The Gambia

 The background

The Gambia has over 18,000 people living with HIV, of which around 4,500 people are on antiretroviral therapy. ARV initiation is currently done at CD4 count <500 uL due to insufficient resources to supply ART to all people living with HIV. Disaggregated data on key populations are not currently being captured in health registers.

The problem

Based on the latest data, it is evident that interventions to expand treatment access in the country are direly needed. Stigma and discrimination are still significant barriers to accessing prevention, treatment, and care services – particularly among men who have sex with men, sex workers, and people who inject drugs. Data is currently not being collected on adherence or retention in care – but reports indicate that treatment monitoring is a particular challenge. Stock-outs of testing reagents, broken testing machines, and lack of knowledge among people living with HIV contribute to low rates of viral load testing.

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