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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Implementation of “Treat-all” at adult HIV care and treatment sites in the Global IeDEA Consortium: results from the Site Assessment Survey
Journal of the International AIDS Society, Volume 22, No. 7, Article e25331, Year 2019
Notification
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Description
Introduction: Since 2015, the World Health Organization (WHO) has recommended that all people living with HIV (PLHIV) initiate antiretroviral treatment (ART), irrespective of CD4+ count or clinical stage. National adoption of universal treatment has accelerated since WHO's 2015 “Treat All” recommendation; however, little is known about the translation of this guidance into practice. This study aimed to assess the status of Treat All implementation across regions, countries, and levels of the health care delivery system. Methods: Between June and December 2017, 201/221 (91%) adult HIV treatment sites that participate in the global IeDEA research consortium completed a survey on capacity and practices related to HIV care. Located in 41 countries across seven geographic regions, sites provided information on the status and timing of site-level introduction of Treat All, as well as site-level practices related to ART initiation. Results: Almost all sites (93%) reported that they had begun implementing Treat All, and there were no statistically significant differences in site-level Treat All introduction by health facility type, urban/rural location, sector (public/private) or country income level. The median time between national policy adoption and site-level introduction was one month. In countries where Treat All was not yet adopted in national guidelines, 69% of sites reported initiating all patients on ART, regardless of clinical criteria, and these sites had been implementing Treat All for a median period of seven months at the time of the survey. The majority of sites (77%) reported typically initiating patients on ART within 14 days of confirming diagnosis, with 60% to 62% of sites implementing Treat All in East, Southern and West Africa reporting same-day ART initiation for most patients. Conclusions: By mid- to late-2017, the Treat All strategy was the standard of care at almost all IeDEA sites, including rural, primary-level health facilities in low-resource settings. While further assessments of site-level capacity to provide high-quality HIV care under Treat All and to support sustained viral suppression after ART initiation are needed, the widespread introduction of Treat All at the service delivery level is a critical step towards global targets for ending the HIV epidemic as a public health threat. © 2019 The Authors. Journal of the International AIDS Society published by John Wiley & Sons Ltd on behalf of the International AIDS Society.
Available Materials
https://efashare.b-cdn.net/share/pmc/articles/PMC6625339/bin/JIA2-22-e25331-s001.docx
Authors & Co-Authors
Brazier, Ellen
United States, New York
The City University of new York
Maruri, Fernanda
United States, Nashville
Vanderbilt University Medical Center
Duda, Stephany N.
United States, Nashville
Vanderbilt University School of Medicine
Tymejczyk, Olga A.
United States, New York
The City University of new York
Wester, Carolyn William
United States, Nashville
Vanderbilt University Medical Center
Somi, Geoffrey R.
Tanzania, Dar es Salaam
National Aids Control Program
Ross, Jeremy L.
Thailand, Bangkok
The Foundation for Aids Research
Freeman, Aimee M.
United States, Baltimore
Johns Hopkins University
Cornell, M.
South Africa, Cape Town
University of Cape Town
Poda, Armel G.
Burkina Faso, Bobo-dioulasso
Chu Souro Sanou
Burkina Faso, Bobo-dioulasso
Université Nazi Boni
Musick, Beverly Sue
United States, Indianapolis
Indiana University School of Medicine
Zhang, Fujie
China, Beijing
Capital Medical University
Althoff, Keri N.
United States, Baltimore
Johns Hopkins University
Mugglin, Catrina
Switzerland, Bern
University of Bern
Kimmel, April D.
United States, Richmond
Virginia Commonwealth University
Yotebieng, Marcel
United States, Columbus
The Ohio State University
Nash, Denis B.
United States, New York
The City University of new York
Kariminia, Azar
Unknown Affiliation
Sohn, Annette H.
Unknown Affiliation
Allen, Deborah M.
Unknown Affiliation
Bloch, Mark Theo
Unknown Affiliation
Boyd, Susan
Unknown Affiliation
Brown, Katherine M.
Unknown Affiliation
Costa, Jessica De Mattos
Unknown Affiliation
Donohue, William A.
Unknown Affiliation
Gunathilake, Manoji P.W.
Unknown Affiliation
Hoy, Jennifer F.
Unknown Affiliation
MacRae, Karen
Unknown Affiliation
Moore, Richard D.
Unknown Affiliation
Roth, Norman J.
Unknown Affiliation
Rowling, Diane F.
Unknown Affiliation
Silvers, Julie Elizabeth
Unknown Affiliation
Smith, David J.
Unknown Affiliation
Sowden, David
Unknown Affiliation
Templeton, David J.
Unknown Affiliation
Varma, Rick
Unknown Affiliation
Woolley, Ian John
Unknown Affiliation
Youds, David W.
Unknown Affiliation
Chhay Meng, Somanithd
Unknown Affiliation
Vannary, Bun
Unknown Affiliation
Chan, Yun Ting
Unknown Affiliation
Lam, Wilson Y.
