Expansion of HIV testing in Eswatini

Stakeholder perspectives on reaching the first 90

Dados Bibliográficos

ID15456315
AutoresPhilip J Kitchen (0000-0002-3128-9527, Heidelberg University), Kate Bärnighausen (0000-0002-4466-8921, Heidelberg University), Lenhle Dube (Ministry of Health), Zandi Mnisi (Ministry of Health), Sithembile Dlamini‐Nqeketo (0000-0003-2386-5376), Cheryl Johnson (0000-0001-5499-5523, World Health Organization), Till Bärnighausen (0000-0002-4182-4212, Harvard University), Jan-Walter De Neve (0000-0003-0090-8249, Heidelberg University), Shannon A Mcmahon (0000-0002-8634-9283, Johns Hopkins University, autor correspondente)
Ano2020
Volume19
Fascículo3
Páginas186-197
Data de publicação2020-07-02
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoAfrican Journal of AIDS Research (JOURNAL)
Identificadores do periódicoISSN: 1608-5906 • E-ISSN: 1727-9445
EditoraTaylor & Francis (PUBLISHER • GB)
DOI10.2989/16085906.2020.1790399
PMID32938320
OpenAlexW3087263080
IdiomaEN
Citações recebidas1
Referências citadas31

Achieving the United Nations' 90-90-90 goals has proven challenging in most settings and the ambitious 95-95-95 goals seem even more elusive. However, in Eswatini - a lower-middle-income country in sub-Saharan Africa with the highest HIV prevalence in the world - an estimated 92% of people living with HIV know their status. We conducted 26 in-depth interviews with stakeholders from policy, implementation, donor, local advocacy and academic sectors to elicit the facilitators and inhibitors to HIV testing uptake in Eswatini. Background data and related reports and policy documents ( n = 57) were also reviewed. Essential facilitators included good governance via institutional and national budgetary commitments, which often led to swift adoption of globally recommended programs and standards. The integration of HIV testing into all points of care fostered a sense that testing was part of routine care, which reduced stigma. Challenges, however, centred on social norms that disadvantage certain groups with high ongoing HIV risk (such as key populations, adolescent girls and young women), a heavy reliance on external donor funding, and stigma that had subsided but nevertheless persisted. Amid concerns about whether the 90-90-90 targets could be achieved by 2020, the experience of Eswatini provides tangible insights into factors that have successfully influenced HIV testing uptake and may thus prove informative for other countries

Business · Corporate governance · Developing country · Economic growth · Economics · Family medicine · Human immunodeficiency virus (HIV · Political science · Psychiatry · Public relations · Social stigma · Stakeholder · Stigma (botany · Adolescent Sexual and Reproductive Health · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Nursing