Cascade of care in people living with HIV in Iran in 2019; how far to reach UNAIDS/WHO targets

Systematic HIV program evaluation requires looking at all steps of the HIV cascade of care, from diagnosis to treatment outcomes. Our study was carried out to assess the treatment cascade of people living with HIV (PLWH) in Iran in 2019. We used data from the HIV Case Registry System of Iran through...

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Bibliographic Details
Published in:AIDS care 2022-05, Vol.34 (5), p.590-596
Main Authors: Farhoudi, Behnam, Ghalekhani, Nima, Afsar Kazerooni, Parvin, Namdari Tabar, Hengameh, Tayeri, Katayoun, Gouya, Mohammad Mehdi, SeyedAlinaghi, SeyedAhmad, Haghdoost, Ali Akbar, Mirzazadeh, Ali, Sharifi, Hamid
Format: Article
Language:English
Subjects:
Adult
Antiretroviral agents
Antiretroviral drugs
Antiretroviral therapy
cascade
Child
Clinical outcomes
Health care delivery
HIV
HIV Infections - diagnosis
HIV Infections - drug therapy
HIV Infections - epidemiology
Human immunodeficiency virus
Humans
Iran
Iran - epidemiology
Medical diagnosis
Patient care planning
PLWH
Program evaluation
Sexual behavior
Sexually transmitted diseases
STD
Surveys and Questionnaires
Undiagnosed
Viral Load
World Health Organization
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Summary:Systematic HIV program evaluation requires looking at all steps of the HIV cascade of care, from diagnosis to treatment outcomes. Our study was carried out to assess the treatment cascade of people living with HIV (PLWH) in Iran in 2019. We used data from the HIV Case Registry System of Iran through December 2019. We estimated the number of PLWH in 2019 by using Spectrum, and then the proportion of them being diagnosed, linked to care, received antiretroviral treatment and suppressed viral load. We estimated that there are 59,314 (UI: 32,685-125,636) PLWH in Iran, of whom 22,054 people (37% of PLWH) were diagnosed. At the end of 2019, of whom, 14,685 (25% of PLWH) people received antiretroviral therapy. Also, of whom 6338 (11% of PLWH) people had viral load suppression by 2019. Our results showed that about one-third of total PLWH were diagnosed, while this defect is somewhat less in children than adults. To reach the 90.90.90 targets Iran needs to developed the current national HIV care guidelines, which recommend best strategies to scale up the case finding and linkage to care among undiagnosed people specifically those who infected by sexual contact in general and key populations as well.
ISSN:0954-0121
1360-0451
DOI:10.1080/09540121.2021.1944603