Ending AIDS in West Africa Project (#EAWA) Progress Report Q3 FY20

The project was initiated in 2017 with the goal of accelerating progress across the region towards Ending AIDS in West Africa through prevention, care and treatment, focusing on Key Populations to accelerate the achievement of UNAIDS 90-90-90 targets. The project oversees three components of the Game Changer strategy: the service delivery component, the viral load laboratory system strengthening component, and the monitoring and evaluation component. The service delivery component aims to reach nationally the first and second 90 in FY20 in Burkina Faso and Togo, and achieve the third 90 in FY21 through direct service delivery, with a targeted focus on the highest burden sites for PLHIV and KP. During the third quarter of year 3, a total of 5,237 individual key populations were reached with prevention interventions in both Togo and Burkina Faso. 27,150 individuals, including 3,994 KPs, were tested for HIV and received their test results. Among those who received an HIV test, 4,252 individuals, including 464 KPs, were newly diagnosed HIV positive, representing a 15.7% case finding rate. Among individuals newly diagnosed HIV positive, 4,055, including 425 KPs, were newly enrolled on ART in the course of the quarter, achieving a 95.4% ART linkage rate. The ART linkage rate in the two implementing countries is 95.4%, with a higher rate among female than male (97.7% vs 95.3% in Togo and 92.9% vs 89.2% in Burkina Faso). The table below provides an overview of the cascade from the HIV testing to the viral load suppression. Table 1: Overview of the cascade of COPCT in Q3/FY20 | Indicator | Togo | Burkina Faso | Overall #EAWA | | --- | --- | --- | --- | | HTS_TST | 20,315 | 6,835 | 27,150 | | HTS_TST_POS (yield) | 3,082 (15.2%) | 1,170 (17.1%) | 4,252 (15.7%) | | TX_NEW | 2,982 (96.8%) | 1,073 (95.7%) | 4,055 (95.4%) | | TX_CURR | 29,505 | 21,662 | 51,167 | | VL documented | 8,354 | 1,383 | 9,737 | | VL suppressed (TX_PVLS) | 6,847 (82.0%) | 1,094 (79.1%) | 7,941 (81.6%) | The project has made significant progress in achieving the UNAIDS 90-90-90 targets, with a 95.4% ART linkage rate and a 81.6% viral load suppression rate among individuals newly diagnosed HIV positive. The project will continue to focus on Key Populations and PLHIV, with a targeted approach to reach the highest burden sites for PLHIV and KP.