Fotso A. S., Johnson C., Vautier A., Kouame K. B., Diop P. M., Silhol R., Maheu-Giroux M., Boily M. C., Rouveau Nicolas, Doumenc-Aidara C., Baggaley R., Ehui E., Larmarange Joseph. (2022). Routine programmatic data show a positive population-level impact of HIV self-testing : the case of Cote d'Ivoire and implications for implementation. Aids, 36 (13), 1871-1879. ISSN 0269-9370.
Titre du document
Routine programmatic data show a positive population-level impact of HIV self-testing : the case of Cote d'Ivoire and implications for implementation
Année de publication
2022
Auteurs
Fotso A. S., Johnson C., Vautier A., Kouame K. B., Diop P. M., Silhol R., Maheu-Giroux M., Boily M. C., Rouveau Nicolas, Doumenc-Aidara C., Baggaley R., Ehui E., Larmarange Joseph
Source
Aids, 2022,
36 (13), 1871-1879 ISSN 0269-9370
Objectives: We estimate the effects of ATLAS's HIV self-testing (HIVST) kit distribution on conventional HIV testing, diagnoses, and antiretroviral treatment (ART) initiations in Cote d'Ivoire. Design: Ecological study using routinely collected HIV testing services program data. Methods: We used the ATLAS's programmatic data recorded between the third quarter of 2019 and the first quarter of 2021, in addition to data from the President's Emergency Plan for AIDS Relief dashboard. We performed ecological time series regression using linear mixed models. Results are presented per 1000 HIVST kits distributed through ATLAS. Results: We found a negative but nonsignificant effect of the number of ATLAS' distributed HIVST kits on conventional testing uptake (-190 conventional tests; 95% confidence interval [CI]: -427 to 37). The relationship between the number of HIVST kits and HIV diagnoses was significant and positive (+8 diagnosis; 95% CI: 0 to 15). No effect was observed on ART initiation (-2 ART initiations; 95% CI: -8 to 5). Conclusions: ATLAS' HIVST kit distribution had a positive impact on HIV diagnoses. Despite the negative signal on conventional testing, even if only 20% of distributed kits are used, HIVST would increase access to testing. The methodology used in this paper offers a promising way to leverage routinely collected programmatic data to estimate the effects of HIVST kit distribution in real-world programs.
Plan de classement
Santé : généralités [050]
;
Entomologie médicale / Parasitologie / Virologie [052]
;
Démographie [108]
Description Géographique
COTE D'IVOIRE
Localisation
Fonds IRD [F B010086296]
Identifiant IRD
fdi:010086296
