and community-based HIV testing, combined with recommended linkage, defaulter tracing, and test-and-treat services can help reduce gender and age-group disparities and increase HIV diagnostic, ART, and viral load suppression coverage in urban and rural communities in a relatively short period. 12,13,17 Although BCPE facility-based and community-based testing programmes newly diagnosed more than 4000 people living with HIV and helped to substantially increase HIV diagnostic coverage, the 90% coverage target was not met, contributing to higher prevalence of undiagnosed infection and lower ART coverage among people living with HIV in several sociodemographic groups. Prevalence of undiagnosed infection remained high among residents who had never completed primary education, frequently used alcohol, or were likely impoverished (suggested by not owning a mobile phone or difficulty meeting family food needs).…”

“…As reported elsewhere, BCPE testing and linkage interventions diagnosed and enrolled in HIV care 3488 people living with HIV aged 15-49 years during the intervention period, representing nearly 100% of the estimated 3493 people living with HIV residents aged 18-49 years who were not in HIV care in 2014. 12,13,17 Second, contributing to uncertainty in estimating BCPE intervention effects, residence of clients who received BCPE testing and linkage services was not collected and is unknown. Some BCPE participants who were diagnosed and linked to HIV care in Bukoba facilities might not have been residents of Bukoba, which is home to the regional referral hospital and two health centres known to provide medical services to some residents of other districts.…”

Men missing from the HIV care continuum in sub‐Saharan Africa: a meta‐analysis and meta‐synthesis

“…Of these, 81 studies were included in the meta‐analysis [33–113] and 29 studies were included in the meta‐synthesis [105,114–141]. Our updated searches identified 48 additional studies for the meta‐analysis [142–189] and 11 additional studies for the meta‐synthesis [190–200], most published in 2020.…”

“…For the meta‐analysis, 47 studies reported data on knowledge of positive serostatus [39,41,44,52–55,58,59,63–65,69,73,77,79–81,83,84,86,91,94,95,97,99,101,102,108,110–113,144,146,149,151,154,157,167,171,178,185,186,188,189], 43 studies reported data on ART use [35,36,39,47,51,55,60,62,67,70,83–85,95,97–99,104,105,107,108,112,142,144–146,148–150,154,161,162,166–168,170,171,181,184–186,188,189] and 74 studies reported data on viral suppression (Table 1 and Table A2) [33,34,37,38,40–43,45,46,48–50,55–57,61,66,68,71,72,74–76,78,82,84,87–90,92,93,95–97,100,103,106–109,143,146,147,149,152–156,158–161,163–165,169,171–177,179,180,182,183,...…”

Two‐fold increase in the HIV viral load suppression rate along with decreased incidence over six years in Ndhiwa sub‐county, Kenya

“…The 2018 survey inclusion rate was 93% (6029/6474), 95.7% (3510/3666) among women and 89.7% (2519/2808) among men. The median age was 28 years [IQR [19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38] and 58.2% (3510/6029) of the participants were women. In 2012, the participants' inclusion rate and sex and age profile were similar: 90%, the median age 29 years and 61.7% women.…”