{"id":34779,"date":"2018-08-24T11:28:58","date_gmt":"2018-08-24T11:28:58","guid":{"rendered":"http:\/\/i-base.info\/htb\/?p=34779"},"modified":"2018-08-24T15:46:26","modified_gmt":"2018-08-24T15:46:26","slug":"access-to-viral-load-testing-increases-from-14-to-61-over-two-years-in-cote-divoire","status":"publish","type":"post","link":"https:\/\/i-base.info\/htb\/34779","title":{"rendered":"Access to viral load testing increased from 14% to 61% over two years in C\u00f4te d&#8217;Ivoire"},"content":{"rendered":"<p class=\"HTBsubhead3authorcredit\"><strong><span lang=\"EN-US\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright size-medium wp-image-34425\" src=\"https:\/\/i-base.info\/htb\/wp-content\/uploads\/2018\/06\/LOGO-IAS-2018-combined-164x300.png\" alt=\"\" width=\"164\" height=\"300\" srcset=\"https:\/\/i-base.info\/htb\/wp-content\/uploads\/2018\/06\/LOGO-IAS-2018-combined-164x300.png 164w, https:\/\/i-base.info\/htb\/wp-content\/uploads\/2018\/06\/LOGO-IAS-2018-combined.png 188w\" sizes=\"auto, (max-width: 164px) 100vw, 164px\" \/>Simon Collins, HIV i-Base<\/span><\/strong><\/p>\n<p class=\"HTBBODYtext\"><b><span lang=\"EN-US\">An interesting poster presented results of recent scale up of access to viral load testing in rural and urban clinics in C\u00f4te d&#8217;Ivoire from 2015 to 2017. <\/span><\/b><\/p>\n<p class=\"HTBBODYtext\"><span lang=\"EN-US\">Before 2015, viral load was available to less than 10% of HIV positive people, and was restricted to clinics in the capital Abijan and the scale-up programme used internet-enabled quantitative lab-in-the-box technology. Viral load is recommended every 6 months during the first year of ART and annually thereafter.<\/span><\/p>\n<p class=\"HTBBODYtext\"><span lang=\"EN-US\">Between October 2015 and August 2017, almost 222,000 people received ART, with 85% 12-month retention rate. Access to at least one viral load test increased from 14% to 61%, reaching almost 135,000 people. This included 41% of HIV positive people attending clinics outside the capital. Over the same period, the number of laboratories increased from 6 to 15.<\/span><\/p>\n<p class=\"HTBBODYtext\"><span lang=\"EN-US\">Among those with access, 74% were women and 6% were children (&lt;14 years), with 77% (95%CI: 55 to 82) overall testing &lt;1000 copies\/mL (similar rates for men and women). <\/span>Viral suppression was lowest in children and adolescents (55%) and was 67% in young adults&#8217; (20 to 24 years) and 79% in people &gt;25 years.<\/p>\n<p class=\"HTBBODYtext\"><span lang=\"EN-US\">This study showed progress in increasing access to viral load testing in a low-income country and that access can be effectively broadened. This programme emphasised the importance of a strong sample transportation system and minimising reagent stock-out.<\/span><\/p>\n<p class=\"HTBreference-noindent\"><span lang=\"EN-US\">Reference<\/span><\/p>\n<p class=\"HTBreference-noindent\"><span lang=\"EN-US\">Adje-Toure C et al. <\/span>Increased access to HIV viral load testing among ART patients in C\u00f4te d&#8217;Ivoire (2015 to 2017). <span lang=\"EN-US\">AIDS 2018, 23-27 July 2018, Amsterdam. Poster TUPEB043.<br \/>\n<\/span><a href=\"http:\/\/programme.aids2018.org\/Abstract\/Abstract\/10852\">http:\/\/programme.aids2018.org\/Abstract\/Abstract\/10852<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Simon Collins, HIV i-Base An interesting poster presented results of recent scale up of access to viral load testing in rural and urban clinics in C\u00f4te d&#8217;Ivoire from 2015 to 2017. Before 2015, viral load was available to less than &hellip;<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4,38,23],"tags":[255],"class_list":["post-34779","post","type-post","status-publish","format-standard","hentry","category-conference-reports","category-treatment-access","category-guidelines","tag-world-aids-22-amsterdam-2018"],"_links":{"self":[{"href":"https:\/\/i-base.info\/htb\/wp-json\/wp\/v2\/posts\/34779","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/i-base.info\/htb\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/i-base.info\/htb\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/i-base.info\/htb\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/i-base.info\/htb\/wp-json\/wp\/v2\/comments?post=34779"}],"version-history":[{"count":0,"href":"https:\/\/i-base.info\/htb\/wp-json\/wp\/v2\/posts\/34779\/revisions"}],"wp:attachment":[{"href":"https:\/\/i-base.info\/htb\/wp-json\/wp\/v2\/media?parent=34779"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/i-base.info\/htb\/wp-json\/wp\/v2\/categories?post=34779"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/i-base.info\/htb\/wp-json\/wp\/v2\/tags?post=34779"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}