Imperial College London
Dr Romain Silhol

DrRomainSilhol

Faculty of Medicine, School of Public Health

Research Fellow
 
 
 
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r.silhol

 
 
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Location

 

School of Public HealthWhite City Campus

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Summary

 

Publications

Citation

BibTex format

@article{Fotso:2022:10.1097/QAD.0000000000003328,
author = {Fotso, AS and Johnson, C and Vautier, A and Kouame, KB and Diop, PM and Silhol, R and Maheu-Giroux, M and Boily, M-C and Rouveau, N and Doumenc-Aidara, C and Baggaley, R and Ehui, E and Larmarange, J},
doi = {10.1097/QAD.0000000000003328},
journal = {AIDS},
pages = {1871--1879},
title = {Routine programmatic data show a positive population-level impact of HIV self-testing: the case of Cote d'Ivoire and implications for implementation},
url = {http://dx.doi.org/10.1097/QAD.0000000000003328},
volume = {36},
year = {2022}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Objectives: We estimate the effects of ATLAS's HIV self-testing (HIVST) kit distribution on conventional HIV testing, diagnoses, and antiretroviral treatment (ART) initiations in Côte d’Ivoire.Design: Ecological study using routinely collected HIV testing services program data.Methods: We used the ATLAS's programmatic data recorded between the third quarter of 2019 and the first quarter of 2021, in addition to data from the President's Emergency Plan for AIDS Relief dashboard. We performed ecological time series regression using linear mixed models. Results are presented per 1000 HIVST kits distributed through ATLAS.Results: We found a negative but nonsignificant effect of the number of ATLAS’ distributed HIVST kits on conventional testing uptake (−190 conventional tests; 95% confidence interval [CI]: −427 to 37). The relationship between the number of HIVST kits and HIV diagnoses was significant and positive (+8 diagnosis; 95% CI: 0 to 15). No effect was observed on ART initiation (−2 ART initiations; 95% CI: −8 to 5).Conclusions: ATLAS’ HIVST kit distribution had a positive impact on HIV diagnoses. Despite the negative signal on conventional testing, even if only 20% of distributed kits are used, HIVST would increase access to testing. The methodology used in this paper offers a promising way to leverage routinely collected programmatic data to estimate the effects of HIVST kit distribution in real-world programs.
AU  - Fotso,AS
AU  - Johnson,C
AU  - Vautier,A
AU  - Kouame,KB
AU  - Diop,PM
AU  - Silhol,R
AU  - Maheu-Giroux,M
AU  - Boily,M-C
AU  - Rouveau,N
AU  - Doumenc-Aidara,C
AU  - Baggaley,R
AU  - Ehui,E
AU  - Larmarange,J
DO  - 10.1097/QAD.0000000000003328
EP  - 1879
PY  - 2022///
SN  - 0269-9370
SP  - 1871
TI  - Routine programmatic data show a positive population-level impact of HIV self-testing: the case of Cote d'Ivoire and implications for implementation
T2  - AIDS
UR  - http://dx.doi.org/10.1097/QAD.0000000000003328
UR  - https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000861441200015&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
UR  - https://journals.lww.com/aidsonline/Fulltext/2022/11010/Routine_programmatic_data_show_a_positive.15.aspx
UR  - http://hdl.handle.net/10044/1/104292
VL  - 36
ER  -
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