In Practice

Application opportunities of geographic information systems analysis to support achievement of the UNAIDS 90-90-90 targets in South Africa

R R Lilian, C J Grobbelaar, T Hurter, J A McIntyre, H E Struthers, R P H Peters

Abstract


In an effort to achieve control of the HIV epidemic, 90-90-90 targets have been proposed whereby 90% of the HIV-infected population should know their status, 90% of those diagnosed should be receiving antiretroviral therapy, and 90% of those on treatment should be virologically suppressed. In this article we present approaches for using relatively simple geographic information systems (GIS) analyses of routinely available data to support HIV programme management towards achieving the 90-90-90 targets, with a focus on South Africa (SA) and other high-prevalence settings in low- and middle-income countries. We present programme-level GIS applications to map aggregated health data and individual-level applications to track distinct patients. We illustrate these applications using data from City of Johannesburg Region D, demonstrating that GIS has great potential to guide HIV programme operations and assist in achieving the 90-90-90 targets in SA.


Authors' affiliations

R R Lilian, Anova Health Institute, Johannesburg and Cape Winelands, South Africa

C J Grobbelaar, Anova Health Institute, Johannesburg and Cape Winelands, South Africa

T Hurter, Anova Health Institute, Johannesburg and Cape Winelands, South Africa

J A McIntyre, Anova Health Institute, Johannesburg and Cape Winelands, South Africa; School of Public Health and Family Medicine, Faculty of Health Sciences, University of Cape Town, South Africa

H E Struthers, Anova Health Institute, Johannesburg and Cape Winelands, South Africa; Division of Infectious Diseases and HIV Medicine, Department of Medicine, Faculty of Health Sciences, University of Cape Town, South Africa

R P H Peters, Anova Health Institute, Johannesburg and Cape Winelands, South Africa

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Keywords

Geographic information systems; HIV; 90-90-90; Programme management; Low- and middle-income countries

Cite this article

South African Medical Journal 2017;107(12):1065-1071. DOI:10.7196/SAMJ.2017.v107i12.12666

Article History

Date submitted: 2017-11-27
Date published: 2017-11-27

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