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.
<h4>Background</h4>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...
Guardado en:
| Autores principales: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
|---|---|
| Formato: | article |
| Lenguaje: | EN |
| Publicado: |
Public Library of Science (PLoS)
2021
|
| Materias: | |
| Acceso en línea: | https://doaj.org/article/a389abf0df7748f28740354a011be2ca |
| Etiquetas: |
Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
|
| id |
oai:doaj.org-article:a389abf0df7748f28740354a011be2ca |
|---|---|
| record_format |
dspace |
| spelling |
oai:doaj.org-article:a389abf0df7748f28740354a011be2ca2021-12-02T20:14:30ZOptimizing 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.1932-620310.1371/journal.pone.0257476https://doaj.org/article/a389abf0df7748f28740354a011be2ca2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0257476https://doaj.org/toc/1932-6203<h4>Background</h4>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.<h4>Methods</h4>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.<h4>Results</h4>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.<h4>Conclusions</h4>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.Ibrahim JahunIshaq SaidIbrahim El-ImamAkipu EhocheIbrahim DalhatuAminu YakubuStacie GrebyMegan BronsonKristin BrownMoyosola BamideleAndrew T BoydPamela BachanasEmilio DirlikovChinedu AgbakwuruAndrew AbutuMichelle Williams-SherlockDenis OnotuSolomon OdafeDaniel B WilliamsOrji BasseyObinna OgbanufeChibuzor OnyenuobiAyo AdeolaChidozie MeribeTimothy EfuntoyeOmodele J FagbamigbeAyodele FagbemiUzoma EneTingir NguhemenIfunanya MgbakorMatthias AlagiOlugbenga AsaoluAdemola OladipoJoy AmafahCharles NzeluPatrick DakumCharles MensahAhmad AliyuProsper OkonkwoBolanle OyeledunJohn OkoAkudo IkpeazuAliyu GamboManhattan CharuratTedd EllerbrockSani AliyuMahesh SwaminathanPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 9, p e0257476 (2021) |
| institution |
DOAJ |
| collection |
DOAJ |
| language |
EN |
| topic |
Medicine R Science Q |
| spellingShingle |
Medicine R Science Q Ibrahim Jahun Ishaq Said Ibrahim El-Imam Akipu Ehoche Ibrahim Dalhatu Aminu Yakubu Stacie Greby Megan Bronson Kristin Brown Moyosola Bamidele Andrew T Boyd Pamela Bachanas Emilio Dirlikov Chinedu Agbakwuru Andrew Abutu Michelle Williams-Sherlock Denis Onotu Solomon Odafe Daniel B Williams Orji Bassey Obinna Ogbanufe Chibuzor Onyenuobi Ayo Adeola Chidozie Meribe Timothy Efuntoye Omodele J Fagbamigbe Ayodele Fagbemi Uzoma Ene Tingir Nguhemen Ifunanya Mgbakor Matthias Alagi Olugbenga Asaolu Ademola Oladipo Joy Amafah Charles Nzelu Patrick Dakum Charles Mensah Ahmad Aliyu Prosper Okonkwo Bolanle Oyeledun John Oko Akudo Ikpeazu Aliyu Gambo Manhattan Charurat Tedd Ellerbrock Sani Aliyu Mahesh Swaminathan 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. |
| description |
<h4>Background</h4>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.<h4>Methods</h4>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.<h4>Results</h4>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.<h4>Conclusions</h4>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. |
| format |
article |
| author |
