Understating the barriers to achievement of the UNAIDS 90–90–90 goal in Tanzania using a population-based HIV impact assessment survey 2016–2017

ABSTRACT

The Joint United Nations Programme on HIV/AIDS (UNAIDS) and partners launched the 90–90–90 targets. We used Tanzania HIV Impact Survey (THIS) data in 2017 to study the barriers to achieve 90-90-90 targets. THIS was a population-based survey with a stratified multistage stage sampling design. We used weighted logistic regression to associate three targets with socio-demographics, HIV-related discrimination, fear and shame. We defined HIV awareness by a combination of self-reported of HIV status positive and detected antiretroviral (ARV) in blood among PLWH. On ARV was defined as those who self-reported among awareness. Viral load suppression was defined as 400 copies/ml or less in the blood sample. The three targets were estimated at 61–90–85 in Tanzania from the weighted analysis. The first target was far from being achieved. The weighted regression showed that being female, having attained higher education, married, having insurance, and living in urban areas were associated with a high likelihood of having ever tested for HIV. The results indicated that intervention programmes in Tanzania should focus on the first target. Intervention programmes should be designed for each target separately. Integrated strategies in the context of low and middle-income countries are needed to achieve these targets.

KEYWORDS:

• HIV/AIDS
• 90–90–90
• Tanzania
• testing

Acknowledgements

The authors thank PHIA for approving the secondary analysis.

Disclosure statement

No potential conflict of interest was reported by the author(s).

Additional information

Funding

This work was supported by NIH [grant number T32MH080634] and National Institute on Minority Health and Health Disparities [grant number NIMHD #1T37MD014251].