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Changes in Viral Load after Home-based HIV Testing and Counseling - Swaziland

Changes in Viral Load after Home-based HIV Testing and Counseling - Swaziland. Naomi Bock 1 , Ruth Emerson 2 , Velephi Okello 3 , Neena Philip 4 , Deborah Donnell 2 , George Bicego 1 , Peter Ehrenkranz 1 , Rejoice Nkambule 3 , Azih Charles Ikechi 3, Yen Duong 1, Jessica Justman 4

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Changes in Viral Load after Home-based HIV Testing and Counseling - Swaziland

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  1. Changes in Viral Load after Home-based HIV Testing and Counseling - Swaziland Naomi Bock1, Ruth Emerson2,Velephi Okello3, Neena Philip4, Deborah Donnell2, George Bicego1, Peter Ehrenkranz1, Rejoice Nkambule3, Azih Charles Ikechi3, Yen Duong1, Jessica Justman4 1 Centers for Disease Control and Prevention, Atlanta, USA and Mbabane, Swaziland, 2Statistical Center for HIV/AIDS Research and Prevention and the Vaccine and Infectious Disease Institute, Fred Hutchinson Cancer Research Center, Seattle, USA, 3Ministry of Health, Swaziland, 4 ICAP-Columbia, Mailman School of Public Health, Columbia University, New York, USA

  2. Random sample of adults who tested HIV+ at HBHTC as part of SHIMS underwent repeat viral load testing 8-12 months later Total potential participants in 2011: 24, 556 Participated 18,172 (74%) No contact/Refused 6384 (26%) HIV-Neg 12,367 (68%) HIV+ 5,803 (32%) Selected for sub-group return visit 8-12 months after baseline FU 1,067 (15%) Viral load at baseline and FU; & CD4 at FU 922 (86%)

  3. Change in proportion with VL suppression by HIV awareness and by ART use at baseline and follow-up of 922 adults

  4. Change in proportion with VL suppression by HIV awareness and by ART use at baseline and follow-up of 922 adults

  5. Change in proportion with VL suppression by HIV awareness and by ART use at baseline and follow-up of 922 adults

  6. Change in proportion with VL suppression by HIV awareness and by ART use at baseline and follow-up of 922 adults

  7. Change in proportion with VL suppression by HIV awareness and by ART use at baseline and follow-up of 922 adults

  8. Change in proportion with VL suppression by HIV awareness and by ART use at baseline and follow-up of 922 adults

  9. Conclusions • HBHTC increased knowledge of HIV-infected status and the proportion of those on ART in the study population. • Although VL suppression was high among those on ART, including among those who had started between baseline and follow up, the overall increase in proportion with viral suppression was small, from 40 to 47%. • The results of this study indicate that stronger linkage interventions and broader ART eligibility criteria are necessary to realize the potential of HBHTC for lowering population VL.

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