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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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Published in: | SAHARA J : journal of Social Aspects of HIV/AIDS Research Alliance 2024-12, Vol.21 (1), p.2318797 |
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creator | 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 |
description | 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 |
doi_str_mv | 10.1080/17290376.2024.2318797 |
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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 < 0.001). Statistically significant differences were observed in the HIV testing rate and in the HIV positivity rate over the period (p < 0.001). Results from multiple regression analysis showed that the HIV testing rate per 100 000 population was the strongest predictor of the HIV positivity rate. HIV positivity among clients correlated negatively with the number of HIV tests conducted per 100 000 population (r = −0.823; p < 0.001) and the HIV testing rate (r = −0.324; p < 0.01). This study has found that HIV testing could have an impact on reducing the positivity rate of HIV in the province and is therefore an effective strategy in curbing the HIV epidemic. The KwaZulu-Natal Department of Health should ensure that strategies for implementing and maintaining HIV testing and treating services should continue at an accelerated rate in order to achieve the first 95 of the UNAIDS 2025 SDG target.</description><identifier>ISSN: 1729-0376</identifier><identifier>ISSN: 1813-4424</identifier><identifier>EISSN: 1813-4424</identifier><identifier>DOI: 10.1080/17290376.2024.2318797</identifier><identifier>PMID: 38374664</identifier><language>eng</language><publisher>South Africa: Taylor & Francis</publisher><subject>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</subject><ispartof>SAHARA J : journal of Social Aspects of HIV/AIDS Research Alliance, 2024-12, Vol.21 (1), p.2318797</ispartof><rights>2024 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group 2024</rights><rights>2024 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. This work is licensed under the Creative Commons Attribution License http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2024 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group 2024 The Author(s)</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c511t-e845efd6c45e1e87ae92ded704d854f93bcc1747a7607beccf2bf9454a020eb43</cites><orcidid>0000-0002-4499-1534 ; 0000-0003-1220-1478 ; 0000-0002-6487-9363 ; 0000-0002-0915-2604 ; 0000-0002-3908-8949</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10880561/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/3133566212?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,12847,25753,27344,27502,27924,27925,33223,33774,37012,37013,38516,43895,44590,53791,53793,59143,59144</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38374664$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Desai, Rizwana</creatorcontrib><creatorcontrib>Onwubu, Stanley</creatorcontrib><creatorcontrib>Lutge, Elizabeth</creatorcontrib><creatorcontrib>Buthelezi, Nondumiso Patience</creatorcontrib><creatorcontrib>Moodley, Nirvasha</creatorcontrib><creatorcontrib>Haffejee, Firoza</creatorcontrib><creatorcontrib>Segobe, Bontle</creatorcontrib><creatorcontrib>Krishna, Suresh Babu Naidu</creatorcontrib><creatorcontrib>Sibiya, Maureen Nokuthula</creatorcontrib><creatorcontrib>Jinabhai, Champaklal Chhaganlal</creatorcontrib><title>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</title><title>SAHARA J : journal of Social Aspects of HIV/AIDS Research Alliance</title><addtitle>SAHARA J</addtitle><description>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 < 0.001). Statistically significant differences were observed in the HIV testing rate and in the HIV positivity rate over the period (p < 0.001). Results from multiple regression analysis showed that the HIV testing rate per 100 000 population was the strongest predictor of the HIV positivity rate. HIV positivity among clients correlated negatively with the number of HIV tests conducted per 100 000 population (r = −0.823; p < 0.001) and the HIV testing rate (r = −0.324; p < 0.01). This study has found that HIV testing could have an impact on reducing the positivity rate of HIV in the province and is therefore an effective strategy in curbing the HIV epidemic. 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>SAHARA J : journal of Social Aspects of HIV/AIDS Research Alliance</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Desai, Rizwana</au><au>Onwubu, Stanley</au><au>Lutge, Elizabeth</au><au>Buthelezi, Nondumiso Patience</au><au>Moodley, Nirvasha</au><au>Haffejee, Firoza</au><au>Segobe, Bontle</au><au>Krishna, Suresh Babu Naidu</au><au>Sibiya, Maureen Nokuthula</au><au>Jinabhai, Champaklal Chhaganlal</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>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</atitle><jtitle>SAHARA J : journal of Social Aspects of HIV/AIDS Research Alliance</jtitle><addtitle>SAHARA J</addtitle><date>2024-12</date><risdate>2024</risdate><volume>21</volume><issue>1</issue><spage>2318797</spage><pages>2318797-</pages><issn>1729-0376</issn><issn>1813-4424</issn><eissn>1813-4424</eissn><abstract>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 < 0.001). Statistically significant differences were observed in the HIV testing rate and in the HIV positivity rate over the period (p < 0.001). Results from multiple regression analysis showed that the HIV testing rate per 100 000 population was the strongest predictor of the HIV positivity rate. HIV positivity among clients correlated negatively with the number of HIV tests conducted per 100 000 population (r = −0.823; p < 0.001) and the HIV testing rate (r = −0.324; p < 0.01). This study has found that HIV testing could have an impact on reducing the positivity rate of HIV in the province and is therefore an effective strategy in curbing the HIV epidemic. 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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 |
title | 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 |
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