HIV care coverage among HIV-positive adolescent girls and young women in South Africa: Results from the HERStory Study

摘要: Background. Health service coverage cascades measure the proportion of a population in need that experienced positive health outcome from service, and enable tracking progress achieving universal inequities care coverage. Objectives. To investigate HIV among HIV-positive adolescent girls young women (AGYW) living six South African districts, compare by age socioeconomic status (SES), other associated factors including participation combination prevention intervention. Methods. The HERStory Study was an evaluation intervention, comprising representative household survey AGYW aged 15 - 24 years intervention districts. From September 2017 to November 2018, biological, sociodemographic behavioural data were collected. status, initiation antiretroviral therapy (ART) viral suppression determined through laboratory tests (enzyme-linked immunosorbent assay for antibodies, (ARV) metabolites load (VL) testing). Viral defined as VL <1 000 copies/mL. Knowledge self-reported, participants testing ARV assumed have known their status. Unconditional created, stratified SES. We used Pearson’s χ 2 corrected survey-based analysis describe with knowledge being on ART. Results. Of 4 399 participants, 568 (12.4%), whom 60.8% (95% confidence interval (CI) 57.1 64.5) knew 50.6% CI 46.6 54.0) ART, 62.1% 58.4 65.9) virally suppressed. Most (84.9%) lower SES group, they had better than higher group: 61.9% 58.3 65.4) 52.1% 48.4 55.9) 64.9% 61.3 68.4) suppressed, compared 55.0% 42.1 68.0), 40.0% 29.2 50.8), 46.6% 34.5 58.7), respectively. Participants 19 slightly inferior 20 24-year-old 57.5% 46.1% ART 59.5% 62.3%, 52.2% 63.3%. Conclusions. These findings emphasise close gaps AGYW, only 61% 62% There is pro-poor inequality coverage, those groups more likely be