Provision of HIV testing services and its impact on the HIV positivity rate in the public health sector in KwaZulu-Natal: a ten-year review

South Africa has been rated as having the most severe HIV epidemic in the world since it has one of the largest populations of people living with HIV (PLHIV). KwaZulu-Natal (KZN) is the epicentre of the HIV epidemic. The HIV test and treat services in the public health sector are critical to managin...

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Bibliographic Details
Published in:SAHARA J : journal of Social Aspects of HIV/AIDS Research Alliance 2024-12, Vol.21 (1), p.2318797
Main Authors: Desai, Rizwana, Onwubu, Stanley, Lutge, Elizabeth, Buthelezi, Nondumiso Patience, Moodley, Nirvasha, Haffejee, Firoza, Segobe, Bontle, Krishna, Suresh Babu Naidu, Sibiya, Maureen Nokuthula, Jinabhai, Champaklal Chhaganlal
Format: Article
Language:English
Subjects:
Cross-Sectional Studies
DHIS
Epidemics
Health information
Health planning
Health services
HIV
HIV Infections - diagnosis
HIV Infections - epidemiology
HIV positivity rate
HIV prevalence
HIV prevention
HIV programme
HIV Testing
HIV testing services
Human immunodeficiency virus
Humans
Information sources
Kwazulu-Natal
Medical tests
Public Health
Regression analysis
South Africa - epidemiology
Tests
Variance analysis
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Summary:South Africa has been rated as having the most severe HIV epidemic in the world since it has one of the largest populations of people living with HIV (PLHIV). KwaZulu-Natal (KZN) is the epicentre of the HIV epidemic. The HIV test and treat services in the public health sector are critical to managing the epidemic and responding to the increase in HIV infections. The KwaZulu-Natal Department of Health (DOH) commissioned a review of the provision of HIV testing services in the province and aimed to investigate its impact on the HIV positivity rate over a ten-year period. The study was an ecological study design using data extracted from the Department's District Health Information System (DHIS). Descriptive analysis was conducted in addition to ANOVA and multiple regression analysis. The results of this study have shown that the total number of HIV tests conducted over the ten-year period in the province has increased with the highest number of HIV tests being conducted in the 2018/2019 MTEF year. ANOVA analysis indicates that there was a statistically significant difference in the total number of HIV tests conducted and the number of HIV tests per 100 000 population across the province's 11 districts (p 
ISSN:1729-0376
1813-4424
1813-4424
DOI:10.1080/17290376.2024.2318797