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conferenceseries
.com
Volume 5, Issue 6(Suppl)
J Infect Dis Ther, an open access journal
ISSN: 2332-0877
Euro Infectious Diseases 2017
September 07-09, 2017
September 07-09, 2017 | Paris, France
Infectious Diseases
6
th
Euro-Global Conference on
HIV care continuum outcomes: Does Ethiopia meet the UNAIDS 90-90-90 targets?
Gesesew Hailay
1
, Ward Paul
1
, Hajito Kifle
2
and
Mwanri Lillian
1
1
Flinders University, Australia
2
Jimma University, Ethiopia
Background:
How Ethiopia’s UNAIDS 90-90-90 targets is progressing was not assessed. We assessed HIV care continuum outcomes
as surrogate markers for the 90-90-90 targets.
Methodology:
Data were collected from a 12 years retrospective cohort from anti-retroviral therapy (ART) clinic in Southwest
Ethiopia. For measuring the UNAIDS diagnosis target, prevalence rate of delayed HIV diagnosis was considered as a surrogate
marker. For the treatment target, number of people on ART, number of people who discontinued from ART or transferred out, and
number of people who had fair or poor adherence were used as surrogate markers. For the viral suppression target, number of CD4
counts and/or WHO clinical stages were used to assess immunological, clinical and treatment successes and further show the viral
suppression. Summary statistics, trends and estimated survival time were reported.
Findings:
8172 patients were enrolled for HIV cares in 2003-2015. For the diagnosis target, 34.5% patients knew their status early
(43%-children, 33%-adults). For the treatment target, 65% patients received ART, 1154 (21.9%) patients discontinued from ART,
1015 (19.3%) patients on ART transferred out to other sites, 916 (17%) of patients on ART had fair or good adherence. For the
virological suppression target, 80.7, 80.3 and 65.8% of patients had immunological, clinical and treatment success displaying an
estimated 66% of patients achieved the target.
Conclusions:
The finding reflects that an estimated 35% of patients knew their status timely, 65% of diagnosed patients received
treatment and 66% of patients on ART achieved viral suppression. This is very far from the UNAIDS 90-90-90 targets underscoring
the need for concreted efforts such as use of unmanned aerial systems (or drones) for transporting laboratory specimens, immediate
or same day ART initiation, community distribution of ART, runaway packs during conflict, and use of GenXpert for HIV viral load
testing would help to hit the target.
Biography
Gesesew Hailay has his expertise in Epidemiology. His multi-method approach assessing in each cascades of HIV care continuum will establish a significant
contribution for the AIDS Ending goal. He has been publishing a lot of peer reviewed articles in HIV care in reputable journals. His publications produced from his
PhD will improve the HIV care in developing countries especially Ethiopia. He has been serving as a Clinician, Academician and Researcher.
gese0002@flinders.edu.auGesesew Hailay et al., J Infect Dis Ther 2017, 5:6(Suppl)
DOI: 10.4172/2332-0877-C1-032