Outcomes and impact of HIV prevention, ART and TB programs in Swaziland--early evidence from public health triangulation

Swaziland's severe HIV epidemic inspired an early national response since the late 1980s, and regular reporting of program outcomes since the onset of a national antiretroviral treatment (ART) program in 2004. We assessed effectiveness outcomes and mortality trends in relation to ART, HIV testi...

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Bibliographic Details
Published in:PloS one 2013-07, Vol.8 (7), p.e69437-e69437
Main Authors: van Schalkwyk, Cari, Mndzebele, Sibongile, Hlophe, Thabo, Garcia Calleja, Jesus Maria, Korenromp, Eline L, Stoneburner, Rand, Pervilhac, Cyril
Format: Article
Language:English
Subjects:
Acquired immune deficiency syndrome
Adolescent
Adult
Adults
AIDS
Antiretroviral agents
Antiretroviral drugs
Antiretroviral therapy
Antiretroviral Therapy, Highly Active - statistics & numerical data
Babies
Cause of Death
CD4 antigen
Children
Comorbidity
Counseling
Demographics
Disease transmission
Epidemics
Female
Health care facilities
HIV
HIV Infections - complications
HIV Infections - drug therapy
HIV Infections - epidemiology
HIV Infections - prevention & control
Hospital facilities
Hospitalization - statistics & numerical data
Human immunodeficiency virus
Humans
Incidence
Infections
Infectious Disease Transmission, Vertical - prevention & control
Inpatients
Male
Middle Aged
Mortality
National Health Programs - statistics & numerical data
Patients
Polls & surveys
Prevalence
Prevention
Public health
Public Health - statistics & numerical data
Sexually transmitted diseases
STD
Survival Analysis
Swaziland - epidemiology
Treatment Outcome
Triangulation
Tuberculosis
Tuberculosis - complications
Tuberculosis - epidemiology
Tuberculosis - prevention & control
Young Adult
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Summary:Swaziland's severe HIV epidemic inspired an early national response since the late 1980s, and regular reporting of program outcomes since the onset of a national antiretroviral treatment (ART) program in 2004. We assessed effectiveness outcomes and mortality trends in relation to ART, HIV testing and counseling (HTC), tuberculosis (TB) and prevention of mother to child transmission (PMTCT). Data triangulated include intervention coverage and outcomes according to program registries (2001-2010), hospital admissions and deaths disaggregated by age and sex (2001-2010) and population mortality estimates from the 1997 and 2007 censuses and the 2007 demographic and health survey. By 2010, ART reached 70% of the estimated number of people living with HIV/AIDS with CD4
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0069437