Using Population-Size Estimation and Cross-sectional Survey Methods to Evaluate HIV Service Coverage Among Key Populations in Burkina Faso and Togo.

Journal Article (Journal Article)

OBJECTIVES: The objective of our study was to measure progress toward the UNAIDS 90-90-90 HIV care targets among key populations in urban areas of 2 countries in West Africa: Burkina Faso and Togo. METHODS: We recruited female sex workers (FSWs) and men who have sex with men (MSM) through respondent-driven sampling. From January to July 2013, 2738 participants were enrolled, tested for HIV, and completed interviewer-administered surveys. We used population-size estimation methods to calculate the number of people who were engaged in the HIV continuum of care. RESULTS: HIV prevalence ranged from 0.6% (2 of 329) of MSM in Kara, Togo, to 32.9% (115 of 350) of FSWs in Bobo Dioulasso, Burkina Faso. Of those confirmed to be HIV infected, a range of 0.0% (0 of 2) of MSM in Kara to 55.7% (64 of 115) of FSWs in Bobo Dioulasso were using ART. Based on population estimates, the percentage gap between HIV-infected people who should be using ART (per the 90-90-90 targets) and those who reported using ART ranged from 31.5% among FSWs in Bobo Dioulasso to 100.0% among MSM in Kara. CONCLUSIONS: HIV service coverage among MSM and FSWs in Burkina Faso and Togo was low in 2013. Interventions for improving engagement of these at-risk populations in the HIV continuum of care should include frequent, routine HIV testing and linkage to evidence-based HIV treatment services. Population-size estimates can be used to inform governments, policy makers, and funding agencies about where elements of HIV service coverage are most needed.

Full Text

Duke Authors

Cited Authors

  • Holland, CE; Kouanda, S; Lougué, M; Pitche, VP; Schwartz, S; Anato, S; Ouedraogo, HG; Tchalla, J; Yah, CS; Kapesa, L; Ketende, S; Beyrer, C; Baral, S

Published Date

  • November 2016

Published In

Volume / Issue

  • 131 / 6

Start / End Page

  • 773 - 782

PubMed ID

  • 28123223

Pubmed Central ID

  • PMC5230836

Electronic International Standard Serial Number (EISSN)

  • 1468-2877

Digital Object Identifier (DOI)

  • 10.1177/0033354916677237


  • eng

Conference Location

  • United States