In an interim analysis of 7108 HIV-positive individuals from 16 rural East African communities, viral suppression rates increased from 48.7% to 73.4% 2 years after initiation of a community-based universal HIV program.
An interim analysis evaluated the HIV care cascade, including viral suppression rates, among 77,774 residents (≥15 years old) of the 16 intervention communities in a cluster-randomized trial evaluating a universal HIV test-and-treat strategy in rural Kenya and Uganda. The intervention comprised community-based general health campaigns and home visits for nonattendees, immediate clinic appointments for those testing HIV-positive, personal introductions to clinic staff, a clinician's phone number, transport vouchers, and tracking of individuals who did not link to care.
At baseline, HIV prevalence averaged 10.3% (7108 of 69,283 with known status; 3.5% in East Uganda; 6.5% in Southwest Uganda; 20.1% in Kenya), only 48.7% were virally suppressed…
Reviewing Author
DisclosuresConsultant/Advisory BoardUNAIDS; WHO; Bill and Melinda Gates Foundation, Population Council
Grant/Research SupportNIH; National Institute of Allergy and Infectious Diseases; Tides Foundation/MAC AIDS Fund; USAID; South African National Research Foundation; European Union; South African Medical Research Council
Editorial BoardsNew England Journal of Medicine; AIDS Reviews; AIDS Research and Human Retroviruses; mBio; Indian Journal of Medical Research; JAIDS: Journal of Acquired Immune Deficiency Syndromes
DisclosuresConsultant/Advisory BoardUNAIDS; WHO; Bill and Melinda Gates Foundation, Population Council
Grant/Research SupportNIH; National Institute of Allergy and Infectious Diseases; Tides Foundation/MAC AIDS Fund; USAID; South African National Research Foundation; European Union; South African Medical Research Council
Editorial BoardsNew England Journal of Medicine; AIDS Reviews; AIDS Research and Human Retroviruses; mBio; Indian Journal of Medical Research; JAIDS: Journal of Acquired Immune Deficiency Syndromes