TY - JOUR
T1 - The cascade of HIV care in Oman, 2015–2018
T2 - A population-based study from the Middle East
AU - Elgalib, Ali
AU - Shah, Samir
AU - Al-Habsi, Zeyana
AU - Al-Fouri, Maha
AU - Lau, Richard
AU - Al-Kindi, Hanan
AU - Al-Rawahi, Bader
AU - Al-Abri, Seif
N1 - Publisher Copyright:
© 2019 The Author(s)
PY - 2020/1
Y1 - 2020/1
N2 - Objective: To evaluate the cascade of HIV care in Oman in 2018 and the longitudinal change in each step from 2015 to 2018. Methods: Population-based data on all diagnosed people living with HIV reported to the National AIDS Programme in 1984–2018 were used. Results: As of December 31, 2018, the estimated number of people living with HIV in Oman was 3030; 1532 (50.6%) were aware of their infection. Of the diagnosed patients, 95.9% were linked to care, 85.8% were retained in care, and 84.3% were on ART. The proportions of patients with viral suppression out of all people with HIV, the diagnosed persons, and those on ART were 37.3%, 73.7%, and 87.5%, respectively. The proportion of patients linked to care increased from 72.6% in 2015 to 95.6% in 2018 (p < 0.001). Only 57% (947/1661) were retained in care in 2015, which increased to 76.9% (1193/1552) in 2017 and 85.8% (1314/1532) in 2018 (p < 0.001). Viral suppression increased from 75.7% (672/888) in 2015 to 84.5% (859/1017) in 2016 and 87.5% (1129/1291) in 2018 (p < 0.001). Conclusions: A sustained improvement in linkage to care, retention in care, ART coverage, and viral suppression was observed amongst people living with HIV in Oman in 2015–2018.
AB - Objective: To evaluate the cascade of HIV care in Oman in 2018 and the longitudinal change in each step from 2015 to 2018. Methods: Population-based data on all diagnosed people living with HIV reported to the National AIDS Programme in 1984–2018 were used. Results: As of December 31, 2018, the estimated number of people living with HIV in Oman was 3030; 1532 (50.6%) were aware of their infection. Of the diagnosed patients, 95.9% were linked to care, 85.8% were retained in care, and 84.3% were on ART. The proportions of patients with viral suppression out of all people with HIV, the diagnosed persons, and those on ART were 37.3%, 73.7%, and 87.5%, respectively. The proportion of patients linked to care increased from 72.6% in 2015 to 95.6% in 2018 (p < 0.001). Only 57% (947/1661) were retained in care in 2015, which increased to 76.9% (1193/1552) in 2017 and 85.8% (1314/1532) in 2018 (p < 0.001). Viral suppression increased from 75.7% (672/888) in 2015 to 84.5% (859/1017) in 2016 and 87.5% (1129/1291) in 2018 (p < 0.001). Conclusions: A sustained improvement in linkage to care, retention in care, ART coverage, and viral suppression was observed amongst people living with HIV in Oman in 2015–2018.
KW - Cascade of care
KW - HIV/AIDS
KW - Middle East
KW - Oman
KW - Viral suppression
UR - http://www.scopus.com/inward/record.url?scp=85075018063&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85075018063&partnerID=8YFLogxK
U2 - 10.1016/j.ijid.2019.09.017
DO - 10.1016/j.ijid.2019.09.017
M3 - Article
C2 - 31568859
AN - SCOPUS:85075018063
SN - 1201-9712
VL - 90
SP - 28
EP - 34
JO - International Journal of Infectious Diseases
JF - International Journal of Infectious Diseases
ER -