Ibrahim Jahun Ishaq Said Ibrahim El-Imam Akipu Ehoche Ibrahim Dalhatu Aminu Yakubu Stacie Greby Megan Bronson Kristin Brown Moyosola Bamidele Andrew T Boyd Pamela Bachanas Emilio Dirlikov Chinedu Agbakwuru Andrew Abutu Michelle Williams-Sherlock Denis Onotu Solomon Odafe Daniel B Williams Orji Bassey Obinna Ogbanufe Chibuzor Onyenuobi Ayo Adeola Chidozie Meribe Timothy Efuntoye Omodele J Fagbamigbe Ayodele Fagbemi Uzoma Ene Tingir Nguhemen Ifunanya Mgbakor Matthias Alagi Olugbenga Asaolu Ademola Oladipo Joy Amafah Charles Nzelu Patrick Dakum Charles Mensah Ahmad Aliyu Prosper Okonkwo Bolanle Oyeledun John Oko Akudo Ikpeazu Aliyu Gambo Manhattan Charurat Tedd Ellerbrock Sani Aliyu Mahesh Swaminathan |
| author_facet |
Ibrahim Jahun Ishaq Said Ibrahim El-Imam Akipu Ehoche Ibrahim Dalhatu Aminu Yakubu Stacie Greby Megan Bronson Kristin Brown Moyosola Bamidele Andrew T Boyd Pamela Bachanas Emilio Dirlikov Chinedu Agbakwuru Andrew Abutu Michelle Williams-Sherlock Denis Onotu Solomon Odafe Daniel B Williams Orji Bassey Obinna Ogbanufe Chibuzor Onyenuobi Ayo Adeola Chidozie Meribe Timothy Efuntoye Omodele J Fagbamigbe Ayodele Fagbemi Uzoma Ene Tingir Nguhemen Ifunanya Mgbakor Matthias Alagi Olugbenga Asaolu Ademola Oladipo Joy Amafah Charles Nzelu Patrick Dakum Charles Mensah Ahmad Aliyu Prosper Okonkwo Bolanle Oyeledun John Oko Akudo Ikpeazu Aliyu Gambo Manhattan Charurat Tedd Ellerbrock Sani Aliyu Mahesh Swaminathan |
| author_sort |
Ibrahim Jahun |
| title |
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. |
| title_short |
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. |
| title_full |
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. |
| title_fullStr |
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. |
| title_full_unstemmed |
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. |
| title_sort |
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. |
| publisher |
Public Library of Science (PLoS) |
| publishDate |
2021 |
| url |
https://doaj.org/article/a389abf0df7748f28740354a011be2ca |
| work_keys_str_mv |
AT ibrahimjahun optimizingcommunitylinkagetocareandantiretroviraltherapyinitiationlessonsfromthenigeriahivaidsindicatorandimpactsurveynaiisandtheiradaptationinnigeriaartsurge AT ishaqsaid optimizingcommunitylinkagetocareandantiretroviraltherapyinitiationlessonsfromthenigeriahivaidsindicatorandimpactsurveynaiisandtheiradaptationinnigeriaartsurge AT ibrahimelimam optimizingcommunitylinkagetocareandantiretroviraltherapyinitiationlessonsfromthenigeriahivaidsindicatorandimpactsurveynaiisandtheiradaptationinnigeriaartsurge AT akipuehoche optimizingcommunitylinkagetocareandantiretroviraltherapyinitiationlessonsfromthenigeriahivaidsindicatorandimpactsurveynaiisandtheiradaptationinnigeriaartsurge AT ibrahimdalhatu optimizingcommunitylinkagetocareandantiretroviraltherapyinitiationlessonsfromthenigeriahivaidsindicatorandimpactsurveynaiisandtheiradaptationinnigeriaartsurge AT aminuyakubu optimizingcommunitylinkagetocareandantiretroviraltherapyinitiationlessonsfromthenigeriahivaidsindicatorandimpactsurveynaiisandtheiradaptationinnigeriaartsurge AT staciegreby optimizingcommunitylinkagetocareandantiretroviraltherapyinitiationlessonsfromthenigeriahivaidsindicatorandimpactsurveynaiisandtheiradaptationinnigeriaartsurge AT meganbronson optimizingcommunitylinkagetocareandantiretroviraltherapyinitiationlessonsfromthenigeriahivaidsindicatorandimpactsurveynaiisandtheiradaptationinnigeriaartsurge AT kristinbrown optimizingcommunitylinkagetocareandantiretroviraltherapyinitiationlessonsfromthenigeriahivaidsindicatorandimpactsurveynaiisandtheiradaptationinnigeriaartsurge