Unknown Affiliation
Lee, Manpo
Unknown Affiliation
Ning, Han
Unknown Affiliation
Pansy, Yu Po Chu
Unknown Affiliation
Kumarasamy, Nagalingeswaran
Unknown Affiliation
Pujari, Sanjay N.
Unknown Affiliation
Kurniati, Nia
Unknown Affiliation
Merati, Tuti Parwati
Unknown Affiliation
Muktiarti, Dina
Unknown Affiliation
Parwata, Wayan Sandhi
Unknown Affiliation
Ratni, Made
Unknown Affiliation
Sukmawati, Ni Made Dewi Dian
Unknown Affiliation
Vedaswari, Dian Sulistya Putu Diah
Unknown Affiliation
Wati, Dewi Kumara
Unknown Affiliation
Yunihastuty, Evy
Unknown Affiliation
Tanuma, Junko
Unknown Affiliation
Mills, Graham D.
Unknown Affiliation
Raymond, Nigel J.
Unknown Affiliation
Ditangco, Rossana A.
Unknown Affiliation
Papa, Ohnmar Seinn
Unknown Affiliation
Oon Tek, Ng
Unknown Affiliation
Ah-Neez,
Unknown Affiliation
Azwa, Iskandar
Unknown Affiliation
Dato,
Unknown Affiliation
Daud, Fauziah
Unknown Affiliation
Juin, Wong Ke
Unknown Affiliation
Kamarulzaman, Adeeba Binti
Unknown Affiliation
Khairulddin, Nik
Unknown Affiliation
Li, Chongmeng
Unknown Affiliation
Fong, Moy Siew
Unknown Affiliation
Shah, Raja Iskandar
Unknown Affiliation
Shyan, Wong Peng
Unknown Affiliation
Thahira, Jamal Mohamed
Unknown Affiliation
Tuang, Koh Mia
Unknown Affiliation
Yusoff, Nik Khairulddin
Unknown Affiliation
Choi, Junyong Young
Unknown Affiliation
Chan, Yu Jiun
Unknown Affiliation
Huang, Chihsheng
Unknown Affiliation
Wing-Wai, Wong
Unknown Affiliation
Avihingsanon, Anchalee
Unknown Affiliation
Chokephaibulkit, Kulkanya
Unknown Affiliation
Hansudewechakul, Rawiwan
Unknown Affiliation
Khumcha, Benjawan
Unknown Affiliation
Khusuwan, Suwimon
Unknown Affiliation
Kiertiburanakul, Sasisopin
Unknown Affiliation
Lumbiganon, Pagakrong
Unknown Affiliation
Maleesatharn, Alan
Unknown Affiliation
Praparattanapan, Jutarat
Unknown Affiliation
Puthanakit, Thanyawee
Unknown Affiliation
Sricharoenchai, Sirintip
Unknown Affiliation
Sudjaritruk, Tavitiya
Unknown Affiliation
Watanaporn, Suporn
Unknown Affiliation
Thien An, Vu
Unknown Affiliation
Cuong, Do Duy
Unknown Affiliation
Hằng, Bùi Thu
Unknown Affiliation
Huy, Bùi Vu
Unknown Affiliation
Quy, Du Tuan
Unknown Affiliation
Van, Lamnguyen
Unknown Affiliation
Nahimana, Thierry
Unknown Affiliation
Nimbona, Pélagie
Unknown Affiliation
Twizere, Christella
Unknown Affiliation
Ajeh, Rogers Awoh
Unknown Affiliation
Djenabou, Amadou
Unknown Affiliation
Dzudie, Anastase Innocent
Unknown Affiliation
Ewanoge, Alice Ndelle
Unknown Affiliation
Tchassem, Edmond
Unknown Affiliation
Lelo, Patricia V.M.
Unknown Affiliation
Kitetele, Faustin Nd
Unknown Affiliation
Akolbout, Maryse
Unknown Affiliation
Diafouka, Merlin
Unknown Affiliation
Mafoua, Adolphe
Unknown Affiliation
Mahambou-Nsondé, Dominique
Unknown Affiliation
Mukamana, Joyce
Unknown Affiliation
Munyaneza, Athanase
Unknown Affiliation
Murangwa, Anthere
Unknown Affiliation
Sinayobye, Jean D’Amour
Unknown Affiliation
Uwamahoro, Oliver
Unknown Affiliation
Wools-Kaloustian, Kara K.
Unknown Affiliation
Yiannoutsos, Constantin Theodore
Unknown Affiliation
Bukusi, Elizabeth Anne
Unknown Affiliation
Chemweno, Timothy
Unknown Affiliation
Koech, Emily
Unknown Affiliation
Kosgei, Caroline
Unknown Affiliation
Lyamuya, Rita Elias
Unknown Affiliation
Michael, Denna
Unknown Affiliation
Ngonyani, Kapella Zacharia
Unknown Affiliation
Somi, G. R.
Unknown Affiliation
Urassa, Mark S.
