TY - JOUR
T1 - Scale-up of antiretroviral treatment access among people living with HIV in Rivers State, Nigeria, 2019 - 2020
AU - Boyd, Andrew T.
AU - Ogbanufe, Obinna
AU - Onyenuobi, Chibuzor
AU - Mgbakor, Ifunanya
AU - Bachanas, Pamela
AU - Olupitan, Olayemi
AU - Umeh, Clifford
AU - Adegboye, Adeoye
AU - Owhonda, Golden
AU - Odafe, Solomon
AU - Jahun, Ibrahim
AU - Dakum, Patrick
AU - Mensah, Charles
AU - Gwamna, Jerry
AU - Onotu, Dennis
AU - Dirlikov, Emilio
AU - Williams-Sherlock, Michelle
AU - Okolo, Chukwuemeka
AU - Verinumbe, Tarfa
AU - Idakwo, Stanley
AU - Kumtap, Makshwar U.
AU - Ellerbrock, Tedd
AU - Swaminathan, Mahesh
N1 - Publisher Copyright:
© 2021 Lippincott Williams and Wilkins. All rights reserved.
PY - 2021/6/1
Y1 - 2021/6/1
N2 - Objective:The aim of this study was to describe and evaluate the impact of the programme intervention of the Rivers State Antiretroviral Treatment (ART) Surge, a collaboration between the US President's Emergency Plan for AIDS Relief (PEPFAR) and the State Ministry of Health, to increase HIV case-finding and ART access in Rivers State, the state with the largest ART gap among people living with HIV (PWH) in Nigeria.Design:During April 2019-September 2020, the intervention included six specific strategies: using local government area-level ART gap analysis to guide case-finding; expanding targeted community testing; tailoring comprehensive key population HIV services; engaging HIV treatment programme stakeholders; synchronizing team efforts; and using near real-time data for programme action.Methods:Weekly reported facility and community data on tests conducted, PWH diagnosed, and PWH initiated on ART were aggregated. The total number of PWH maintained on ART was reported quarterly.Results:During May 2019-September 2020, the weekly number of newly diagnosed PWH initiated on ART supported by PEPFAR in Rivers State increased from 82 to 1723. During October 2019-September 2020, the monthly number of people screened for HIV testing eligibility in the community increased from 44 000 to 360 000. During April 2019-September 2020, the total number of PWH on ART supported by PEPFAR statewide increased by 3.8 times, from 26 041 to 99 733.Conclusion:The strategies applied by HIV program stakeholders contributed to scale-up of PWH identification and ART linkage within the Rivers State ART Surge. Continued gains through time indicate the importance of the application of a quality improvement approach to maintain programme flexibility and effectiveness.
AB - Objective:The aim of this study was to describe and evaluate the impact of the programme intervention of the Rivers State Antiretroviral Treatment (ART) Surge, a collaboration between the US President's Emergency Plan for AIDS Relief (PEPFAR) and the State Ministry of Health, to increase HIV case-finding and ART access in Rivers State, the state with the largest ART gap among people living with HIV (PWH) in Nigeria.Design:During April 2019-September 2020, the intervention included six specific strategies: using local government area-level ART gap analysis to guide case-finding; expanding targeted community testing; tailoring comprehensive key population HIV services; engaging HIV treatment programme stakeholders; synchronizing team efforts; and using near real-time data for programme action.Methods:Weekly reported facility and community data on tests conducted, PWH diagnosed, and PWH initiated on ART were aggregated. The total number of PWH maintained on ART was reported quarterly.Results:During May 2019-September 2020, the weekly number of newly diagnosed PWH initiated on ART supported by PEPFAR in Rivers State increased from 82 to 1723. During October 2019-September 2020, the monthly number of people screened for HIV testing eligibility in the community increased from 44 000 to 360 000. During April 2019-September 2020, the total number of PWH on ART supported by PEPFAR statewide increased by 3.8 times, from 26 041 to 99 733.Conclusion:The strategies applied by HIV program stakeholders contributed to scale-up of PWH identification and ART linkage within the Rivers State ART Surge. Continued gains through time indicate the importance of the application of a quality improvement approach to maintain programme flexibility and effectiveness.
KW - AIDS
KW - Nigeria
KW - US Centers for Disease Control and Prevention
KW - antiretroviral agents
KW - quality improvement
UR - http://www.scopus.com/inward/record.url?scp=85105495723&partnerID=8YFLogxK
U2 - 10.1097/QAD.0000000000002858
DO - 10.1097/QAD.0000000000002858
M3 - Article
C2 - 33946087
AN - SCOPUS:85105495723
SN - 0269-9370
VL - 35
SP - 1127
EP - 1134
JO - AIDS
JF - AIDS
IS - 7
ER -