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Metrics details. The fifth South African national HIV sero-behavioural survey collected nationally representative data that enabled the empirical estimation of these 90β90β90 targets for the country stratified by a variety of key factors.
To evaluate progress towards achievement of the 90β90β90 targets for South Africa, data obtained from a national, representative, cross-sectional population-based multi-stage stratified cluster random survey conducted in were analysed. Structured questionnaires were used to collect socio-demographic data, knowledge and perceptions about HIV, and related risk behaviours. These estimates varied by sex, age, and geo-location type.
Relatively higher percentages across all three indicators for women compared to men were observed: A similar pattern was observed for the 2nd 90, among those who knew their HIV positive status, Viral suppression for the above mentioned aged groups, among those who were on ART was The 90β90β90 indicators for urban areas were South Africa appears to be on track to achieve the first 90 indicator by Overall viral suppression among those on ART is approaching the target at More nuanced 90β90β90 estimates within provinces, specifically looking at more granular sub-national level e.
Peer Review reports. For South Africa, modelled estimates from the Thembisa model estimate the indicators at: Evaluating the 90β90β90 indicators within South Africa is critical in ensuring progress towards achieving these targets to curb the HIV epidemic nationally and worldwide. This recommendation, referred to as Universal Test and Treat UTT , was informed by several studies that showed that early access to ART reduces viral load to very low or undetectable levels, resulting in better health outcomes [ 6 , 23 ] and a reduced risk of onward transmission of the virus [ 21 , 26 ].
Several multi-country studies inclusive of South African sites have evaluated UTT using the 90β90β90 targets. Hayes et al. These studies cover specific geographic areas rather than national in scope. This is the fifth in a series of cross-sectional population-based household surveys. Previously such surveys were completed in , , , and The current survey provides an opportunity to report on the progress of South Africa towards achieving the 90β90β90 targets using data collected from a population-based nationally representative sample following the rollout of UTT nationwide.