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The cascade of HIV care in Oman, 2015-2018: A population-based study from the Middle East

Ali Elgalib1, Samir Shah1, Zeyana Al-Habsi1

  • 1Directorate General for Disease Surveillance and Control, Muscat, Oman.

International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases
|October 1, 2019
PubMed

Insights

Oman saw significant improvements in the HIV care cascade between 2015 and 2018. Key steps like linkage to care, retention, ART coverage, and viral suppression all showed sustained progress for people living with HIV.

Area of Science:

  • Public Health
  • Epidemiology
  • Infectious Diseases

Background:

  • The HIV care cascade is crucial for managing the epidemic.
  • Understanding the cascade's performance in specific regions is vital for targeted interventions.
  • Oman's National AIDS Programme data provides a unique insight into HIV care trends.

Purpose of the Study:

  • To assess the status of the HIV care cascade in Oman in 2018.
  • To analyze the longitudinal changes in each step of the HIV care cascade from 2015 to 2018.

Main Methods:

  • Utilized population-based data from Oman's National AIDS Programme (1984-2018).
  • Included all diagnosed individuals living with HIV.
  • Evaluated key cascade indicators: diagnosis, linkage to care, retention in care, ART coverage, and viral suppression.

Main Results:

  • In 2018, 50.6% of people living with HIV in Oman were aware of their status.
  • High rates were observed for linkage to care (95.9%), retention in care (85.8%), and ART coverage (84.3%).
  • Viral suppression rates improved significantly, reaching 87.5% among those on ART by 2018. Significant increases were noted across all cascade steps from 2015 to 2018 (p < 0.001).

Conclusions:

  • Oman demonstrated sustained improvements in the HIV care cascade between 2015 and 2018.
  • Linkage to care, retention, ART coverage, and viral suppression have all seen positive trends.
  • These findings highlight the effectiveness of public health efforts in managing HIV in Oman.
Abstract

Keywords:
Cascade of careHIV/AIDSMiddle EastOmanViral suppression

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