The original version of this article was revised: The incorrect range (10–51%) has been corrected in the second sentence of the Introduction section.
A correction to this article is available online at https://doi.org/10.1007/s10461-017-1998-9.
Data on implementation of ‘Test and Treat’ among key populations in sub-Saharan Africa are still limited. We examined factors associated with prompt antiretroviral therapy/ART (within 1 month of HIV-positive diagnosis or 1 week if pregnant) among 343 women at high risk for HIV infection in Kampala-Uganda, of whom 28% initiated prompt ART. Most (95%) reported paid sex within 3 months prior to enrolment. Multivariable logistic regression was used to determine baseline characteristics associated with prompt ART. Sex work as main job, younger age and being widowed/separated were associated with lower odds of prompt ART; being enrolled after 12 months of implementing the intervention was associated with higher odds of prompt ART. Younger women, widowed/separated and those reporting sex work as their main job need targeted interventions to start ART promptly after testing. Staff supervision and mentoring may need strengthening during the first year of implementing ‘test and treat’ interventions.
Gelmon L. HIV prevention response and modes of transmission analysis. Nairobi: Kenya National AIDS Control Council; 2009.
Joint United Nations Programme on HIV/AIDS. New HIV infections by mode of transmission in West Africa: a multicountry analysis. Geneva: Joint United Nations Programme on HIV/AIDS; 2010.
Wabwire-Mangen F, Odiit M, Kirungi W, Kaweesa Kisitu D, Wanyama JO. Uganda HIV prevention response and modes of transmission analysis. Kampala: Uganda AIDS Commission; 2009.
Uganda AIDS Commission. HIV and AIDS Uganda Country progress report; 2013. Kampala: Uganda AIDS Commission; 2014.
The Lancet HIV. The end of AIDS? Lancet HIV. 2015;2(3):e71. CrossRef
Uganda Ministry of Health. Addendum to the National Antiretroviral Treatment Guidelines. Kampala: Ministry of Health, Government of the Republic of Uganda; 2013.
World Health Organisation. Guideline on when to start antiretroviral therapy and on pre-exposure prophylaxis for HIV Guidelines. Geneva: World Health Organisation; 2015.
Lancet The. HIV: the question is not when to treat, but how to treat. Lancet. 2015;386:1420.
World Health Organization. Consolidated guidelines on the use of antiretroviral drugs for treating and preventing HIV infection: recommendations for a public health approach. Geneva: WHO; 2016. ISBN 9241549688.
Boyer S, Iwuji C, Gosset A, et al. Factors associated with antiretroviral treatment initiation amongst HIV-positive individuals linked to care within a universal test and treat programme: early findings of the ANRS 12249 TasP trial in rural South Africa. AIDS Care. 2016;28(Suppl 3):39. CrossRefPubMedPubMedCentral
Karim QA, Dellar RC, Bearnot B, et al. HIV-positive status disclosure in patients in care in Rural South Africa: implications for scaling up treatment and prevention interventions. AIDS Behav. 2015;19(2):322–9. CrossRef
Gregson J, Kaleebu P, Marconi VC, et al. Occult HIV-1 drug resistance to thymidine analogues following failure of first-line tenofovir combined with a cytosine analogue and nevirapine or efavirenz in sub Saharan Africa: a retrospective multi-centre cohort study. Lancet Infect Dis. 2017;17(3):296–304. CrossRefPubMed
Uganda Ministry of Health. Addendum to the National Antiretorviral Treatment Guidelines. Kampala: Ministry of Health, Government of the Republic of Uganda; 2013.
Iwuji CC, Orne-Gliemann J, Larmarange J, et al. Uptake of home-based HIV testing, linkage to care, and community attitudes about ART in Rural KwaZulu-Natal, South Africa: descriptive results from the first phase of the ANRS 12249 TasP cluster-randomised trial. PLoS Med. 2016;13(8):e1002107. CrossRefPubMedPubMedCentral
Joint United Nations Programme on HIV/AIDS. UNAIDS guidance note on HIV and sex work. Geneva: Joint United Nations Programme on HIV/AIDS; 2012.
Mbonye M, Nalukenge W, Nakamanya S, et al. Gender inequity in the lives of women involved in sex work in Kampala. Uganda. J Int AIDS Soc. 2012;15(Suppl 1):1–9. PubMed
Sahoo DM. An analysis of widowhood in India: A global perspective. International Journal of Multidisciplinary and Current Research. 2014;2.
Widows for peace through democracy. Dossier on widowhood: issues of discrmination for the attention of CEDAW. 2016.
Brownridge DA, Hiebert-Murphy D, Ristock J, et al. Violence against separated, divorced, and married women in Canada, 2004. J Divorce Remarriage. 2008;49(3–4):308–29. CrossRef
Fleury RE, Sullivan CM, Bybee DI. When ending the relationship does not end the violence women’s experiences of violence by former partners. Violence Against Women. 2000;6(12):1363–83. CrossRef
- ‘Test and Treat’ Among Women at High Risk for HIV-infection in Kampala, Uganda: Antiretroviral Therapy Initiation and Associated Factors
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