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Provision of HIV testing services and its impact on the HIV positivity rate in the public health sector in KwaZulu-Natal : a ten-year review

dc.contributor.authorDesai, Rizwanaen_US
dc.contributor.authorOnwubu, Stanleyen_US
dc.contributor.authorLutge, Elizabethen_US
dc.contributor.authorButhelezi, Nondumiso Patienceen_US
dc.contributor.authorMoodley, Nirvashaen_US
dc.contributor.authorHaffejee, Firozaen_US
dc.contributor.authorSegobe, Bontleen_US
dc.contributor.authorKrishna, Suresh Babu Naiduen_US
dc.contributor.authorSibiya, Maureen Nokuthulaen_US
dc.contributor.authorJinabhai, Champaklal Chhaganlalen_US
dc.date.accessioned2024-03-27T15:28:36Z
dc.date.available2024-03-27T15:28:36Z
dc.date.issued2024-12
dc.date.updated2024-03-22T17:06:15Z
dc.description.abstractSouth Africa has been rated as having the most severe HIV epidemic in the world since it has one of the largest populations of people living with HIV (PLHIV). KwaZulu-Natal (KZN) is the epicentre of the HIV epidemic. The HIV test and treat services in the public health sector are critical to managing the epidemic and responding to the increase in HIV infections. The KwaZulu-Natal Department of Health (DOH) commissioned a review of the provision of HIV testing services in the province and aimed to investigate its impact on the HIV positivity rate over a ten-year period. The study was an ecological study design using data extracted from the Department's District Health Information System (DHIS). Descriptive analysis was conducted in addition to ANOVA and multiple regression analysis. The results of this study have shown that the total number of HIV tests conducted over the ten-year period in the province has increased with the highest number of HIV tests being conducted in the 2018/2019 MTEF year. ANOVA analysis indicates that there was a statistically significant difference in the total number of HIV tests conducted and the number of HIV tests per 100 000 population across the province's 11 districts (<i>p</i> < 0.001). Statistically significant differences were observed in the HIV testing rate and in the HIV positivity rate over the period (<i>p</i> < 0.001). Results from multiple regression analysis showed that the HIV testing rate per 100 000 population was the strongest predictor of the HIV positivity rate. HIV positivity among clients correlated negatively with the number of HIV tests conducted per 100 000 population (r = -0.823; <i>p</i> < 0.001) and the HIV testing rate (r = -0.324; <i>p</i> < 0.01). This study has found that HIV testing could have an impact on reducing the positivity rate of HIV in the province and is therefore an effective strategy in curbing the HIV epidemic. The KwaZulu-Natal Department of Health should ensure that strategies for implementing and maintaining HIV testing and treating services should continue at an accelerated rate in order to achieve the first 95 of the UNAIDS 2025 SDG target.en_US
dc.format.extent11 pen_US
dc.format.mediumPrint-Electronic
dc.identifier.citationDesai, R. et al. 2024. Provision of HIV testing services and its impact on the HIV positivity rate in the public health sector in KwaZulu-Natal: a ten-year review. SAHARA-J: Journal of Social Aspects of HIV/AIDS Research Alliance. 21(1): 1-11. doi:10.1080/17290376.2024.2318797en_US
dc.identifier.doi10.1080/17290376.2024.2318797
dc.identifier.issn1729-0376
dc.identifier.issn1813-4424 (Online)
dc.identifier.otherpubmed: 38374664
dc.identifier.otherpmc: PMC10880561
dc.identifier.urihttps://hdl.handle.net/10321/5231
dc.language.isoenen_US
dc.publisherInforma UK Limiteden_US
dc.publisher.urihttps://www.tandfonline.com/doi/full/10.1080/17290376.2024.2318797en_US
dc.relation.ispartofSAHARA-J: Journal of Social Aspects of HIV/AIDS Research Alliance; Vol. 21, Issue 1en_US
dc.subjectHIV testing; HIV testing services; HIV programme; HIV prevention; HIV prevalence; HIV positivity rate; Kwazulu-Natal; DHISen_US
dc.subjectHIV testingen_US
dc.subjectHIV testing servicesen_US
dc.subjectHIV prevalenceen_US
dc.subjectKwaZulu-Natalen_US
dc.subjectHIV positive rateen_US
dc.subjectPublic Healthen_US
dc.subject.meshHumans
dc.subject.meshHIV Infections
dc.subject.meshCross-Sectional Studies
dc.subject.meshPublic Health
dc.subject.meshSouth Africa
dc.subject.meshHIV Testing
dc.subject.meshHumans
dc.subject.meshHIV Infections
dc.subject.meshPublic Health
dc.subject.meshCross-Sectional Studies
dc.subject.meshSouth Africa
dc.subject.meshHIV Testing
dc.titleProvision of HIV testing services and its impact on the HIV positivity rate in the public health sector in KwaZulu-Natal : a ten-year reviewen_US
dc.typeArticleen_US

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