Community based multi-disease health screening as an opportunity for early detection of HIV cases and linking them to care
Abstract Background The 95-95-95 UNAIDS global strategy was adapted to end the AIDS epidemic by 2030. The target is based on the premise that early detection of HIV-infected persons and linking them to treatment regardless of their CD4 counts will lead to sustained viral suppression. HIV testing str...
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| Format: | Article |
| Language: | English |
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BMC
2023-06-01
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| Series: | BMC Public Health |
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| Online Access: | https://doi.org/10.1186/s12889-023-15948-6 |
| _version_ | 1797811302107709440 |
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| author | Christopher Z-Y. Abana Dennis K. Kushitor Theodore W. Asigbee Prince K. Parbie Koichi Ishikawa Hiroshi Kiyono Taketoshi Mizutani Samuel Siaw Sampson B. Ofori Gifty Addo-Tetebo Maclean R. D. Ansong Marion Williams Samuel Morton George Danquah Tetsuro Matano William K. Ampofo Evelyn Y. Bonney |
| author_facet | Christopher Z-Y. Abana Dennis K. Kushitor Theodore W. Asigbee Prince K. Parbie Koichi Ishikawa Hiroshi Kiyono Taketoshi Mizutani Samuel Siaw Sampson B. Ofori Gifty Addo-Tetebo Maclean R. D. Ansong Marion Williams Samuel Morton George Danquah Tetsuro Matano William K. Ampofo Evelyn Y. Bonney |
| author_sort | Christopher Z-Y. Abana |
| collection | DOAJ |
| description | Abstract Background The 95-95-95 UNAIDS global strategy was adapted to end the AIDS epidemic by 2030. The target is based on the premise that early detection of HIV-infected persons and linking them to treatment regardless of their CD4 counts will lead to sustained viral suppression. HIV testing strategies to increase uptake of testing in Western and Central Africa remain inadequate. Hence, a high proportion of people living with HIV in this region do not know their status. This report describes the implementation of a community based multi-disease health screening (also known as “Know Your Status” -KYS), as part of basic science research, in a way that contributed to achieving public health goals. Methods A community based multi-disease health screening was conducted in 7 communities within the Eastern region of Ghana between November 2017 and April 2018, to recruit and match HIV seronegative persons to HIV seropositive persons in a case-control HIV gut microbiota study. Health assessments included blood pressure, body mass index, blood sugar, Hepatitis B virus, syphilis, and HIV testing for those who consented. HIV seronegative participants who consented were consecutively enrolled in an ongoing HIV gut microbiota case-control study. Descriptive statistics (percentages) were used to analyze data. Results Out of 738 people screened during the exercise, 700 consented to HIV testing and 23 (3%) were HIV positive. Hepatitis B virus infection was detected in 4% (33/738) and Syphilis in 2% (17/738). Co-infection of HIV and HBV was detected in 4 persons. The HIV prevalence of 3% found in these communities is higher than both the national prevalence of 1.7% and the Eastern Regional prevalence of 2.7 in 2018. Conclusion Community based multi-disease health screening, such as the one undertaken in our study could be critical for identifying HIV infected persons from the community and linking them to care. In the case of HIV, it will greatly contribute to achieving the first two 95s and working towards ending AIDS by 2030. |
| first_indexed | 2024-03-13T07:20:38Z |
| format | Article |
| id | doaj.art-dcb4c6b652a64dfc9c0ff72cb7122bc0 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-03-13T07:20:38Z |
| publishDate | 2023-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-dcb4c6b652a64dfc9c0ff72cb7122bc02023-06-04T11:40:49ZengBMCBMC Public Health1471-24582023-06-012311710.1186/s12889-023-15948-6Community based multi-disease health screening as an opportunity for early detection of HIV cases and linking them to careChristopher Z-Y. Abana0Dennis K. Kushitor1Theodore W. Asigbee2Prince K. Parbie3Koichi Ishikawa4Hiroshi Kiyono5Taketoshi Mizutani6Samuel Siaw7Sampson B. Ofori8Gifty Addo-Tetebo9Maclean R. D. Ansong10Marion Williams11Samuel Morton12George Danquah13Tetsuro Matano14William K. Ampofo15Evelyn Y. Bonney16Virology Department, Noguchi Memorial Institute for Medical Research (NMIMR), University of GhanaVirology Department, Noguchi Memorial Institute for Medical