The burden of HIV/AIDS in Ethiopia from 1990 to 2016: evidence from the Global Burden of Diseases 2016 Study

Deribew, Amare, Biadgilign, Sibhatu, Deribe, Kebede, Dejene, Tariku, Tessema, Gizachew Assefa, Melaku, Yohannes Adama, Lakew, Yihune, Amare, Azmeraw T, Bekele, Tolessa, Abera, Semaw F, Dessalegn, Muluken, Kumsa, Andargachew, Assefa, Yibeltal, Glenn, Scott D, Frank, Tahvi, Carter, Austin, Misganaw, Awoke and Wang, Haidong (2018) The burden of HIV/AIDS in Ethiopia from 1990 to 2016: evidence from the Global Burden of Diseases 2016 Study. Ethiopian Journal of Health Sciences. ISSN 1029-1857 (Accepted)

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Abstract

Background

The burden of HIV/AIDS in Ethiopia has not been comprehensively assessed over the last two decades. In this study, we used the 2016 Global Burden of Diseases, Injuries and Risk factors (GBD) data to analyze the incidence, prevalence, mortality and Disability-adjusted Life Years Lost(DALY) rates of Human Immunodeficiency Virus infection/ Acquired Immune Deficiency Syndrome (HIV/AIDS) in Ethiopia over the last 25 years.

Methods
The GBD 2016 used a wide range of data source for Ethiopia such as verbal autopsy (VA), surveys, reports of Federal Ministry of Health and United Nations (UN) and published scientific articles. The modified United Nations Programme on HIV/AIDS (UNAIDS) Spectrum model was used to estimate the incidence and mortality rates for HIV/AIDS.

Results
In 2016, an estimated 36,990 new HIV infections (95% uncertainty interval [UI]: 8775-80262), 670,906 prevalent HIV cases (95% UI: 568,268-798,970) and 19,999 HIV deaths (95% UI: 16426-24412) occurred in Ethiopia. The HIV/AIDS incidence rate peaked in 1995 and declined by 6.3% annually for both sexes with a total reduction of 77% between 1990 and 2016. Annualized HIV/AIDS mortality rate reduction during 1990 to 2016 for both sexes was 0.4%.

Conclusions
Ethiopia has achieved the 50% reduction of the incidence rate of HIV/AIDS based on the Millennium Development Goals (MDGs) target. However, the decline in HIV/AIDS mortality rate has been comparatively slow. The country should strengthen the HIV/AIDS detection and treatment programs at community level to achieve its targets during the Sustainable Development Program (SDGs)-era.

Item Type: Article
Schools and Departments: Brighton and Sussex Medical School > Global Health and Infection
Research Centres and Groups: Wellcome Trust Brighton and Sussex Centre for Global Health Research
Depositing User: emma louise Bertrand
Date Deposited: 28 Aug 2018 10:00
Last Modified: 21 Sep 2018 09:39
URI: http://srodev.sussex.ac.uk/id/eprint/78302

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