Achieving the UNAIDS 90-90-90 targets: a comparative analysis of four large community randomised trials delivering universal testing and treatment to reduce HIV transmission in sub-Saharan Africa.

ABSTRACT:

Background

Four large community-randomized trials examining universal testing and treatment (UTT) to reduce HIV transmission were conducted between 2012-2018 in Botswana, Kenya, Uganda, Zambia and South Africa. In 2014, the UNAIDS 90-90-90 targets were adopted as a useful metric to monitor coverage. We systematically review the approaches used by the trials to measure intervention delivery, and estimate coverage against the 90-90-90 targets. We aim to provide in-depth understanding of the background contexts and complexities that affect estimation of population-level coverage related to the 90-90-90 targets.

Methods

Estimates were based predominantly on "process" data obtained during delivery of the interventions which included a combination of home-based and community-based

SUBMITTER: Sabapathy K 

PROVIDER: S-EPMC9746009 | biostudies-literature | 2022 Dec

REPOSITORIES: biostudies-literature