Research (NMIMR), University of GhanaVirology Department, Noguchi Memorial Institute for Medical Research (NMIMR), University of GhanaAIDS Research Center, National Institute of Infectious Diseases (NIID)AIDS Research Center, National Institute of Infectious Diseases (NIID)Institute of Medical Sciences, The University of TokyoInstitute of Medical Sciences, The University of TokyoEastern Regional HospitalEastern Regional HospitalEastern Regional HospitalVirology Department, Noguchi Memorial Institute for Medical Research (NMIMR), University of GhanaEastern Regional HospitalEastern Regional HospitalEastern Regional HospitalAIDS Research Center, National Institute of Infectious Diseases (NIID)Virology Department, Noguchi Memorial Institute for Medical Research (NMIMR), University of GhanaVirology Department, Noguchi Memorial Institute for Medical Research (NMIMR), University of GhanaAbstract Background The 95-95-95 UNAIDS global strategy was adapted to end the AIDS epidemic by 2030. The target is based on the premise that early detection of HIV-infected persons and linking them to treatment regardless of their CD4 counts will lead to sustained viral suppression. HIV testing strategies to increase uptake of testing in Western and Central Africa remain inadequate. Hence, a high proportion of people living with HIV in this region do not know their status. This report describes the implementation of a community based multi-disease health screening (also known as “Know Your Status” -KYS), as part of basic science research, in a way that contributed to achieving public health goals. Methods A community based multi-disease health screening was conducted in 7 communities within the Eastern region of Ghana between November 2017 and April 2018, to recruit and match HIV seronegative persons to HIV seropositive persons in a case-control HIV gut microbiota study. Health assessments included blood pressure, body mass index, blood sugar, Hepatitis B virus, syphilis, and HIV testing for those who consented. HIV seronegative participants who consented were consecutively enrolled in an ongoing HIV gut microbiota case-control study. Descriptive statistics (percentages) were used to analyze data. Results Out of 738 people screened during the exercise, 700 consented to HIV testing and 23 (3%) were HIV positive. Hepatitis B virus infection was detected in 4% (33/738) and Syphilis in 2% (17/738). Co-infection of HIV and HBV was detected in 4 persons. The HIV prevalence of 3% found in these communities is higher than both the national prevalence of 1.7% and the Eastern Regional prevalence of 2.7 in 2018. Conclusion Community based multi-disease health screening, such as the one undertaken in our study could be critical for identifying HIV infected persons from the community and linking them to care. In the case of HIV, it will greatly contribute to achieving the first two 95s and working towards ending AIDS by 2030.https://doi.org/10.1186/s12889-023-15948-6Community-basedMulti-disease screeningKnow your statusHIV |
| spellingShingle | Christopher Z-Y. Abana Dennis K. Kushitor Theodore W. Asigbee Prince K. Parbie Koichi Ishikawa Hiroshi Kiyono Taketoshi Mizutani Samuel Siaw Sampson B. Ofori Gifty Addo-Tetebo Maclean R. D. Ansong Marion Williams Samuel Morton George Danquah Tetsuro Matano William K. Ampofo Evelyn Y. Bonney Community based multi-disease health screening as an opportunity for early detection of HIV cases and linking them to care BMC Public Health Community-based Multi-disease screening Know your status HIV |
| title | Community based multi-disease health screening as an opportunity for early detection of HIV cases and linking them to care |
| title_full | Community based multi-disease health screening as an opportunity for early detection of HIV cases and linking them to care |
| title_fullStr | Community based multi-disease health screening as an opportunity for early detection of HIV cases and linking them to care |
| title_full_unstemmed | Community based multi-disease health screening as an opportunity for early detection of HIV cases and linking them to care |
| title_short | Community based multi-disease health screening as an opportunity for early detection of HIV cases and linking them to care |
| title_sort | community based multi disease health screening as an opportunity for early detection of hiv cases and linking them to care |
| topic | Community-based Multi-disease screening Know your status HIV |
| url | https://doi.org/10.1186/s12889-023-15948-6 |
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