The HIV care continuum of Guinea-Bissau; Progress towards the UNAIDS 90-90-90 targets for HIV-1 and HIV-2

Mads Mose Jensen*, Stine Byberg, Sanne Jespersen, Jens Steen Olesen, Zacarias José da Silva, Candida Medina, Henrik Krarup, Christian Wejse, Christian Erikstrup, Bo Langhoff Hønge

*Corresponding author for this work

Research output: Contribution to journalJournal articleResearchpeer-review

2 Citations (Scopus)
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Abstract

Objective: In the 2020 UNAIDS HIV treatment goals, 90% of people living with HIV (PLHIV) should be diagnosed, 90% of these should receive antiretroviral treatment (ART) and 90% of these should be virally suppressed. We aimed to evaluate whether Guinea-Bissau fulfills the 2020 treatment goals for both for HIV-1 and HIV-2. Design: By combining data from a general population survey, treatment records from HIV clinics across Guinea-Bissau and a biobank from patients attending the largest HIV clinics in Bissau, we estimated each column of the 90-90-90 cascade. Method: 2601 participated in the survey and were used to estimate the proportion of PLHIV who knew their HIV status and the proportion of PLHIV on ART. Answers given in the survey was verified with treatment records from HIV clinics. We measured viral load from biobank materials from HIV patients and estimated the proportion of virally suppressed PLHIV. Result: 19.1% of PLHIV indicated to be aware of their HIV status. Of these, 48.5% received ART, and 76.4% of these were virally suppressed. For HIV-1 and HIV-1/2 the results were 21.2%, 40.9% and 75.1%. For HIV-2 the results were 15.9%, 63.6% and 80.7%. 26.9% of all HIV-1 infected in the survey were virologically suppressed, indicating that a much higher number of HIV-1 infected were aware of their status and on treatment. Conclusion: Guinea-Bissau lags severely behind both the global and regional progress. Improvement in both testing and treating HIV is necessary to improve the quality of care.

Original languageEnglish
Article number106887
JournalActa Tropica
Volume241
Number of pages6
ISSN0001-706X
DOIs
Publication statusPublished - May 2023

Bibliographical note

Copyright © 2023 The Author(s). Published by Elsevier B.V. All rights reserved.

Keywords

  • Anti-Retroviral Agents/therapeutic use
  • Continuity of Patient Care
  • Guinea-Bissau/epidemiology
  • HIV Infections/drug therapy
  • HIV-1
  • HIV-2
  • Humans
  • 90-90-90
  • West Africa
  • Epidemiology
  • Guinea-bissau

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