Optimizing community linkage to care and antiretroviral therapy Initiation: Lessons from the Nigeria HIV/AIDS Indicator and Impact Survey (NAIIS) and their adaptation in Nigeria ART Surge.
Optimizing community linkage to care and antiretroviral therapy Initiation: Lessons from the Nigeria HIV/AIDS Indicator and Impact Survey (NAIIS) and their adaptation in Nigeria ART Surge.
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DOI：
10.1371/journal.pone.0257476
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发表时间：
2021
期刊：
影响因子：
3.7
通讯作者：
Swaminathan M
中科院分区：
文献类型：
--
作者：
Jahun I;Said I;El-Imam I;Ehoche A;Dalhatu I;Yakubu A;Greby S;Bronson M;Brown K;Bamidele M;Boyd AT;Bachanas P;Dirlikov E;Agbakwuru C;Abutu A;Williams-Sherlock M;Onotu D;Odafe S;Williams DB;Bassey O;Ogbanufe O;Onyenuobi C;Adeola A;Meribe C;Efuntoye T;Fagbamigbe OJ;Fagbemi A;Ene U;Nguhemen T;Mgbakor I;Alagi M;Asaolu O;Oladipo A;Amafah J;Nzelu C;Dakum P;Mensah C;Aliyu A;Okonkwo P;Oyeledun B;Oko J;Ikpeazu A;Gambo A;Charurat M;Ellerbrock T;Aliyu S;Swaminathan M
与护理的有效联系是社区艾滋病毒检测的一个已知挑战。为了克服这一挑战，2018年尼日利亚艾滋病毒/艾滋病指标和影响调查（NAIIS）通过了一项与护理战略建立强有力的联系。进一步调整了国家艾滋病信息服务与护理战略的联系，以改进尼日利亚的方案努力，实现第一个90年，作为尼日利亚抗逆转录病毒疗法激增倡议的一部分，该倡议还包括有针对性的社区测试。在本文中，我们提供了NAIIS LTC战略的概述，并描述了这一战略对NAIIS和浪涌倡议的影响。NAIIS与社区组织（CBO）合作，部署了带有实时仪表板的移动的健康（mHealth）技术，以管理和优化调查期间诊断出的艾滋病毒感染者（PLHIV）的社区LTC。在NAIIS中，社区组织的作用是促进社区中已确定的艾滋病毒感染者与他们选择的设施之间的联系。对于ART激增，我们修改了NAIIS LTC策略，授权社区组织和移动的社区团队不仅负责积极的LTC，还负责社区测试、ART启动和护理保留。在NAIIS中确定的2，739名15岁及以上的艾滋病毒感染者中，1，975名（72.1%）不知道他们的艾滋病毒阳性状态（N = 1890）或知道他们的艾滋病毒阳性状态但未接受治疗（N = 85）。在1 890名新诊断的艾滋病毒感染者中，1 278人（67.6%）与护理有关，33.7%与自身有关，66.3%与社区组织有关。在85名未接受治疗的已知艾滋病毒感染者中，64人（75.3%）是连锁的; 32.8%是自我连锁的，67.2%是由CBO连锁的。在ART激增中，LTC和治疗开始率分别为98%和100%。在6个月内，每月治疗启动队列的3个月保持率从76%提高到90%。当地社区组织和移动的社区团队的积极长期护理战略改善了抗逆转录病毒疗法激增倡议中的长期护理和抗逆转录病毒疗法的启动。移动医疗技术的使用导致了NAIIS中结果的及时和准确的记录。通过部署移动医疗以及积极的长期培训，社区组织和移动的社区团队可以有效地扩大抗逆转录病毒治疗的规模，并实时记录客户层面的成果。
Ineffective linkage to care (LTC) is a known challenge for community HIV testing. To overcome this challenge, a robust linkage to care strategy was adopted by the 2018 Nigeria HIV/AIDS Indicator and Impact Survey (NAIIS). The NAIIS linkage to care strategy was further adapted to improve Nigeria’s programmatic efforts to achieve the 1st 90 as part of the Nigeria Antiretroviral Therapy (ART) Surge initiative, which also included targeted community testing. In this paper we provide an overview of the NAIIS LTC strategy and describe the impact of this strategy on both the NAIIS and the Surge initiatives. The NAIIS collaborated with community-based organizations (CBOs) and deployed mobile health (mHealth) technology with real-time dashboards to manage and optimize community LTC for people living with HIV (PLHIV) diagnosed during the survey. In NAIIS, CBOs’ role was to facilitate linkage of identified PLHIV in community to facility of their choice. For the ART Surge, we modified the NAIIS LTC strategy by empowering both CBOs and mobile community teams as responsible for not only active LTC but also for community testing, ART initiation, and retention in care. Of the 2,739 PLHIV 15 years and above identified in NAIIS, 1,975 (72.1%) were either unaware of their HIV-positive status (N = 1890) or were aware of their HIV-positive status but not receiving treatment (N = 85). Of these, 1,342 (67.9%) were linked to care, of which 952 (70.9%) were initiated on ART. Among 1,890 newly diagnosed PLHIV, 1,278 (67.6%) were linked to care, 33.7% self-linked and 66.3% were linked by CBOs. Among 85 known PLHIV not on treatment, 64 (75.3%) were linked; 32.8% self-linked and 67.2% were linked by a CBO. In the ART Surge, LTC and treatment initiation rates were 98% and 100%, respectively. Three-month retention for monthly treatment initiation cohorts improved from 76% to 90% over 6 months. Active LTC strategies by local CBOs and mobile community teams improved LTC and ART initiation in the ART Surge initiative. The use of mHealth technology resulted in timely and accurate documentation of results in NAIIS. By deploying mHealth in addition to active LTC, CBOs and mobile community teams could effectively scale up ART with real-time documentation of client-level outcomes.
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影响因子：
3.7
作者：
Losina E;Bassett IV;Giddy J;Chetty S;Regan S;Walensky RP;Ross D;Scott CA;Uhler LM;Katz JN;Holst H;Freedberg KA
通讯作者：
Freedberg KA
DOI：
10.2147/hiv.s316480
发表时间：
2021
期刊：
HIV/AIDS (Auckland, N.Z.)
影响因子：
--
作者：
Jahun I;Dirlikov E;Odafe S;Yakubu A;Boyd AT;Bachanas P;Nzelu C;Aliyu G;Ellerbrock T;Swaminathan M;CDC Nigeria ART Surge Team
通讯作者：
CDC Nigeria ART Surge Team
影响因子：
3.1
作者：
Maughan-Brown, Brendan;Harrison, Abigail;Lurie, Mark N.
通讯作者：
Lurie, Mark N.
DOI：
10.1080/09540121.2013.778383
发表时间：
2013-06-20
影响因子：
1.7
作者：
Riehman, Kara S.;Kakietek, Jakub;Fruh, Joseph
通讯作者：
Fruh, Joseph
影响因子：
6
作者：
Oladele EA;Badejo OA;Obanubi C;Okechukwu EF;James E;Owhonda G;Omeh OI;Abass M;Negedu-Momoh OR;Ojehomon N;Oqua D;Raj-Pandey S;Khamofu H;Torpey K
通讯作者：
Torpey K