Maximizing Targeted Testing to Improve HIV Yield Among Children and Adolescents in Rwenzori Region Uganda Authors Harriet Bitimwine 1 Fiona Musiime 1 Ajuna Patrick 1 Patricia NahiryaNtege ID: 768770
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Maximizing Targeted Testing to Improve HIV Yield Among Children and Adolescents in Rwenzori Region, Uganda Authors : Harriet Bitimwine 1 , Fiona Musiime 1 , Ajuna Patrick 1 , Patricia Nahirya-Ntege 1 , Paul Tumbu 1 , Adeodata Kekitiinwa 1 1 Baylor College of Medicine Children’s Foundation-Uganda
Conflict of Interest No conflict of interest to declare
Country Context The National Paed (< 15 years) ART coverage was 32%, compared to 52% for adults by June 2015Partly attributed to low identification & linkage of HIV infected children and adolescents into care
Country Context HIV Positivity among adolscents10-19yrs was 1.9% ( 2013 Adolescent survey ) HIV Positivity among children less than 15 years (0.7%) and adolescents (1%)(DHIS2, Sept. 2015)
Background Baylor-Uganda implemented targeted HIV Testing Services (HTS) models for children and adolescents (18mos -19yrs) from Mar-June 2016, HTS models were aimed at improving HIV testing yield. Implementation would be critical to improving our ability to close the gap in the first 90 and link clients to treatment. Thus closing the HIV treatment gap among children and adolescents in the Rwenzori region.
Methods The 4 HTS models implemented included: HTS O utreaches: Targeting Orphans & Vulnerable Children (OVC) at dwelling homes, remand homes and orphanages Know Y our C hild Status (KYCS) Campaigns: Targeting children of index clients Targeted HTS Outreaches: Targeting children of Female Sex Workers (FSWs), Fisher Folks (FFs) and Tea Plantation WorkersEvening HTS: Targeting adolescents offering Health Facility based HTS provided within Outpatient Department between 5-7pm From these HTS models, we determined the HIV yield.
Results
Children and Adolescents Tested for HIV Of the 4,091 children and adolescents tested, 2,135 (52%) were females & 2,030 (50 %) adolescents
Children and Adolescents Tested Through the Different HTS Models
Adolescents Tested Through the Different Models
Proportion Tested Through the Different HTS Models who were Adolescents
HIV Yield Across Different Age Groups HIV yield among children < 15 yrs was 1.1 %, 1.5% for adols and 1.3 % for all age groups combined.
HIV Yield by HTS Model
HIV Yield by HTS Model & Sex
Conclusion The National Paediatric and Adolescent HIV Testing program could benefit from scaling down implementation of: Targeted HTS outreaches to children of Tea Plantation WorkersKYCS campaigns
Conclusion And better relocate resources to higher risk HTS target groups thru: HTS for children at OVC dwelling homes HTS for children of FSWs and Fisher Folks Evening (Flexi-time) HTS for adolescents
Acknowledgements
Thank you! Any Questions? Harriet Bitimwine hbitimwine@baylor-uganda.org