Fielding School of Public Health, University of California, Los Angeles, USA.
Department of Public Health, Ministry of Health and Sports, Nay Pyi Taw, Myanmar.
AIDS Care. 2021 Sep;33(9):1218-1227. doi: 10.1080/09540121.2020.1781758. Epub 2020 Jun 25.
Myanmar's continuum of HIV care was surveyed to assess the National AIDS Control Programme's progress; according to its reports, ART coverage was 38% in 2014, 47% in 2015, and 56% in 2016. To evaluate ART coverage and gaps in care, a serial cross-sectional study used the national programme data reported between January 2014 and December 2016, including 228 public and 62 private ART facilities. ART coverage among PLHIV under 15 years old was 89% in 2014, 93% in 2015, and 88% in 2016. Retention in ART care among women was higher than among men, although women were more likely to discontinue care. PLHIV who were enrolled in ART facilities initiated ART at the rates of 60% in 2014, 68% in 2015, and 74% in 2016. Over the 3-year study period, these facilities reported that 2.5-3.7% of PLHIV taking ART had died, and that 3.3-4.8% were lost to follow-up. PLHIV who were tested for viral load were low (2.5-3%). The continuum of HIV care at ART facilities has improved, but more information about attrition and viral suppression are still needed. The reporting system for newly diagnosed PLHIV and facilities for viral load testing need to be strengthened.
对缅甸的艾滋病毒护理连续性进行了调查，以评估国家艾滋病控制方案的进展情况；根据其报告，2014 年抗逆转录病毒治疗（ART）覆盖率为 38%，2015 年为 47%，2016 年为 56%。为了评估抗逆转录病毒治疗的覆盖率和护理差距，一项连续的横断面研究使用了 2014 年 1 月至 2016 年 12 月期间报告的国家方案数据，其中包括 228 家公立和 62 家私立抗逆转录病毒治疗设施。2014 年、2015 年和 2016 年，15 岁以下的艾滋病毒感染者接受抗逆转录病毒治疗的比例分别为 89%、93%和 88%。在抗逆转录病毒治疗护理中，女性的保留率高于男性，尽管女性更有可能停止护理。2014 年、2015 年和 2016 年，在抗逆转录病毒治疗设施中登记的艾滋病毒感染者开始接受抗逆转录病毒治疗的比例分别为 60%、68%和 74%。在为期 3 年的研究期间，这些设施报告称，接受抗逆转录病毒治疗的艾滋病毒感染者中有 2.5-3.7%死亡，3.3-4.8%失访。接受病毒载量检测的艾滋病毒感染者比例较低（2.5-3%）。抗逆转录病毒治疗设施的艾滋病毒护理连续性有所改善，但仍需要更多关于流失和病毒抑制的信息。新诊断的艾滋病毒感染者报告系统和病毒载量检测设施需要加强。
