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Accepted (AM)Open Access (License Unspecified), Open
Journal article
Understating the barriers to achievement of the UNAIDS 90-90-90 goal in Tanzania using a population-based HIV impact assessment survey 2016-2017
AIDS care, v 34(6), pp 797-804
03 Jun 2022
PMID: 33975497
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
The Joint United Nations Programme on HIV/AIDS (UNAIDS) and partners launched the 90-90-90 targets. We used Tanzania HIV Impact Survey (THIS) data in 2017 to study the barriers to achieve 90-90-90 targets. THIS was a population-based survey with a stratified multistage stage sampling design. We used weighted logistic regression to associate three targets with socio-demographics, HIV-related discrimination, fear and shame. We defined HIV awareness by a combination of self-reported of HIV status positive and detected antiretroviral (ARV) in blood among PLWH. On ARV was defined as those who self-reported among awareness. Viral load suppression was defined as 400 copies/ml or less in the blood sample. The three targets were estimated at 61-90-85 in Tanzania from the weighted analysis. The first target was far from being achieved. The weighted regression showed that being female, having attained higher education, married, having insurance, and living in urban areas were associated with a high likelihood of having ever tested for HIV. The results indicated that intervention programmes in Tanzania should focus on the first target. Intervention programmes should be designed for each target separately. Integrated strategies in the context of low and middle-income countries are needed to achieve these targets.
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Details
- Title
- Understating the barriers to achievement of the UNAIDS 90-90-90 goal in Tanzania using a population-based HIV impact assessment survey 2016-2017
- Creators
- Yan Wang - Drexel University, Dana and David Dornsife School of Public HealthSylvia Kiwuwa-Muyingo - African Population and Health Research CenterDamazo T. Kadengye - African Population and Health Research Center
- Publication Details
- AIDS care, v 34(6), pp 797-804
- Publisher
- Taylor & Francis
- Number of pages
- 8
- Grant note
- T32MH080634 / NIH (10.13039/100000002) NIMHD #1T37MD014251 / National Institute on Minority Health and Health Disparities (10.13039/100006545)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Dana and David Dornsife School of Public Health
- Web of Science ID
- WOS:000649585500001
- Scopus ID
- 2-s2.0-85106322260
- Other Identifier
- 991021860754904721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Health Policy & Services
- Psychology, Multidisciplinary
- Public, Environmental & Occupational Health
- Respiratory System
- Social Sciences, Biomedical