AT moyosolabamidele optimizingcommunitylinkagetocareandantiretroviraltherapyinitiationlessonsfromthenigeriahivaidsindicatorandimpactsurveynaiisandtheiradaptationinnigeriaartsurge AT andrewtboyd optimizingcommunitylinkagetocareandantiretroviraltherapyinitiationlessonsfromthenigeriahivaidsindicatorandimpactsurveynaiisandtheiradaptationinnigeriaartsurge AT pamelabachanas optimizingcommunitylinkagetocareandantiretroviraltherapyinitiationlessonsfromthenigeriahivaidsindicatorandimpactsurveynaiisandtheiradaptationinnigeriaartsurge AT emiliodirlikov optimizingcommunitylinkagetocareandantiretroviraltherapyinitiationlessonsfromthenigeriahivaidsindicatorandimpactsurveynaiisandtheiradaptationinnigeriaartsurge AT chineduagbakwuru optimizingcommunitylinkagetocareandantiretroviraltherapyinitiationlessonsfromthenigeriahivaidsindicatorandimpactsurveynaiisandtheiradaptationinnigeriaartsurge AT andrewabutu optimizingcommunitylinkagetocareandantiretroviraltherapyinitiationlessonsfromthenigeriahivaidsindicatorandimpactsurveynaiisandtheiradaptationinnigeriaartsurge AT michellewilliamssherlock optimizingcommunitylinkagetocareandantiretroviraltherapyinitiationlessonsfromthenigeriahivaidsindicatorandimpactsurveynaiisandtheiradaptationinnigeriaartsurge AT denisonotu optimizingcommunitylinkagetocareandantiretroviraltherapyinitiationlessonsfromthenigeriahivaidsindicatorandimpactsurveynaiisandtheiradaptationinnigeriaartsurge AT solomonodafe optimizingcommunitylinkagetocareandantiretroviraltherapyinitiationlessonsfromthenigeriahivaidsindicatorandimpactsurveynaiisandtheiradaptationinnigeriaartsurge AT danielbwilliams optimizingcommunitylinkagetocareandantiretroviraltherapyinitiationlessonsfromthenigeriahivaidsindicatorandimpactsurveynaiisandtheiradaptationinnigeriaartsurge AT orjibassey optimizingcommunitylinkagetocareandantiretroviraltherapyinitiationlessonsfromthenigeriahivaidsindicatorandimpactsurveynaiisandtheiradaptationinnigeriaartsurge AT obinnaogbanufe optimizingcommunitylinkagetocareandantiretroviraltherapyinitiationlessonsfromthenigeriahivaidsindicatorandimpactsurveynaiisandtheiradaptationinnigeriaartsurge AT chibuzoronyenuobi optimizingcommunitylinkagetocareandantiretroviraltherapyinitiationlessonsfromthenigeriahivaidsindicatorandimpactsurveynaiisandtheiradaptationinnigeriaartsurge AT ayoadeola optimizingcommunitylinkagetocareandantiretroviraltherapyinitiationlessonsfromthenigeriahivaidsindicatorandimpactsurveynaiisandtheiradaptationinnigeriaartsurge AT chidoziemeribe optimizingcommunitylinkagetocareandantiretroviraltherapyinitiationlessonsfromthenigeriahivaidsindicatorandimpactsurveynaiisandtheiradaptationinnigeriaartsurge AT timothyefuntoye optimizingcommunitylinkagetocareandantiretroviraltherapyinitiationlessonsfromthenigeriahivaidsindicatorandimpactsurveynaiisandtheiradaptationinnigeriaartsurge AT omodelejfagbamigbe optimizingcommunitylinkagetocareandantiretroviraltherapyinitiationlessonsfromthenigeriahivaidsindicatorandimpactsurveynaiisandtheiradaptationinnigeriaartsurge AT ayodelefagbemi optimizingcommunitylinkagetocareandantiretroviraltherapyinitiationlessonsfromthenigeriahivaidsindicatorandimpactsurveynaiisandtheiradaptationinnigeriaartsurge AT uzomaene optimizingcommunitylinkagetocareandantiretroviraltherapyinitiationlessonsfromthenigeriahivaidsindicatorandimpactsurveynaiisandtheiradaptationinnigeriaartsurge