Background: 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. Weassessed the effectiveness
of a pioneer community-based test and start (TAS) model for key populations in
Lagos along UNAIDS 90/90/90 cascade.Methods: Men who
have sex with men (MSM), female sex workers (FSW), and persons who inject drugs
(PWID), >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 < 5% to determine the performance along the 90/90/90
cascade. Results: In total, 8812 KPscomprising MSM (51.6%),
FSW (32.7%) and PWID (15.7%) were testedduring this period.
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