IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0316794.html
   My bibliography  Save this article

A simple tool to evaluate the effectiveness of HIV care for settings with gaps in data availability (ESTIHIV)

Author

Listed:
  • Dorthe Raben
  • Marie L Jakobsen
  • Jamina Trajanovska
  • Justyna Kowalska
  • Anna Vassilenko
  • Snezana Dragas
  • Arjan Harxhi
  • Gordana Dragovic
  • Nadine J Jaschinski
  • Bastian Neesgaard
  • Klaus Hjorth-Larsen
  • Harmony Garges
  • Joel Gallant
  • Jens D Lundgren
  • Andrew Philips
  • Valentina Cambiano
  • Yazdan Yazdanpanah
  • Amanda Mocroft

Abstract

Many HIV clinics with poor IT-infrastructure are unable to report data on individuals in care with HIV, on antiretroviral treatment (ART) and virologically suppressed (VS), with the aim of monitoring the HIV Continuum of Care to estimate efficacy of HIV treatment programmes. We developed an estimation-tool, ESTIHIV, and determined the minimal data required for a random sample, to produce representative estimates, with a specified level of precision, of people with HIV on ART and VS. For proof of concept, 8852 HIV positive persons from seven clinics in seven different countries, with a follow-up visit during 2017, were included. Of those, 93.8% were on ART (95% CI 93.3–94.2) and 76.7% were VS (95% CI 75.8–77.6). In 2022, we tested the tool in the RESPOND Cohort for all countries with more than 100 participants under follow-up in 2019. We included 26,426 HIV positive persons from clinics in 27 countries, 97.8% (95% CI 97.6-98.0) were on ART and 91.5% were VS (95% CI 91.2-91.8%). There was good agreement between the RESPOND country estimates of ART and VS and the estimations using a random sample calculated in ESTIHIV. With ESTIHIV, clinics can produce a reliable estimate in figures for reporting and for monitoring the effectiveness of care in their clinics.

Suggested Citation

  • Dorthe Raben & Marie L Jakobsen & Jamina Trajanovska & Justyna Kowalska & Anna Vassilenko & Snezana Dragas & Arjan Harxhi & Gordana Dragovic & Nadine J Jaschinski & Bastian Neesgaard & Klaus Hjorth-La, 2025. "A simple tool to evaluate the effectiveness of HIV care for settings with gaps in data availability (ESTIHIV)," PLOS ONE, Public Library of Science, vol. 20(1), pages 1-13, January.
    • Handle: RePEc:plo:pone00:0316794
    DOI: 10.1371/journal.pone.0316794
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0316794
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0316794&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0316794?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0316794. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.