Unknown Affiliation
Batte, James
Unknown Affiliation
Bwana, Mwebesa Bosco
Unknown Affiliation
Castelnuovo, Barbara C.
Unknown Affiliation
Kanyesigye, Michael
Unknown Affiliation
Kisakye, Alice
Unknown Affiliation
Nalugoda, Fred Kakaire
Unknown Affiliation
Ssali, John C.
Unknown Affiliation
Ssemakadde, Matthew
Unknown Affiliation
Castilho, Jessica L.
Unknown Affiliation
Cesar, Carina
Unknown Affiliation
Brites, Carlos R.
Unknown Affiliation
Coelho, Lara Esteves
Unknown Affiliation
Ferreira, Flávia Gomes Faleiro
Unknown Affiliation
Kalichman, Artur Olhovetchi
Unknown Affiliation
MacHado, Daisy Maria
Unknown Affiliation
de Menezes Succi, Regina Célia M.
Unknown Affiliation
Wolff, Marcelo
Unknown Affiliation
Rouzier, Vanessa A.
Unknown Affiliation
Padgett, Denis
Unknown Affiliation
Mejía, Fernando A.
Unknown Affiliation
Gill, M. John
Unknown Affiliation
MacPherson, Peter
Unknown Affiliation
Maharaj, Rajesh
Unknown Affiliation
Salters, Kate A.
Unknown Affiliation
Boswell, Stephen L.
Unknown Affiliation
Burkholder, Greer A.
Unknown Affiliation
Bidwell Goetz, Matthew Bidwell
Unknown Affiliation
Grasso, Chris
Unknown Affiliation
Horberg, Michael Alan
Unknown Affiliation
Hunter-Mellado, Robert F.
Unknown Affiliation
Kitahata, Mari M.
Unknown Affiliation
Marconi, Vincent Charles
Unknown Affiliation
Mathews, Christopher W.
Unknown Affiliation
Mayor, Ángel M.
Unknown Affiliation
McGowan, Catherine Carey
Unknown Affiliation
Napravnik, Sonia
Unknown Affiliation
Novak, Richard M.
Unknown Affiliation
Rodriguez, Benigno A.
Unknown Affiliation
Silverberg, Michael Jonah
Unknown Affiliation
Yangco, Bienvenido G.
Unknown Affiliation
Davies, M. A.
Unknown Affiliation
von Groote, Per Maximilian
Unknown Affiliation
Muhairwe, Josephine A.
Unknown Affiliation
Hector, Jonas
Unknown Affiliation
Cross, Anna
Unknown Affiliation
Dlamini, Siphephelo N.
Unknown Affiliation
Eley, Brian S.
Unknown Affiliation
Euvrard, Jonathan
Unknown Affiliation
Fatti, Geoffrey L.
Unknown Affiliation
Hilderbrand, Katherine
Unknown Affiliation
Hsiao, Marvin
Unknown Affiliation
Prozesky, Hans (Hw)
Unknown Affiliation
Reubenson, Gary
Unknown Affiliation
Sawry, Shobna
Unknown Affiliation
Technau, Karl
Unknown Affiliation
Vinikoor, Michael J.
Unknown Affiliation
Chimbetete, Cleophas
Unknown Affiliation
Kamenova, Kamelia
Unknown Affiliation
Balestre, Eric
Unknown Affiliation
Leroy, Valeriane
Unknown Affiliation
Leroy, Valeriane
Unknown Affiliation
Djimon, Marcel Zannou
Unknown Affiliation
D'Almeida, Marcelline
Unknown Affiliation
Hounhoui, Ghislaine
Unknown Affiliation
Zoungrana, Jacques
Unknown Affiliation
Yaméogo, Issouf
Unknown Affiliation
Tapsoba, Achille
Unknown Affiliation
Bosse, Clarisse Amani
Unknown Affiliation
Diabaté, Mamoudou
Unknown Affiliation
Eboua, Tanoh Kassi François
Unknown Affiliation
Folquet, Madeleine Amorissani
Unknown Affiliation
Konaté, Mamadou Henri
Unknown Affiliation
Kouakou, Kouadio P.
Unknown Affiliation
Minga, Albert Kla
Unknown Affiliation
N'Gbeche, Marie Sylvie
Unknown Affiliation
Tanon, Aristophane Koffi
Unknown Affiliation
Yao, Abo
Unknown Affiliation
A Renner, Lorna
Unknown Affiliation
N'Diaye, Clémentine
Unknown Affiliation
Seydi, Moussa
Unknown Affiliation
Tine, Judicaël Malick
Unknown Affiliation
Patassi, Akouda Akessiwe
Unknown Affiliation
Statistics
Citations: 36
Authors: 211
Affiliations: 14
Identifiers
Doi:
10.1002/jia2.25331
ISSN:
17582652
Research Areas
Health System And Policy
Infectious Diseases
Study Design
Cross Sectional Study
Study Approach
Quantitative
Study Locations
Multi-countries