The Effect of Age on Viral Suppression in AGPAHI supported Health Facilities in Shinyanga region, Tanzania

Introduction

Viral load monitoring of sub-population such as pregnant and lactating mothers, adults and adolescents to determine which group has poor suppression was conducted at selected AGPAHI supported health facilities in Shinyanga region.

Methods

Data collected between October 2017 to March 2018 was  compiled and reviewed.  Then analysis was done and viral suppression was compared between age groups.

Results

Overall 8,696 patients aged 0 to 50+ years; 986 pregnant women and 114 of breast feeding women records were reviewed. Clients aged 0 to 24 years had the highest proportional of poor HIV viral load suppression 34.4% (281/817).

 Pregnant and breast feeding women achieved highest suppression of 99% and 100% respectively.

While, 86% of patients with high viral load enrolled on Enhanced Adherence counselling achieved viral suppression within three months of follow up counselling sessions

Reasons identified as barriers to HIV viral load suppression for the age group 0 to 24 years were;

poor uptake of adherence counseling and lack of food, Poor commitment of adults in monitoring ARV uptake for this age group,  Non-disclosure and adherence to ARV for school-children, Peer pressure not  to take medication and having unprotected  sex and Broken families, being an orphans, taking cattle for pasture, etc.

Conclusion and Recommendations:

Patients aged 0 to 24 years contributed the highest proportional of poor viral load suppression. Therefore, Enhanced Adherence counselling should be provided prior to ART initiation taking into consideration the anticipated challenges which can hinder proper uptake of ARVs.

Therefore, close monitoring  of the this age group can also result in  normal viral load suppression as other age group.

What was done on aged 0-24 with high viral load:

Mwadui hospital was among the facilities with clients aged 0-24 with high viral load therefore, the study was done at this health facility on attaining suppression rate :

We had individuals, group and family counselling that’s where we identified the challenges and work on them.

17/20 returned with suppressed viral load. After conducting individual, group and family adherence counselling 86%  suppression rate after second test.

References

1.Operational Manual for Comprehensives differentiated Delivery of HIV AIDS services page-(119-130)

2.JOB AID for Comprehensives differentiated Delivery of HIV/AIDS services page(214 - 2118

3. National guideline for management of HIV/AIDS

What We Do

  • TB in the Mining Sector Programme +

    TB in mining sector (TIMS) project is funded by Global fund through Development Aid from People to People (ADPP - Mozambique). AGPAHI is a sub-recipient of ADPP Mozambique.The project target is to screen TB to approximately 30,000 mine workers and their families.

  • Provision of Comprehensive HIV Care +

    The purpose of** Boresha Project** is to support comprehensive facility-based HIV testing, care, treatment and support service provision in 9 scale-up and 25 sustained districts in the five lake zone regions of Geita, Mara, Mwanza, Simiyu and Shinyanga. .

  • CIFF Reprogramming +

    Project Goal is to improve health services to prevent HIV transmission, increase identification of adolescents with HIV infection, and improve HIV care and treatment and retention for ALHIV in Tanzania.

  • 1