District-level strategies to control the HIV epidemic in Zimbabwe: a practical example of precision public health

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RESEARCH NOTE

District‑level strategies to control the HIV epidemic in Zimbabwe: a practical example of precision public health Richard Makurumidze1,2,4*  , Tom Decroo2,3, Lutgarde Lynen2, Zororo Kudzaishe Chinwadzimba5, Wim Van Damme2,4, James Hakim1 and Simbarashe Rusakaniko1

Abstract  Objective:  We conducted a descriptive cross-sectional study using survey and programme data to assess districtlevel performance along the HIV care cascade (HIV testing target achievement, linkage to ART and ART coverage) in order to formulate district-specific recommendations, taking into consideration prevalence and yield of testing. Results:  Data from 60 districts were analysed. Forty-eight districts (80.0%) surpassed 90% of their 2018 HIV testing targets. Linkage to ART was less than 90% in 40 districts (83.3%). Thirty districts (50.0%) had ART coverage above 90%. Of the 30 districts with suboptimal (