Progress towards the 2020 targets for HIV diagnosis and antiretroviral treatment in South Africa

Southern African Journal of HIV Medicine

Field Value
Title Progress towards the 2020 targets for HIV diagnosis and antiretroviral treatment in South Africa
Creator Johnson, Leigh F. Dorrington, Rob E. Moolla, Haroon
Subject Medicine; Epidemiology; Public Health HIV/AIDS; antiretroviral treatment; HIV diagnosis; South Africa
Description Background: The UNAIDS targets for 2020 are to achieve a 90% rate of diagnosis in HIVpositive individuals, to provide antiretroviral treatment (ART) to 90% of HIV-diagnosed individuals and to achieve virological suppression in 90% of ART patients.Objectives: To assess South Africa’s progress towards the 2020 targets and variations in performance by province.Methods: A mathematical model was fitted to HIV data for each of South Africa’s provinces, and for the country as a whole. Numbers of HIV tests performed in each province were estimated from routine data over the 2002–2015 period, and numbers of patients receiving ART in each province were estimated by fitting models to reported public and private ART enrolment statistics.Results: By the middle of 2015, 85.5% (95% CI: 84.5% – 86.5%) of HIV-positive South African adults had been diagnosed, with little variation between provinces. However, only 56.9% (95% CI: 55.3% – 58.7%) of HIV-diagnosed adults were on ART, with this proportion varying between 50.8% in North West and 72.7% in Northern Cape. In addition, 78.4% of adults on ART were virally suppressed, with rates ranging from 69.7% in Limpopo to 85.9% in Western Cape. Overall, 3.39 million (95% CI: 3.26–3.52 million) South Africans were on ART by mid- 2015, equivalent to 48.6% (95% CI: 46.0% – 51.2%) of the HIV-positive population. ART coverage varied between 43.0% in Gauteng and 63.0% in Northern Cape.Conclusion: Although South Africa is well on its way to reaching the 90% HIV diagnosis target, most provinces face challenges in reaching the remaining two 90% targets.
Publisher AOSIS
Contributor South African National AIDS Council
Date 2017-07-27
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Mathematical modelling
Format text/html application/epub+zip text/xml application/pdf application/pdf
Identifier 10.4102/sajhivmed.v18i1.694
Source Southern African Journal of HIV Medicine; Vol 18, No 1 (2017); 8 pages 2078-6751 1608-9693
Language eng
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Coverage South Africa 2004-2015 N/A
Rights Copyright (c) 2017 Leigh F. Johnson, Rob E. Dorrington, Haroon Moolla