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HIV / AIDS Epidemic in the Democratic Republic of the Congo: Current Level of Key Indicators and Projection by 2030

Received: 4 July 2018     Accepted: 17 July 2018     Published: 14 August 2018
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Abstract

Since 2015, the Democratic Republic of Congo has subscribed to the global goal of eliminating HIV / AIDS as a major public health problem by 2030. However, there is a lack of evidence on the current level of key indicators of the epidemic in the country. In another hand, no study has yet explored the extent to which the country could meet the 2030 target. This study aimed to: (i) determine the current level of key indicators of the HIV / AIDS epidemic in the DRC; and (ii) assess whether the DRC could achieve the goal of eliminating HIV / AIDS as a major public health problem by the end of 2030. For the country as a whole and for 24 of its 26 provinces, we performed: (1) a trend analysis of HIV / AIDS surveillance data; and (2) projections of key indicators of the epidemic by 2030 on Spectrum software. In 2017, the DRC is experiencing a generalized epidemic of HIV / AIDS (national prevalence of 1.0%, 97.5%CI: 0.85% - 1.14%), which is poorly expansive (national incidence of 6, 97, 5%IC: 5 - 7 new infections per 10 000 person-years of observation). Ten of its 26 provinces have so far experienced a concentrated epidemic. From 2017 to 2030, HIV prevalence will decline for the country as a whole, falling below 1% by 2018 and reaching 0.76% by 2030. The incidence will experience the same overall declining trend. Nine provinces appear to be driving the epidemic. The DRC should target intensively the nine driving provinces of the epidemic and some of its key determinants, in order to fulfill the goal of reducing the HIV / AIDS epidemic to a non-major public health concern by 2030.

Published in Central African Journal of Public Health (Volume 4, Issue 3)
DOI 10.11648/j.cajph.20180403.16
Page(s) 86-94
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2018. Published by Science Publishing Group

Keywords

HIV/AIDS, DRC, Indicators, Projections

References
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  • APA Style

    Jack Hyyombo Tambwe Kokolomami, Patrick Kalambayi Kayembe. (2018). HIV / AIDS Epidemic in the Democratic Republic of the Congo: Current Level of Key Indicators and Projection by 2030. Central African Journal of Public Health, 4(3), 86-94. https://doi.org/10.11648/j.cajph.20180403.16

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    ACS Style

    Jack Hyyombo Tambwe Kokolomami; Patrick Kalambayi Kayembe. HIV / AIDS Epidemic in the Democratic Republic of the Congo: Current Level of Key Indicators and Projection by 2030. Cent. Afr. J. Public Health 2018, 4(3), 86-94. doi: 10.11648/j.cajph.20180403.16

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    AMA Style

    Jack Hyyombo Tambwe Kokolomami, Patrick Kalambayi Kayembe. HIV / AIDS Epidemic in the Democratic Republic of the Congo: Current Level of Key Indicators and Projection by 2030. Cent Afr J Public Health. 2018;4(3):86-94. doi: 10.11648/j.cajph.20180403.16

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  • @article{10.11648/j.cajph.20180403.16,
      author = {Jack Hyyombo Tambwe Kokolomami and Patrick Kalambayi Kayembe},
      title = {HIV / AIDS Epidemic in the Democratic Republic of the Congo: Current Level of Key Indicators and Projection by 2030},
      journal = {Central African Journal of Public Health},
      volume = {4},
      number = {3},
      pages = {86-94},
      doi = {10.11648/j.cajph.20180403.16},
      url = {https://doi.org/10.11648/j.cajph.20180403.16},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20180403.16},
      abstract = {Since 2015, the Democratic Republic of Congo has subscribed to the global goal of eliminating HIV / AIDS as a major public health problem by 2030. However, there is a lack of evidence on the current level of key indicators of the epidemic in the country. In another hand, no study has yet explored the extent to which the country could meet the 2030 target. This study aimed to: (i) determine the current level of key indicators of the HIV / AIDS epidemic in the DRC; and (ii) assess whether the DRC could achieve the goal of eliminating HIV / AIDS as a major public health problem by the end of 2030. For the country as a whole and for 24 of its 26 provinces, we performed: (1) a trend analysis of HIV / AIDS surveillance data; and (2) projections of key indicators of the epidemic by 2030 on Spectrum software. In 2017, the DRC is experiencing a generalized epidemic of HIV / AIDS (national prevalence of 1.0%, 97.5%CI: 0.85% - 1.14%), which is poorly expansive (national incidence of 6, 97, 5%IC: 5 - 7 new infections per 10 000 person-years of observation). Ten of its 26 provinces have so far experienced a concentrated epidemic. From 2017 to 2030, HIV prevalence will decline for the country as a whole, falling below 1% by 2018 and reaching 0.76% by 2030. The incidence will experience the same overall declining trend. Nine provinces appear to be driving the epidemic. The DRC should target intensively the nine driving provinces of the epidemic and some of its key determinants, in order to fulfill the goal of reducing the HIV / AIDS epidemic to a non-major public health concern by 2030.},
     year = {2018}
    }
    

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    T1  - HIV / AIDS Epidemic in the Democratic Republic of the Congo: Current Level of Key Indicators and Projection by 2030
    AU  - Jack Hyyombo Tambwe Kokolomami
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    AB  - Since 2015, the Democratic Republic of Congo has subscribed to the global goal of eliminating HIV / AIDS as a major public health problem by 2030. However, there is a lack of evidence on the current level of key indicators of the epidemic in the country. In another hand, no study has yet explored the extent to which the country could meet the 2030 target. This study aimed to: (i) determine the current level of key indicators of the HIV / AIDS epidemic in the DRC; and (ii) assess whether the DRC could achieve the goal of eliminating HIV / AIDS as a major public health problem by the end of 2030. For the country as a whole and for 24 of its 26 provinces, we performed: (1) a trend analysis of HIV / AIDS surveillance data; and (2) projections of key indicators of the epidemic by 2030 on Spectrum software. In 2017, the DRC is experiencing a generalized epidemic of HIV / AIDS (national prevalence of 1.0%, 97.5%CI: 0.85% - 1.14%), which is poorly expansive (national incidence of 6, 97, 5%IC: 5 - 7 new infections per 10 000 person-years of observation). Ten of its 26 provinces have so far experienced a concentrated epidemic. From 2017 to 2030, HIV prevalence will decline for the country as a whole, falling below 1% by 2018 and reaching 0.76% by 2030. The incidence will experience the same overall declining trend. Nine provinces appear to be driving the epidemic. The DRC should target intensively the nine driving provinces of the epidemic and some of its key determinants, in order to fulfill the goal of reducing the HIV / AIDS epidemic to a non-major public health concern by 2030.
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Author Information
  • Department of Epidemiology and Biostatistics, Kinshasa School of Public Health, University of Kinshasa, Kinshasa, the Democratic Republic of Congo

  • Department of Epidemiology and Biostatistics, Kinshasa School of Public Health, University of Kinshasa, Kinshasa, the Democratic Republic of Congo

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