AT tingirnguhemen optimizingcommunitylinkagetocareandantiretroviraltherapyinitiationlessonsfromthenigeriahivaidsindicatorandimpactsurveynaiisandtheiradaptationinnigeriaartsurge AT ifunanyamgbakor optimizingcommunitylinkagetocareandantiretroviraltherapyinitiationlessonsfromthenigeriahivaidsindicatorandimpactsurveynaiisandtheiradaptationinnigeriaartsurge AT matthiasalagi optimizingcommunitylinkagetocareandantiretroviraltherapyinitiationlessonsfromthenigeriahivaidsindicatorandimpactsurveynaiisandtheiradaptationinnigeriaartsurge AT olugbengaasaolu optimizingcommunitylinkagetocareandantiretroviraltherapyinitiationlessonsfromthenigeriahivaidsindicatorandimpactsurveynaiisandtheiradaptationinnigeriaartsurge AT ademolaoladipo optimizingcommunitylinkagetocareandantiretroviraltherapyinitiationlessonsfromthenigeriahivaidsindicatorandimpactsurveynaiisandtheiradaptationinnigeriaartsurge AT joyamafah optimizingcommunitylinkagetocareandantiretroviraltherapyinitiationlessonsfromthenigeriahivaidsindicatorandimpactsurveynaiisandtheiradaptationinnigeriaartsurge AT charlesnzelu optimizingcommunitylinkagetocareandantiretroviraltherapyinitiationlessonsfromthenigeriahivaidsindicatorandimpactsurveynaiisandtheiradaptationinnigeriaartsurge AT patrickdakum optimizingcommunitylinkagetocareandantiretroviraltherapyinitiationlessonsfromthenigeriahivaidsindicatorandimpactsurveynaiisandtheiradaptationinnigeriaartsurge AT charlesmensah optimizingcommunitylinkagetocareandantiretroviraltherapyinitiationlessonsfromthenigeriahivaidsindicatorandimpactsurveynaiisandtheiradaptationinnigeriaartsurge AT ahmadaliyu optimizingcommunitylinkagetocareandantiretroviraltherapyinitiationlessonsfromthenigeriahivaidsindicatorandimpactsurveynaiisandtheiradaptationinnigeriaartsurge AT prosperokonkwo optimizingcommunitylinkagetocareandantiretroviraltherapyinitiationlessonsfromthenigeriahivaidsindicatorandimpactsurveynaiisandtheiradaptationinnigeriaartsurge AT bolanleoyeledun optimizingcommunitylinkagetocareandantiretroviraltherapyinitiationlessonsfromthenigeriahivaidsindicatorandimpactsurveynaiisandtheiradaptationinnigeriaartsurge AT johnoko optimizingcommunitylinkagetocareandantiretroviraltherapyinitiationlessonsfromthenigeriahivaidsindicatorandimpactsurveynaiisandtheiradaptationinnigeriaartsurge AT akudoikpeazu optimizingcommunitylinkagetocareandantiretroviraltherapyinitiationlessonsfromthenigeriahivaidsindicatorandimpactsurveynaiisandtheiradaptationinnigeriaartsurge AT aliyugambo optimizingcommunitylinkagetocareandantiretroviraltherapyinitiationlessonsfromthenigeriahivaidsindicatorandimpactsurveynaiisandtheiradaptationinnigeriaartsurge AT manhattancharurat optimizingcommunitylinkagetocareandantiretroviraltherapyinitiationlessonsfromthenigeriahivaidsindicatorandimpactsurveynaiisandtheiradaptationinnigeriaartsurge AT teddellerbrock optimizingcommunitylinkagetocareandantiretroviraltherapyinitiationlessonsfromthenigeriahivaidsindicatorandimpactsurveynaiisandtheiradaptationinnigeriaartsurge AT sanialiyu optimizingcommunitylinkagetocareandantiretroviraltherapyinitiationlessonsfromthenigeriahivaidsindicatorandimpactsurveynaiisandtheiradaptationinnigeriaartsurge AT maheshswaminathan optimizingcommunitylinkagetocareandantiretroviraltherapyinitiationlessonsfromthenigeriahivaidsindicatorandimpactsurveynaiisandtheiradaptationinnigeriaartsurge |
| _version_ |
1718374663355105280 |