Prevalence of undiagnosed HIV among children in South Africa, Côte d'Ivoire and Zimbabwe: a model-based analysis to inform paediatric HIV screening programmes.
Nicole C McCannTijana StanicMartina PenazzatoClare F FlanaganElaine J AbramsCaitlin M DugdaleLeigh F JohnsonAnne M NeilanMary-Ann DaviesKenneth A FreedbergPatricia FassinouMeg DohertyShaffiq EssajeeAngela MushaviDjøra I SoetemanAndrea L CiaranelloPublished in: Journal of the International AIDS Society (2022)
Projected population-level undiagnosed HIV prevalence is low and sharply decreases after age 2, with more CLWH dying than being diagnosed. Despite low undiagnosed prevalence in the general population of older children, we project that a large proportion of CLWH remain undiagnosed, suggesting that innovative strategies targeting untested children of all ages outside of health facility settings should be prioritized. Programmes could consider routine testing of the general population of children below 2 in all settings and children of all ages in high-prevalence settings.
Keyphrases
- young adults
- hiv positive
- antiretroviral therapy
- south africa
- risk factors
- hiv testing
- hiv infected
- human immunodeficiency virus
- hepatitis c virus
- public health
- men who have sex with men
- healthcare
- emergency department
- intensive care unit
- palliative care
- climate change
- mental health
- risk assessment
- middle aged
- social media
- data analysis