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Related Experiment Videos

Targeting the third '90': introducing the viral load champion.

H Sunpath1,2, T J Hatlen3, K K Naidu4

  • 1Centre for Aids Program of Research, University of Kwa Zulu-Natal, Durban, South Africa.

Public Health Action
|February 19, 2019
PubMed
Summary

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This summary is machine-generated.

Implementing a viral load (VL) champion program significantly improved VL testing rates, exceeding 90% in all clinics. This quality improvement initiative supports the UNAIDS 90-90-90 goals for HIV treatment.

Area of Science:

  • Public Health
  • Infectious Disease Management
  • HIV/AIDS Research

Background:

  • The UNAIDS 90-90-90 targets aim to improve HIV/AIDS outcomes.
  • Effective viral load (VL) monitoring is crucial for recognizing treatment failure and achieving treatment goals.
  • Previous VL monitoring strategies may require enhancement to meet global targets.

Purpose of the Study:

  • To assess the impact of a viral load champion (VLC) program on VL monitoring.
  • To improve VL completion rates and contribute to the third UNAIDS 90-90-90 target.
  • To evaluate a quality improvement intervention for HIV patient management.

Main Methods:

  • A prospective, pre- and post-intervention study was conducted across three clinics in eThekwini, Kwa-Zulu Natal.
Keywords:
AIDSHIVSouth Africaclinical champion

Related Experiment Videos

  • A viral load champion (VLC) was assigned to each clinic to enhance VL monitoring.
  • Descriptive analysis (chart audit) compared VL completion rates before and after the intervention.

    • Main Results:

    • Pre-implementation VL completion rates were below target across all sites (ranging from 54% to 68%).
    • Post-intervention, VL completion rates significantly increased at 6 months (83% to 99%) and remained high at 12 months (>90%).
    • The intervention demonstrated a statistically significant improvement (P < 0.0001) in VL completion rates at all study sites.

    Conclusions:

    • A clinic-level viral load champion program is an effective quality improvement intervention.
    • This multifaceted approach significantly enhances viral load monitoring and supports progress towards UNAIDS targets.
    • Scaling up the VLC program has substantial implications for achieving the third UNAIDS 90-90-90 goal.