Department of Mathematics, Wollega University, Ethiopia.
Department of Mathematics, Hawassa College of Teacher Education, Ethiopia.
Comput Math Methods Med. 2023 Feb 6;2023:4754426. doi: 10.1155/2023/4754426. eCollection 2023.
In this study, a very crucial stage of HIV extinction and invisibility stages are considered and a modified mathematical model is developed to describe the dynamics of infection. Moreover, the basic reproduction number is computed using the next-generation matrix method whereas the stability of disease-free equilibrium is investigated using the eigenvalue matrix stability theory. Furthermore, if ≤ 1, the disease-free equilibrium is stable both locally and globally whereas if > 1, based on the forward bifurcation behavior, the endemic equilibrium is locally and globally asymptotically stable. Particularly, at the critical point = 1, the model exhibits forward bifurcation behavior. On the other hand, the optimal control problem is constructed and Pontryagin's maximum principle is applied to form an optimality system. Further, forward fourth-order Runge-Kutta's method is applied to obtain the solution of state variables whereas Runge-Kutta's fourth-order backward sweep method is applied to obtain solution of adjoint variables. Finally, three control strategies are considered and a cost-effective analysis is performed to identify the better strategies for HIV transmission and progression. In advance, prevention control measure is identified to be the better strategy over treatment control if applied earlier and effectively. Additionally, MATLAB simulations were performed to describe the population's dynamic behavior.
在这项研究中,考虑了 HIV 灭绝和隐形阶段的一个非常关键的阶段,并开发了一个改进的数学模型来描述感染的动力学。此外,使用下一代矩阵方法计算基本繁殖数 ,而使用特征值矩阵稳定性理论研究无病平衡点的稳定性。此外,如果 ≤ 1,则无病平衡点在局部和全局上都是稳定的,而如果 > 1,则根据正向分歧行为,地方和全球的地方渐近稳定的地方和全球渐近稳定。特别是,在临界点 = 1 时,模型表现出正向分歧行为。另一方面,构建了最优控制问题,并应用庞特里亚金极大值原理形成最优系统。进一步,应用向前四阶龙格库塔法求解状态变量的解,而应用龙格库塔四阶向后扫法求解伴随变量的解。最后,考虑了三种控制策略,并进行了成本效益分析,以确定更好的 HIV 传播和进展控制策略。在提前,如果及早和有效地应用,预防控制措施被确定为比治疗控制更好的策略。此外,还进行了 MATLAB 模拟以描述人口的动态行为。