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HIV Viral Load Monitoring Among Patients Receiving Antiretroviral Therapy — Eight Sub-Saharan Africa Countries, 2013–2018


What is already known about this topic?
HIV viral load monitoring is recommended to assess antiretroviral treatment success; however, low- and middle-income countries face financial, operational, and country-specific challenges that must be overcome to adequately scale up viral load monitoring for all HIV-positive persons.
What is added by this report?
Sub-Saharan African countries have overcome challenges to initiate and scale up HIV viral load testing to monitor patients receiving ART. By 2018, seven of eight assessed countries reported viral load suppression rates of ≥85%. Logistical problems remain in several countries.
What are the implications for public health practice?
Viral load testing in low- and middle-income countries enables monitoring of viral load suppression at the individual and population level, which is necessary to achieve global epidemic control. ....

United States , South Africa , Nairobi Area , Dar Es Salaam , Coted Ivoire , Frank Basiye , Shon Nguyen , Sergio Carmona , Mary Naluguza , Jonathan Ntale , Tsietso Motsoane , Dennis Ellenberger , Clement Zeh , Charles Kiyaga , Christiane Adje Toure , Michael Mwasekaga , Henry Mbah , Spencer Lloyd , Janew Mwangi , Peter Fonjungo , Katrina Sleeman , Wendy Stevens , George Alemnji , Karidia Diallo , Isaac Ssewanyana , Nicholas Gaffga ,

Frontiers | Where Are the Newly Diagnosed HIV Positives in Kenya? Time to Consider Geo-Spatially Guided Targeting at a Finer Scale to Reach the "First 90"


1Centre for International Health, University of Bergen, Bergen, Norway
2Division of Global HIV and TB, U.S Centers for Disease Control and Prevention, Nairobi, Kenya
3National AIDS and Sexually Transmitted Infections (STI) Control Program, Ministry of Health, Nairobi, Kenya
4Health Population and Nutrition, United States Agency for International Development, Nairobi, Kenya
5Division of Global HIV and TB, U.S Centers for Disease Control and Prevention, Atlanta, GA, United States
Background: The UNAIDS 90-90-90 Fast-Track targets provide a framework for assessing coverage of HIV testing services (HTS) and awareness of HIV status – the “first 90.” In Kenya, the bulk of HIV testing targets are aligned to the five highest HIV-burden counties. However, we do not know if most of the new HIV diagnoses are in these five highest-burden counties or elsewhere. ....

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Health Global Access Project: Biden's First Budget Won't Put the World on Track to End AIDS



Joseph R. Biden s first budget,
Matthew Rose, Director of
After years of neglect during the Trump and Obama years,
$800 million for global health programs does not permit the major surge in funding for global AIDS funding through the President s Emergency Plan for AIDS Relief (PEPFAR).
Biden has the opportunity to be the president who saves countless lives by ending AIDS as a global public health threat, but time is running out. It will take a more significant commitment and bold leadership that brings sufficient funding, a qualified nominee to lead the response, and human rights and evidence-based policies developed in deep consultation with the most affected communities. ....

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