%0 Journal Article
%T HIV Treatment Cascade Assessment of a Community-Based Test and Start Model for Key Populations in Lagos State Nigeria: Where Are the Gaps?
%A Jean Njab
%A Sylvia Adebajo
%A George Eluwa
%A Elizabeth Shoyemi
%A Progress Osakwe
%A Charles Eke
%A Daniel Offie
%J World Journal of AIDS
%P 105-117
%@ 2160-8822
%D 2018
%I Scientific Research Publishing
%R 10.4236/wja.2018.83009
%X <span style=\"font-family:Verdana;\"><b><span style=\"font-family:Verdana;\">Background: </span></b></span><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\">Community-based
test and start (TAS) models have shown the potential to improve clinical
outcomes for key populations because early access to treatment will have
population level impact by reducing transmission through the promotion and
provision of hassle-free quality HIV testing, on the spot ART initiation and
unrestricted access to culturally competent health professionals. We</span></span></span><span><span><span style=\"font-family:&quot;\"> </span></span></span><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\">assessed the effectiveness
of a pioneer community-based test and start (TAS) model for key populations in
Lagos along UNAIDS 90/90/90 cascade.</span></span></span><span><span><span style=\"font-family:&quot;\"> </span></span></span><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\"><b><span style=\"font-family:Verdana;\">Methods: </span></b></span></span><span><span><span style=\"font-family:&quot;\"><span style=\"font-family:Verdana;\">Men who
have sex with men (MSM), female sex workers (FSW), and persons who inject drugs
(PWID), &gt;14 years of age were recruited through peer-referral for HIV
testing services (HTS) at a community-based KP-friendly clinic in Lagos between
June 2015 and September 2016. The clinic provides comprehensive HIV services,
including HIV treatment. Those who test positive are enrolled and provided with
TAS services. Using routine service data, we deployed descriptive cross
tabulations at p &lt; 5% to determine the performance along the 90/90/90
cascade. </span><b><span style=\"font-family:Verdana;\">Results: </span></b><span style=\"font-family:Verdana;\">In total, 8812 KPs</span></span></span></span><span><span><span style=\"font-family:&quot;\"> </span></span></span><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\">comprising MSM (51.6%),
FSW (32.7%) and PWID (15.7%) were tested</span></span></span><span><span><span style=\"font-family:&quot;\"> </span></span></span><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\">during this period.</span></span></span><span><span><span style=\"font-family:&quot;\"> </span></span></span><span style=\"font-family:Verdana;\"><span
%K HIV
%K Cascade
%K Assessment
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=87454